Neuro Flashcards
Med for preventing and treating seizures for absent or complex seizures or in combination with other seizure meds.
What are some side effects of this medication?
What labs do monitor?
What is a normal level of this drug?
What level is toxicity seen?
Is it safe for pregnancy?
Valproic acid
side effects: -wt gain (10-15 lbs), hair loss,
Do not prescribe for liver issues
*Monitor LFT’s
Normal level 50-100 (toxic at 100)
not safe for pregnancy
prevent and treat pt with generalized and complex partial seizures?
S/s of the medication that is negative
phenytoin- Dilantin
Gingival hyperplasia and hirsutism (male pattern hair growth)
decreased effectiveness birth control
Do not prescribe for liver issues
*Monitor LFT’s
What do you use for trigeminal neuralgia and anti-convulsant?
What are some labs to watch and why?
Carbamazepine (Tegretol)- works by lessing the pain signals to the brain, which feel like the face is being electrocuted.
mild anticholinergic (watch our elderly)
risk for bone marrow impression and agranulocytosis
Get a baseline CBC, every 3 months for the first year
Do not prescribe for liver issues
What do you use for neuropathy and post repedic neuralgia?
Gabapentin (anti-convulsant)
for shingles
addicting and sedating
What can you use for migraines and seizures?
How should we avoid prescribing?
what does it increase the risk of?
Topamax- topiramate (migraine prophylaxis)
-can cause weight loss
(do not give to people with an eating disorders)
DO not give to people with renal and hepatic issues
-increase risk of kidney stones
- migraine prophylaxis beta blockers
what anti-depressant can we use for prophylaxis migraines?
Tricyclic (amitriptyline or nortriptyline)
Abortive therapy for migraine?
Who cannot take it?
When should they take it and for how long?
triptan drug (sumatriptan (imitrex): they are not equal so if one doesn’t work try another)
these cannot be given to uncontrolled HTN, MAOI, CAD or preg.
Take it as soon as HA begins
Can only take this 2 day a week for a risk of a rebound HA
Parkinson’s disease medication?
not enough dopamine (med converts dopamine in the brain –> carbidopa/levodopa (Sinemet).(carba prevents levo from being destroyed and you can do a lower dose of levo
Start when the symp interferes with quality of life but you can have a wearing off after 5 years.
Carbidopa/levodopa (Sinemet) has the greatest effect in improving bradykinesia associated with Parkinson’s Disease. It has less of an effect on the other symptoms such as tremors, rigidity, and has no overall effect on memory. Given that bradykinesia is the most debilitating symptom of Parkinson’s Disease, this medication is an excellent treatment option.
Parkinson’s disease medication that is prescribed before carbo./Levo?
Ropinirole (requip pramipexole (Mirapex)
can be used before carbo/levo or together with it
side effect: leg edema, impose control and hypotension
Vertigo and labyrinthitis
meclizine (Bonine)
mild sedative works quick and lasts a while
and mild anticholinergic
info on iron
ferrous sulfate meets goal and continue 3-6 months after.
constipation, stay hydrated, high fiber, stool softeners.
Take on an empty stomach
liquid to babies, stains the teeth
B12 supplement
neurological
pernicious (do not have intrinsic factor B12 IM)
Lack of absorption 6-12 weeks supplementation
