Levetiracetam Flashcards

1
Q

What is the classification of levetiracetam?

A

Levetiracetam is classified as an antiepileptic drug (AED).

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2
Q

What is the standard starting dosage of levetiracetam for adults?

A

The standard starting dosage for adults is typically 500 mg twice daily.

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3
Q

True or False: Levetiracetam is used to treat only partial seizures.

A

False: Levetiracetam is used to treat partial-onset seizures, myoclonic seizures, and generalized tonic-clonic seizures.

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4
Q

What is the primary mechanism of action of levetiracetam?

A

Levetiracetam works by modulating neurotransmitter release through binding to the synaptic vesicle protein SV2A.

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5
Q

Fill in the blank: Levetiracetam is indicated for the treatment of ________ seizures.

A

epileptic

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6
Q

What are common adverse effects of levetiracetam?

A

Common adverse effects include drowsiness, fatigue, and dizziness.

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7
Q

Which of the following is a serious adverse effect of levetiracetam? A) Rash B) Suicidal thoughts C) Nausea

A

B) Suicidal thoughts

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8
Q

Levetiracetam should be used with caution in patients with ________ impairment.

A

renal

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9
Q

What is the maximum recommended daily dosage of levetiracetam for adults?

A

The maximum recommended daily dosage is 3000 mg.

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10
Q

True or False: Levetiracetam interacts with the cytochrome P450 system.

A

False: Levetiracetam has minimal interactions with the cytochrome P450 system.

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11
Q

What should be monitored in patients taking levetiracetam?

A

Patients should be monitored for mood changes and signs of depression.

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12
Q

Fill in the blank: Levetiracetam is often used as an adjunctive therapy for ________ epilepsy.

A

partial-onset

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13
Q

What is the mechanism by which levetiracetam reduces seizure activity?

A

Levetiracetam reduces seizure activity by inhibiting excessive neurotransmitter release.

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14
Q

Which population requires a dosage adjustment when taking levetiracetam?

A

Patients with renal impairment.

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15
Q

What is a common initial side effect that may improve over time when taking levetiracetam?

A

Drowsiness.

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16
Q

True or False: Levetiracetam can be abruptly discontinued without risk.

A

False: Abrupt discontinuation can increase the risk of seizures.

17
Q

Fill in the blank: Levetiracetam is contraindicated in patients with a history of ________ hypersensitivity.

A

levetiracetam

18
Q

What is the typical titration schedule for levetiracetam?

A

Titration is typically done by increasing the dose by 500 mg every two weeks.

19
Q

What are some potential drug interactions with levetiracetam?

A

Levetiracetam has minimal drug interactions but should be used cautiously with other CNS depressants.

20
Q

Fill in the blank: Levetiracetam is available in ________ form.

A

oral and intravenous

21
Q

What is the significance of the SV2A protein in the action of levetiracetam?

A

SV2A is a synaptic vesicle protein that levetiracetam binds to, modulating neurotransmitter release.

22
Q

True or False: Levetiracetam can be used in pediatric patients.

A

True: Levetiracetam is approved for use in pediatric patients.

23
Q

What is one of the advantages of levetiracetam compared to other antiepileptic drugs?

A

Levetiracetam has a favorable side effect profile and minimal drug interactions.

24
Q

What is the importance of gradual dosage adjustment when prescribing levetiracetam?

A

Gradual adjustment helps minimize the risk of adverse effects and seizure exacerbation.