Automatism (toxicology)
Encyclopedia
Automatism, in toxicology
Toxicology
Toxicology is a branch of biology, chemistry, and medicine concerned with the study of the adverse effects of chemicals on living organisms...

, refers to a tendency to take a drug over and over again, forgetting each time that one has already taken the dose. This can lead to a cumulative overdose. A particular example is barbiturates which were once commonly used as hypnotic
Hypnotic
Hypnotic drugs are a class of psychoactives whose primary function is to induce sleep and to be used in the treatment of insomnia and in surgical anesthesia...

 (sleep inducing) drugs. Among the current hypnotics, benzodiazepines, especially midazolam
Midazolam
Midazolam is a short-acting drug in the benzodiazepine class developed by Hoffmann-La Roche in the 1970s. The drug is used for treatment of acute seizures, moderate to severe insomnia, and for inducing sedation and amnesia before medical procedures. It possesses profoundly potent anxiolytic,...

 might show marked automatism, possibly through their intrinsic anterograde amnesia
Anterograde amnesia
Anterograde amnesia is a loss of the ability to create new memories after the event that caused the amnesia, leading to a partial or complete inability to recall the recent past, while long-term memories from before the event remain intact. This is in contrast to retrograde amnesia, where memories...

 effect. Barbiturates are known to induce hyperalgesia
Hyperalgesia
Hyperalgesia is an increased sensitivity to pain, which may be caused by damage to nociceptors or peripheral nerves. Temporary increased sensitivity to pain also occurs as part of sickness behavior, the evolved response to infection.-Types:...

, i.e. aggravation of pain and for sleeplessness due to pain, if barbiturates are used, more pain and more disorientation would follow leading to drug automation and finally a "pseudo"suicide. Such reports dominated the medical literature of 60s and 70s; a reason replacing the barbiturates with benzodiazepines when they became available.
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