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Chloral Hydrate Brand Names
Aquachoral Supprettes | Somnote
What is Chloral Hydrate
Chloral hydrate is an orally or rectally administered sedative/hypnotic. It is used primarily as an alternative to benzodiazepines in the short-term treatment of insomnia.
Tolerance to the hypnotic effects limits its effectiveness for periods longer than 2 weeks.
Chloral hydrate also is used to promote conscious sedation during pediatric dental procedures, preoperatively to relieve anxiety and to induce sedation, and postoperatively as an adjunct to analgesics or opiates.
Chloral hydrate has been used as a routine sedative; however, its use has declined as a result of the development of safer and more effective agents.
In use for many years, chloral hydrate was approved by the FDA in 1938.
Indications
- insomnia
- procedural sedation
- sedation maintenance
Side Effects
- angioedema
- apnea
- asthenia
- ataxia
- atopic dermatitis
- bradycardia
- bullous rash
- complex sleep-related behaviors
- confusion
- delirium
- depression
- diarrhea
- dizziness
- drowsiness
- dysgeusia
- erythema multiforme
- fever
- gastritis
- headache
- hypotension
- hypoxia
- impaired cognition
- jaundice
- lethargy
- memory impairment
- nausea
- physiological dependence
- proteinuria
- psychological dependence
- purpura
- rash
- respiratory depression
- somnambulism
- suicidal ideation
- tolerance
- urticaria
- vertigo
- vomiting
- withdrawal
Monitoring Parameters
- laboratory monitoring not necessary
Contraindications
- abrupt discontinuation
- breast-feeding
- cardiac disease
- colitis
- complex sleep-related behaviors
- depression
- driving or operating machinery
- esophagitis
- gastritis
- geriatric
- hepatic disease
- infants
- mannitol hypersensitivity
- neonates
- paraben hypersensitivity
- peptic ulcer disease
- porphyria
- pregnancy
- renal disease
- renal failure
- renal impairment
- substance abuse
- suicidal ideation
Interactions
- Acetaminophen; Butalbital; Caffeine; Codeine
- Acetaminophen; Caffeine; Dihydrocodeine
- Acetaminophen; Codeine
- Acetaminophen; Hydrocodone
- Acetaminophen; Oxycodone
- Acetaminophen; Propoxyphene
- Acetaminophen; Tramadol
- Aldesleukin, IL-2
- Alfentanil
- Amoxapine
- Apomorphine
- Apraclonidine
- Aspirin, ASA; Butalbital; Caffeine; Codeine
- Aspirin, ASA; Caffeine; Dihydrocodeine
- Aspirin, ASA; Caffeine; Orphenadrine
- Aspirin, ASA; Carisoprodol
- Aspirin, ASA; Carisoprodol; Codeine
- Aspirin, ASA; Oxycodone
- Atropine; Difenoxin
- Atropine; Diphenoxylate
- Atropine; Hyoscyamine; Phenobarbital; Scopolamine
- Azelastine
- Azelastine; Fluticasone
- Baclofen
- Belladonna; Opium
- Benzhydrocodone; Acetaminophen
- Benztropine
- Brimonidine
- Brimonidine; Brinzolamide
- Brimonidine; Timolol
- Brompheniramine; Carbetapentane; Phenylephrine
- Brompheniramine; Guaifenesin; Hydrocodone
- Brompheniramine; Hydrocodone; Pseudoephedrine
- Buprenorphine
- Buprenorphine; Naloxone
- Buspirone
- Butorphanol
- Cannabidiol
- Capsaicin; Metaxalone
- Carbetapentane; Chlorpheniramine
- Carbetapentane; Chlorpheniramine; Phenylephrine
- Carbetapentane; Diphenhydramine; Phenylephrine
- Carbetapentane; Guaifenesin
- Carbetapentane; Guaifenesin; Phenylephrine
- Carbetapentane; Phenylephrine
- Carbetapentane; Phenylephrine; Pyrilamine
- Carbetapentane; Pseudoephedrine
- Carbetapentane; Pyrilamine
- Carbinoxamine; Hydrocodone; Phenylephrine
- Carbinoxamine; Hydrocodone; Pseudoephedrine
- Carisoprodol
- Cenobamate
- Cetirizine
- Cetirizine; Pseudoephedrine
- Chlorpheniramine; Codeine
- Chlorpheniramine; Dihydrocodeine; Phenylephrine
- Chlorpheniramine; Dihydrocodeine; Pseudoephedrine
- Chlorpheniramine; Guaifenesin; Hydrocodone; Pseudoephedrine
- Chlorpheniramine; Hydrocodone
- Chlorpheniramine; Hydrocodone; Phenylephrine
- Chlorpheniramine; Hydrocodone; Pseudoephedrine
- Chlorzoxazone
- Clobazam
- Codeine
- Codeine; Guaifenesin
- Codeine; Phenylephrine; Promethazine
- Codeine; Promethazine
- Cyclobenzaprine
- Dantrolene
- Deutetrabenazine
- Dexmedetomidine
- Dicyclomine
- Dihydrocodeine; Guaifenesin; Pseudoephedrine
- Diphenhydramine; Hydrocodone; Phenylephrine
- Disulfiram
- Dronabinol
- Esketamine
- Ethanol
- Ezogabine
- Fentanyl
- Furosemide
- Gabapentin
- Guaifenesin; Hydrocodone
- Guaifenesin; Hydrocodone; Pseudoephedrine
- Haloperidol
- Homatropine; Hydrocodone
- Hydrocodone
- Hydrocodone; Ibuprofen
- Hydrocodone; Phenylephrine
- Hydrocodone; Potassium Guaiacolsulfonate
- Hydrocodone; Potassium Guaiacolsulfonate; Pseudoephedrine
- Hydrocodone; Pseudoephedrine
- Hydromorphone
- Ibuprofen; Oxycodone
- Isocarboxazid
- Lasmiditan
- Levocetirizine
- Levomethadyl
- Levorphanol
- Lithium
- Lofexidine
- Lumateperone
- Maprotiline
- Mepenzolate
- Meperidine
- Meperidine; Promethazine
- Metaxalone
- Methadone
- Methocarbamol
- Methscopolamine
- Metoclopramide
- Mirtazapine
- Monoamine oxidase inhibitors
- Morphine
- Morphine; Naltrexone
- Nalbuphine
- Orphenadrine
- Oxybutynin
- Oxycodone
- Oxymorphone
- Papaverine
- Perampanel
- Phenelzine
- Phenothiazines
- Phentermine; Topiramate
- Pramipexole
- Pregabalin
- Propoxyphene
- Ramelteon
- Rasagiline
- Remifentanil
- Ropinirole
- Rotigotine
- Safinamide
- Scopolamine
- Selegiline
- Sodium Oxybate
- Sufentanil
- Suvorexant
- Tapentadol
- Tetrabenazine
- Thalidomide
- Tizanidine
- Topiramate
- Tramadol
- Tranylcypromine
- Trihexyphenidyl
- Trimethobenzamide
- Valerian, Valeriana officinalis
- Vigabatrin
- Vilazodone
- Warfarin
- Ziconotide