Antiepilepticos (Lamotrigina, Topiramato, valproato) Flashcards

1
Q

Mecanismo de acción de la LAMOTRIGINA

A
  • Modulador de canales de Na+, Ca++
  • Ihinidor de Glutamato
  • Potenciador de GABA
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2
Q

Indicaciones para LAMOTRIGINA

A
  • C. Tónico-clónicas G y P
  • Estabilizador de animo
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3
Q

LAMOTRIGINA también sirve como Tx para…

A

Bipolaridad

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4
Q

Efectos colaterales y secundarios neurologicos de la LAMOTRIGINA

A
  • Ataxia
  • Mareo
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5
Q

Efectos colaterales y secundarios visuales de la LAMOTRIGINA

A

Visión borrosa

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6
Q

Efectos colaterales y secundarios dermicos de la LAMOTRIGINA

A
  • Sx Steve Johnson
  • Necrolisis epidermica toxica
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7
Q

LAMOTRIGINA contraindicada en…

A

Insuficiencia hepatica

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8
Q

Mecanismo de acción de TOPIRAMATO

A
  • Bloquea canales de Na+ y Ca++, R AMPA y Kainato
  • POTENCIA GABA
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9
Q

Indicaciones para TOPIRAMATO

A
  • C. Tónico-Clónicas
  • Ayuda en Tx crisis P o monoterapia
  • Profilaxis para migraña
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10
Q

Efectos colaterales y secundarios neurologicos de TOPIRAMATO

A
  • Ataxia
  • Mareo
  • Somnolencia
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11
Q

Medicamento antiepileptico relacionado con FISURA PALATINA en RN

A

TOPIRAMATO
Teratogeno sobretodo en primeros 2 trimestres

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12
Q

Mecanismo de acción de VALPROATO

A
  • Modula canales de Na+ y Ca++
  • Aumenta tono GABAergico
  • Inhibe Glutamato
    Inhibe a la GABA transaminasa
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13
Q

Indicaciones para VALPROATO

A
  • C. Tónico-clónicas G
  • Mioclonicas
  • Ausencias
  • Migraña
  • Bipolaridad
  • Dolor neuropatico
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14
Q

Efectos colaterales y secundarios del VALPROATO

A
  • Anorexia
  • Nausea
  • Vomitó
  • Alopecia
  • Tremor
  • Aumento de apetito
  • Hepatotoxicidad
  • Hepatitis fulminante
  • Pancreatitis
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15
Q

Metabolismo a nivel ____ del VALPROATO

A
  • Hepatico
  • UGT y B-oxidación
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16
Q

VALPROATO es un inhibidor de…

A
  • CYP 2C9
  • UGT
17
Q
A