Epilepsy- Dr. Takeda Flashcards

1
Q

Lamotrigine, Levetiracetam, Topiramate, Valproic acid, Ethosuximide, Rufinamide can all be used to treat what kind of seizures?

A

-Generalized seizures

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2
Q

Lamotrigine, Levetiracetam, Gabapentin, Pregabalin, Carbamazepine, Oxcarbazepine, Topiramate, Valproic acid, Phenytoin, can all be used to treat what kind of seizures?

A

-Focal Seizures

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3
Q

Lamotrigine, Levetiracetam, Topiramate, Valproic acid can be used to treat what types of seizures

A

-Both Focal and Generalized seizures

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4
Q

Which drug is first line for Lennox-Gastaut Syndrome

A

-Rufinamide

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5
Q

Which drug is fist line for Absence seizures

A

-Ethosuximide

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6
Q

Inhibitory Synapses

A
  • Increased Cl- inward

- GABA

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7
Q

Excitatory synapses

A
  • Increased Na+ or Ca++ current inward

- Glutamate

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8
Q

Vigabatrin MoA

A
  • Inhibits GABAT

- Increasing GABA concentrations

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9
Q

Which AEDs are contraindicated in pts with a history of kidney stones

A
  • Topiramate
  • Zonisamide
  • Acetazolamide
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10
Q

What do you do with psych related issues due to keppra?

A

-Supplement with vitamin B6

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11
Q

Side effects of phenytoin

A
  • Nystagmus

- Gingival hyperplasia

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12
Q

Side effects with Carbamazepine and Oxcarbazepine

A
  • Hyponatremia

- Skin rash (HLA-B*1502)

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13
Q

Vigabatrin side effects

A

-Vision loss

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14
Q

Which AEDs can cause weight gain

A
  • Valproic acid
  • Gabapentin
  • Pregabalin
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15
Q

Which AEDs can cause weight loss

A
  • Topiramate

- Zonisamide

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16
Q

Catamenial epilepsy

A

-Cyclic increase in seizures around the time of menses

17
Q

Treatment of Catamenial Epilepsy

A
  • Progesterone
  • Topiramate
  • Zonisamide
  • Acetazoramide
  • Clobazam
18
Q

Diets that can help with seizure control

A
  • Keto (don’t use if history of kidney stones)

- Atkins