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Pentobarbital is utilized or thought of in its place with the barbiturate sodium thiopental used for funds punishment by lethal injection from the United States when that drug became unavailable.[14] In 2011 the U.S. company of sodium thiopental stopped production, and importation on the drug proved unattainable.

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Based on a December 2020 ProPublica article, by 2017 the federal Bureau of Prisons (BOP), in dialogue with then Lawyer Common Jeff Classes, experienced started to find suppliers of pentobarbital for use in lethal injections. The BOP was aware that using pentobarbital as their "new drug selection" would be challenged while in the courts since some attorneys had claimed that "pentobarbital would flood prisoners’ lungs with froth and foam, inflicting pain and terror akin to a Dying by drowning.

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