Epilepsy table Flashcards
First-Line Drugs for Newly Diagnosed
(Adults and Adolescents)
Carbamazepine
Gabapentin
Oxcarbazepine
Phenobarbital
Topiramate
Valproic Acid
(CarGO - PTV)
Alternative Drugs (FDA-Approved) for Newly Diagnosed (Adults and Adolescents)
Carbamazepine
Lacosamide
Phenobarbital
Phenytoin
Topiramate
(CarLa, PhePhe To?)
1st line: Refractory Monotherapy
Lamotrigine
Oxcarbazepine
Topiramate
(LOT)
Alternative: Refractory Monotherapy
Carbamazepine
Lamotrigine
Oxcarbazepine
Phenobarbital
Phenytoin
Topiramate
Valproic Acid
(CarLa, PhePhe Va TO)
1st line: Refractory Adjunct
Gabapentin
Lamotrigine
Levetiracetam
Oxcarbazepine
Tiagabine
Topiramate
Zonisamide
(GaLa Tia LeO ToZ)
Alternative: Refractory Adjunct
Carbamazepine
Gabapentin
Lamotrigine
Levetiracetam
Oxcarbazepine
Phenobarbital
Phenytoin
(CarGa LaLeO PhePhe)
1st line: Children
Gabapentin
Lamotrigine
Oxcarbazepine
Topiramate
(GaLa TO)
Alternative: Children
Pregabalin
Tiagabine
Valproic
Vigabatrine
Zonisamide
(Pre, Tia Val VigaZ)
1st line: Generalized seizures absence (newly diagnosed)
Lamotrigine
Alternative: Generalized seizures absence (newly diagnosed)
Ethosuximide, Valproic
Acid
1st line: Primary generalized (tonic clonic)
topiramate
Alternative: Primary generalized (tonic clonic)
Lamotrigine, Levetiracetam
Alternative: Juvenile myoclonic epilepsy
Levetiracetam
(myoclonic seizures)
Cause fewer cognitive impairments
Gabapentin and
Lamotrigine
May cause substantial cognitive
impairments especially at high
doses or in rapid-dose escalation
Topiramate