Antiepileptics: Prescribing by brand Flashcards

1
Q

Why are some antiepileptics prescribed by brand rather than generic?

A

They have a narrow therapeutic index and potentially serious consequences of therapeutic failure.

Some generic drugs aren’t the clinical equivalent of the branded drugs.

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2
Q

Which antiepileptics should prescribed using their brand name?

A

Category 1 Anti-Epileptics

  • Phenytoin
  • Carbamazepine
  • Phenobarbital
  • Primodine
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3
Q

Which antiepileptics can be prescribed generically but need to be carefully considered?

A

Category 2 AEDs

  • Sodium valproate
  • Lamotrigine
  • Clonazepam
  • Topiramate

Use clinical judgement and consultation with the patient, taking into account seizure frequency and treatment history.

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4
Q

Which AEDs can be prescribed generically with little risk to the patient?

A

Category AEDs

  • Levetiracetam
  • Gabapentin
  • Pregabalin
  • Ethosuximide
  • Vigabatrin
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