Chapter 24: Antiseizure Drugs Flashcards
Antiseizure drugs with sodium channel blockade:
- Phenytoin
- Carbamazepine
- Lacosamide
- Lamotrigine
- Zonisamide
- Topiramate (in part)
Antiseizure drugs with GABA-related targets:
- Benzodiazepines
- Barbiturates (Phenobarbital)
- Vigabatrin
- Tiagabine
- Valproate
Antiseizure drugs with calcium channel blockade:
- Ethosuximide
- Valproate
- Gabapentin
- Pregabalin
Antiepileptics teratogenicity:
Valproic acid
Neural tube defects
Antiepileptics teratogenicity:
Carbamazepine
- Craniofacial anomalies
2. Spina bifida
Antiepileptics teratogenicity:
Phenytoin
Fetal hydantoin syndrome
- wide set eyes
- upturned nose
- mild midfacial hypoplasia / broad mandible
- long upper lip with thin vermilion border
- lower distal digital hypoplasia
Antiseizure drug which induces formation of liver drug-metabolizing enzymes that increase metabolism of the drug itself and may increase the clearance of many other anticonvulsant drugs
Carbamazepine
In addition to competing for phenytoin plasma protein binding sites, this drug inhibits the metabolism of carbamazepine, ethosuximide, phenytoin, phenobarbital, and lamotrigine.
This is hepatotoxic.
Valproic acid
Increases the FREQUENCY of GABA-mediated Cl- channel opening
Benzodiazepines
Increases the DURATION of GABA-mediated Cl- channel opening
Barbiturates
Antiseizure drug that binds the SV2A protein on glutamate-containing transmitter vesicles and reduces glutamate release.
Levetiracetam
Drugs of choice for generalized tonic-clonic (grand mal) seizures
- Valproic acid
- Carbamazepine
- Phenytoin
The drugs of first choice for focal (partial) seizures
- Carbamazepine (or oxcarbazepine)
- Lamotrigine
- Phenytoin
The drugs of first choice for absence seizures because they cause minimal sedation
- Ethosuximide
2. Valproic acid
Myoclonic seizure syndromes are usually treated with:
Valproic acid