key convulsions Flashcards
non specific anticonvulsant drugs
tegretol - neuronton
tegretol
reduce Na and CA across membraine - trigeminal nerualgia common first choice bone marrow supression
neuronton
Potientate gaba (mimic)- anticonvulsant and atypical analgesic - may decrease desire for meth - post herpetic neuralgia
partial seizures/focal
one part of brain- 60 percent
absence/
petit mal interupt conciousness - vacant 30 sec
tonic clonic
grand mal - jerking twitchin
status elipeticus
5 minutes or more medical emergency
drugs for focal
phenobarbital - myoline - dilantin
phenobarbitol
GAPA potientiation - long half life - children choice - low IQ - no alcohol
myoline
Barbituate GABA potientiation - Category D not for pregnancy in general - metabolite
dilantin
sodium channel block across membrane - Gum hyperplasia
Drugs for status epi
Dilantin - valium - atavan- zarontin
Valium
Benzo Gaba potientiation miller choice for SE
Atavan
ER drug of choice I think
zarontin
Calcium channel blockaide T - First choice for absence - Gums - lupus like syndrome
Dilantin
sodium channel block - GUMS - hepato toxic - bone marrow supression
drugs for absence seizures
zarontin - klonopin
klonopin
Benzo so GABA potientiation - abuse potential - tolerance - CNS depressant
tonic clonic
Depakote - lamactil - topamox - keppra
depakote
Enhance gaba transmission - GUMS hepatotoxic like dilantin - Birth defects - miller myoclonic choice
Lamactil
Decrease glucamate sensitivity - anti excitatory - BIPOLAR - number one for grand mal
keppra
Calcium movement blocker - pigment change
what drug has a phenobarbitol as a metabolyte
myoline - so it has super long half life also. GABA potientiation all but absence
what is dilantin not used for
ABSENCE seizures
what is importaint to pay attention to with DILANTIN
lots of drug interactions
what may help with giant gum side effect
CoQ10 and Folic acid supplementation
what anticonvulsant should never be given with MAOIs
Tegretol - increase hypertensive crisis and aplastic anemia
what seizure drug has additive effects when combines with other
Depakote -
what drug causes serious side effects for fetus
depakote
what drug must you worry about with neurontin
Antacids decreased absorption