Anticonvulsants Flashcards
Carbamazepine
Na channel blocker, inhibits high-frequency, repetitive firing
Partial/tonic-clonic seizure
Carbamazepine
Na channel blocker, inhibits high-frequency, repetitive firing
Partial/tonic-clonic seizure
Phenytoin
Prolongs inactivation of Na channels, inhibits rapid firing nuerons Partial Seizures Generalized tonic-clonic NOT Absence Zero Order
Phenobarbital
Enhancement of GABA activity (increase inhibitory pathways)
Partial/tonic-clonic
Valproic Acid
na/ca channel blocker 2nd choice for absence tonic-clonic myoclonic Weight gain Hepatotoxicity (monitor liver enzymes)
Ethosuximide
Blockade of thalamic t-type ca current, ‘pacemaker of thalmaic neurons for treatment of absence seizure, Na channel blocker
Diazepam
Enhancement of GABA activity (increase inhibitory pathways)
Tolerance is common
Partial/Simple Seizure
20-90s, NO loss of conscioiusness
Partial/Complex Seizure
Generalized/Tonic-Clonic Seizure
Initial tonic rigidity (15-30s), Tremor, Clonic jerking (60-120s), Loss of consciousness
Generalized/Absence Seizure
THALMUS started, Sudden onset, 10-30s, loss of awareness, 3Hz spike in EEG
Generalized/Myoclonic Seizure
Brief spasm, often benign
Phenytoin
Prolongs inactivation of Na channels, inhibits rapid firing nuerons Partial Seizures Generalized tonic-clonic NOT Absence Zero Order
Phenobarbital
Enhancement of GABA activity (increase inhibitory pathways)
Partial/tonic-clonic
Valproic Acid
na/ca channel blocker 2nd choice for absence tonic-clonic myoclonic Weight gain Hepatotoxicity (monitor liver enzymes)