ethchlorvynol A sedating hypnotic drug, similar in physiologic action and effects to barbiturates, doctors may prescribe as a sleep aid to treat insomnia. Ethchlorvynol (brand name Placidyl) has high potential for physical dependence and addiction, however, and is seldom the medication of first choice in a therapeutic setting. It is a schedule 4 drug in the United States; possession and use are legal only with a doctor's prescription.
Tolerance to ethchlorvynol develops after about one week of taking it regularly, which means the body requires a higher dose to achieve the same effect. Taking ethchlorvynol for three weeks or longer often establishes physical dependence; abruptly stopping the drug after this time is likely to result in withdrawal symptoms such as nausea, agitation, hallucination, tremors ("shakes"), and possibly seizures. It is important to taper the amount of drug over days to weeks to stop taking it. As a drug of abuse, ethchlorvynol produces an intoxicating effect. As with other hypnotics, combining the drug with alcohol enhances the sedating effect and can result in overdose. People who abuse substances such as methamphetamine or cocaine may use ethchlorvynol to ease the transition between the "high" of the stimulant and the "crash" of returning to normal state.
See also chloral hydrate; depressants; hypnotics; prescription drug abuse; scheduled drugs; stimulants; withdrawal syndrome.
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