Antiseizure Drugs Flashcards
MOA- blocks voltage gated Na channels
Uses Grand Mal seizures, partial seizures, arrhythmias (Group 1B)
SE: Gingival hyperplasia, Hirsutism, Fetal hydantoin syndrome
Phenytoin
Fetal hydantoin syndrome
Upturned nose, mild midfacial hypoplasia, long upper lip w/ thin vermilion border, lower distal digital hypoplasia
Class Tricyclic anticonvulsants
Uses: Grand mal seizures, partial seizures,
Trigeminal neuralgia (DOC)
Carbamazepine
Class Anticonvulsant (branch-chain fatty acid)
MOA: blocks high frequency firing of neurons modifies amino acid metabolism
Uses: Grand mal seizures,
Bipolar disorders (acute mania) DOC
Juvenile myoclonic epilepsy DOC
SE: Neural tube defects, spina bifida
Valproic Acid
Preferred antiseizure drug in children and pregnant women
Phenobarbital
Class Anticonvulsant (cyclic ureide) MOA: Decrease Ca2+ (T-type) in thalamus Use: DOC absence seizure (petit mal)
Ethosuximide
DOC of status epilepticus
Diazepam
Lorazepam
Phenytoin
Phenobarbital
Anticonvulsant drug w/c is also used for neuropathic pain (postherpetic neuralgia) DOC
Gabapentin (GABA derivative)
Anticonvulsant that causes SJS
Lamotrigine
Anticonvulsant w/ the most number of mechanism of action
Topiramate (monosaccharide derivative)
DOC of Generalized Tonic-clonic seizures
Valproic acid
Phenytoin
Carbamazepine
DOC partial seizures
Carbamazepine
Lamotrigine
Phenytoin
DOC for Absence Seizures
Ethosuximide
Valproic acid
DOC for Myoclonic and atypical absence syndromes
Valproic acid
DOC for Bipolar affective disorders
Valproic acid (1st line of mania)
Carbamazipine
Lamotrigine