Anti-epileptic Flashcards
Carbamazepine
First line for partial seizures
Oxcarbazepine
first line for partial seizures
Lamotrigine
adjunct for focal, tonic clonic, absence. second line bipolar and lennox gastaut
Valproic Acid
Focal seizures, generalized tonic clonic mixed seizures, absence, migraine, bipolar
Levitiracetam
focal seizures, myoclonic, primary generalized tonic clonic
Lacosamide
adjunct focal
Zonisamide
Adjunct focal
Perampanel
second line focal seizures, generalized tonic-clonic
Phenobarbital
second line short term sedative, generalized and focal seizures, lennox-gastuat syndrome. First line status epilepticus
Primidone
generalized tonic clonic, psychomotor, focal seizures
Gabapentin
peripheral neuropathy, bipolar disorder
pregablin
diabetic peripheral neuropathy, postherpetic neuralgia, adjunct for focal seizures, fibromyalgia, neuropathic pain from spinal cord injury
Exogabine
adjunct for focal
Felbamate
refractory partial seizures, lennox gastaut
Eslicarbazepine
monotherapy for partial onset seizures
Topiramate
focal seizures, generalized tonic clonic, lennox-gastaut, migraine prophylaxis, weight loss
Ethosuximide
absence seizures
Phenytoin
generalized tonic-clonic, focal
Fosphenytoin
status epilepticus
Clonezepam
lennox gastaut, second line absence
Diazepam
first line status epilepticus
Lorazepam
status epilepticus
midazolam IV
status epileptics
Clobazam
adjunct for lennox gastuat
Tiagabine
adjunct therapy in pts 12 and older for focal seizures
Brivaracetam
adjunct treatment for partial onset seizures
Carbamazepine MOA
inhibits Na channels
Carbamazepine contraindications
bone marrow suppression, use of MAOI, HLA-B 1502
Carbamazepine common ADR
Drowsiness diplopia, HA, ataxia, dizziness, NVD, constipation, abd pain, decreased appetite, leukopenia, hyponatremia, rash
Carbamazepine serious ADR
aplastic anemia, hepatitis, pancreatitis, SJS, TEN, preg cat D
Oxcarbamazepine MOA
inhibits Na channels
Oxcarbamazepine common ADR
sedation, dizziness, diplopia, Ha, nausea,
Oxcarbamazepine serious ADR
SJS, TEN, hyponatremia, angioedema, anaphylaxis
Lamotrigine MOA
blocks Na channels, enhances H current, modulates kainate receptors
Lamotrigine warnings
SJS, DRESS, suicide, aseptic meningitis