Antikonvulsiva (Antiepileptika) Flashcards

1
Q

Na+-Kanal-Inhibitoren

A
  • Valproinsäure
  • Lamotrigin
  • Topiramat
  • Carbamazepin
  • Phenytoin (s. Antiarrhythmika)
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2
Q

T-Ca2+-Kanal-Inhibitoren

A
  • Ethosuximid

- Valproat

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3
Q

Barbiturate und Verwandte

A

-Phenobarbital

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4
Q

Benzodiazepine
-allosterische Bindung an GABA-A
(siehe auch Psychopharmaka)

A
  • Lorazepam

- Clonazepam

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5
Q

Kovalente Bindung und Inaktivierung der mitochondrialen GABA-Transaminase

A

-Vigabatrin (Sabril)

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6
Q

GABA-Aufnahme- Inhibitoren

A

-Tiagabin

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7
Q

GABA-Synthese- Stimulatoren

-Glutamat Decarboxylase Induktoren

A
  • Gabapentin

- Valproat

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8
Q

Antagonisten an Rezeptoren exzitatorischer Aminosäuren

-AMPA-Rezeptor

A

-Topiramat

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8
Q

Inhibitor der Glycin Modulationsstelle des NMDA- Rezeptors

A

-Felbamat

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9
Q

GABA Derivate

A
  • Gabapentin
  • Vigabatrin
  • Valproinsäure
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10
Q

Arzneimittelinteraktionen

A

Induktion von Cytochrom P450 Monooxygenasen

  • insb. Carbamazepin, Phenytoin
  • “Pillenversager”, Blutungen beim Absetzen des Antiepileptikums

Kompetition an abbauenden Enzymen

  • Biotransformation von Phenytoin geht runter durch Cimetidin
  • Phenytoin frei führt zu Ataxie u. Verwirrtheit

Verdrängung aus Plasma Eiweiß Bindung
-Cumarine

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