AEDs and Side Effects Flashcards

1
Q

Mnemonic to remember first and second line AEDs for generalised seizures?

A

female orgasms are general, so “Vaginas Like Cocks” = Valproate, Lamotrigine, Carbamazepine for general

But don’t give Vagina to Vaginas if they are child bearing age!

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2
Q

Mnemonic to remember first and second line AEDs for focal seizures?

A

male orgasms are focal, so “Cocks Like Vaginas” = Carbamazepine, Lamotrigine, Valproate for focal

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3
Q

What is first line for absence seizures?

A

Ethosuximide and sodium valproate

sux to have absence seizures

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4
Q

Which AED blocks voltage-gated T-type Ca2+ channels?

A

Ethosuximide

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5
Q

Which AED can cause weight loss?

A

Topiramate

can be licensed for weight loss in some places

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6
Q

Mnemonic to remember which AEDs cause SJS?

A

Ethan, Carl and Larry are friends with Steven and Johnson

Ethosuximide
Carbamazepine
Lamotrigine

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7
Q

Which AED retains fat / causes weight gain?

A

“Valproate increases Veight”
or
“Walproate increases Weight”

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8
Q

Which AED interferes with folate?

A

“Phenytoin affects Pholate /Folate”

megaloblastic anaemia and peripheral neuropathy

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9
Q

Which AED causes osteomalacia?

A

“Phenytoin brings my toe in”

and there are bones in your toe

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10
Q

Which AED causes SIADH?

A

Carbamazepine

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11
Q

Which AED is used for trigeminal neuralgia?

A

Carbamazepine

“chew CARBs with cheek = trigeminal neuralgia”

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12
Q

Which AED has an unknown mechanism?

A

Levetiracetam

“how to you levitate? I don’t know how says levitating magician”

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13
Q

Important side effect of lamotrigine?

A

“Lamotrigine has Life threatening rash”

aka Larry in Ethan, Carl and Larry

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14
Q

What are the PHENYTOIN side effects? (acronym)

A
P P450 inducer Principally
H Hirsuitism
E Enlarged gums
NY NYstagmus
T Teratogen
O Osteomalacia
I Interferes with folate
N Neuropathy
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15
Q

What are the VALPROATE side effects? (acronym)

A
V Vomiting
A Alopecia
L Liver toxicity
P Pancreatitis
R Retained fat
O Oedema
A Appetite increase
T Tremor
E Enzyme inhibitor P450 at End
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16
Q

Which AED causes craniofacial and limb abnormalities?

A

sounds like fetal hydrantoin

Phenytoin causes fetal hydrantoin

17
Q

What do phenytoin and valproate do to hair?

A

Phenytoin causes Hirsutism

Valproate causes Alopecia

18
Q

Which AED causes lymphadenopathy?

A

Phenytoin

not in its acronym unfortunately

19
Q

Which AED/s is/are an enzyme inhibitor?

A

Valproate

E at the End is Enzyme inhibitor

20
Q

Which AED/s is/are an enzyme inducer?

A

Phenytoin (P450 inducer Principally)
and
Carbamazepine (Cyp 450 comes first)

21
Q

Which AED decreases GABA transaminase?

A

Vigabatrin

22
Q

Which AED decreases GABA reuptake?

A

Tiagaban

23
Q

What side effects are fairly common to all AEDs?

A

CNS: nystagmus (pheny), diplopia (carb), tremor (valp), dizziness, fatigue

Teratogenic effects