Anticonvulsants Flashcards
What are four characteristics of seizures?
Loss of consciousness
Altered muscle tone or movement
Altered sensations
Neurological changes
Define seizures
Periods of altered brain function due to recurrent abnormal electrical impulses
Define convulsions
Seizures characterized by spastic muscle movement and loss of consciousness
Define epilepsy
Recurrent seizures
Define idiopathic epilepsy
Recurring seizures with no identifiable cause
Define grand mal seizure
Spastic muscle contractions involving entire body
What are anticonvulsants?
Drugs used to prevent seizures and decrease chance of spontaneous depolarization spreading in the brain
What are 3 symptoms of anti convulsants!
Ataxia
Drowsiness
Hepatotoxicity
Therapeutic drug monitoring is recomended for what drugs?
Phenobarbital and potassium bromide
Why is phenobarbital the drug of choice for long term seizures?
Because of its long half life and low cost
This anticonvulsant is highly protien bound
Phenobarbital
What form is only allowed to cross capillary membranes when in phenobarbital?
Free form
How is phenobarbital eliminated?
Liver
What group of enzymes does phenobarbital cause to increase there metabolize rate?
Cytochrome p450
What are four drugs that are metabolized by cytochrome p450?
Phenylbutazone, glucocorticoids, estrogen, phenobarbital
What does chloramphenicol do to phenobarbital?
Inhibits the metabolism of phenobarbital by the cytochrome p450 enzymes