Antiepileptics Flashcards
Phenytoin MOA
Na+
Lamotrigine, Felbamate MOA
Na+ and Glutamate
Ethosuximide
Ca+
Gabapentin
Na+, GABA, Ca+
Nystagmus
Phenytoin
Gingival Hyperplasia
Phenytoin
Rash/SJS
Lamotrigine
Spina Bifida Tetrogen
Valproate
Aplastic anemia, hepatoxicity
Felbamate
Binds to SV2A
Lamotrigine
Absence seizures
Ethosuximide
Eliminated by kidneys, PN
Gabapentin
Tx DM PN
Pregabalin
Migraine Headache tx
Topiramate
Possible Retinal Neuropathy
Vigabatrin
Acute seizures
Diazepam
leukopenia, hyponatremia
carbamazepine
trigeminal neuralgia
carbamazepine
bipolar disorder
carbamazepine
decrease in bone mineral content
phenytoin
Focal seizure tx
Carbamazepine, Lamotrigine, Leviracetam
General, Absent
Valproate, Ethosuximide
General, Tonic Clonic or Unknown
Valproate
Zero order kinetics
Phenytoin
Status Epilepticus (acute seizures)
Diazepam or Lorazepam
High Potency Typical
Play Halo while high and get the Flu
Haloperidol
Fluphenazine
MOA: Induce EPS, block D2 receptors, increase prolactin
Haloperidol, Fluphenazine (high), Chlorpromazine (low)
Tx Schizophrenia
Haloperidol, Fluphenazine
More sedative, CNS effect in
Low potency
Low Potency Typical antipsychotics
Chlorpromazine
risk weight gain, DM, hyperlipidemia
Atypical antipsychotics
Major depression tx
ARipiprazole
ARipiprazole + Clozapine MOA:
Block 5-HT
Clozapine SE
agranulocytosis, need weekly WBC checks
Atypical Antipsychotics Mnemonic
Psychoas ARe ZAPped and DONE
ARipiprazole, cloZAPine, olanZAPine, risperiDONE
autism
risperidone
anterograde amnesia
benzos
Insomnia tx
Flu, Tema… Pam takes Tema-flu for insomnia
potentiate GABA inhibition
benzodiazepams!
BZD receptor agonist
Zolpidem/Ambien
Stimulates benzo receptor
Zolpidem/Ambien
BZD/Rescue Antagonist
Flumazenil
Partial agonist 5HT-1A receptor
Buspirone
Antianxiety, good for truck drivers and workers with high risk jobs need to be awake
Buspirone
Short acting
THIO
TRIcyclic antidepressants mnemonic
“depressed cause I TRIed but I TRIPT at PRAM”
- itri
- tript
- ipram
SE: orthostatic hypotension, sexual dysfunction, sedation, weight gain
tricyclic antidepressants
Quinidine-like effects
tricyclic antidepressants
mild stimulant + antidepressant
BUPROPRION
SSRI’s suffix
oxetine
SSRI mnemonic
"SSRy SER, the PARrot FLUw into the CITy" SERtraline PARoxetine FLUoxetine CITalopram
SSRI MOA:
inhibits UPTAKE of 5-HT
SE: suicidality
SSRIs
eat food containing TYRAMINE… HTN crisis
MAOIs
MAOIs mnemonic
“SEL MAyO w/ PHENEL”
SELegiline
PHENELzine
hand tremor
lithium
Lithium mnemonic
“battery powered VLC”
Valproic Acid
Lamotrigine
Carbamazepine