Antiseizure Drugs Flashcards
Q
A
Drugs of choice for generalized tonic-clonic and partial seizures
Valproic acid, Phenytoin and Carbamazepine
Anti-seizure drugs used also for bipolar affective disorder (BAD)
Valproic acid, carbamazepine, phenytoin and gabapentin
Drug of choice for myoclonic seizures
Valproic acid
Agent that inhibits hepatic metabolism, is hepatotoxic and teratogen that can cause neural tube defects and gastrointestinal distress
Valproic acid
SE for Lamotrigine
Stevens-Johnson syndrome
Mechanisms of action for Phenytoin, Carbamazepine, Lamotrigine
Sodium blockade
Laboratory value required to be monitored for patients on valproic acid
Serum ammonia and LFT’s
Anti-seizure agent that exhibits non-linear metabolism, highly protein bound, causes fetal hydantoin syndrome, and stimulates hepatic metabolism
Phenytoin
DOC for febrile seizures
Phenobarbital
Drugs of choice for status epilepticus
IV diazepam (or lorazapam) followed by phenytoin
Most frequent route of metabolism
Hepatic enzymes
SE of phenytoin
Gingival hyperplasia, nystagmus, diplopia and ataxia
Anti-seizure drugs used also for pain of neuropathic orgin
Gabapentin
MOA for benzodiazepines and barbiturates
GABA-related targets