CNS #2: Anticonvulsants & Aesthetics Flashcards
Define simple partial seizure
No loss of consciousness
Define complex partial seizure
Consciousness is altered
*What is the MOA of anticonvulsants?
- Inhibit excitatory activity (inhibit glutamate release; block Na and Ca channels)
- Enhance GABA inhibitory actions
What is the MOA of Benzodiazepines
Bind to GABA receptors (inhibitory) to decrease neuronal diring
What is the use of BZDs
Anticonvulsant
What is the MOA of Carbamazepine (Tegretol)?
Inhibit Sodium channels; omduces CYP 450
What is the use of Carbamazepine
Anticonvulsant
What are AE of Carbamazepine?
Blood cell abnormalities and dermatologic reactions
What is an AE of Valproic Acid-Divalproex (Depakote)
Hepatic failure and pancreatitis
What is the use of valproic acid -divalproex (depakote)
generalized seizure
What is the MOA of Ethosuzimide (Zarontin)
Inhibit T-type Ca channels
What is the use of Ethosuximide (Zarontin)
Absence seizures
What is the MOA of Febalmate (Felbatol)?
Block Ca and Na channels, GABA potentiation, NMDA antagonist
What is the use of Felbamate (Felbatol)?
Refractory partial seizure disorder
What is the use of Gabapentin(Neurontin)?
Antivconvulsant (partial seizures & generalized tonic clonic) Neuropathic pain