seizure Flashcards

1
Q

what are the early drugs used for seizures

A

hydantoins (phenytoin)
barbiturates (phenobarbital)
oxazolidinediones (trimethadone)
succinimides (ethosuximide)
acetylureas (phenacemide)

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2
Q

which drugs prolong na channel inavtication

A

phenytoin, carbamazaepine, lamotrigine, phenobarbital, topiramate, valproate

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3
Q

which seizures are NA channel actions best for

A

focal

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4
Q

which drugs target T-type Ca channels

A

ethosuxamide valproate lamotrigine

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5
Q

how do drugs actt on T-type Ca channels

A

suppression

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6
Q

which seziures are best treated by T-type suppressors

A

absence

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7
Q

which drugs act on GABA receptors directly

A

barbiturates, benzodiazepine, topiramte

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8
Q

which drugs act on GABA receptors indirectly

A

gabapentin, tiagagine, vigabatrin

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9
Q

which drugs reduce glutamate action

A

phenobarbital, topiramate

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10
Q

how does phenytoin act

A

blocks repetitive firing of Na and K
blocks Ca influx

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11
Q

how does carbamazepine act

A

blocks repetitive firing of Na and K
block Ca influx

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12
Q

which antiseizure drug is chosen in patients < 2 yo & how does it work

A

phenobarbital, suppresses excitatory, potentiates GABA

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13
Q

how does ethosuxamide work

A

inhibit T-type Ca

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14
Q

what kind of seizures is ethosuximide good for

A

absence seizures

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15
Q

what is valproic acid

A

anti seizure drug for partial, myoclonic, primary GTTC,absence etc

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16
Q

what are the biggest problems associated with benzodiazepines

A

tolerance and sedation

17
Q

what kind of seizures are benzodiazepines best for

A

status epilpticus

18
Q

how does vigabatrin work

A

irreversible inhibitor of GABA-transaminase

19
Q

how does tiagabine work

A

GABA reuptake inhbitor

20
Q

how does lamotrigine work

A

similar to phenytoin on Na and Ca channels

21
Q

how does Felbamate work?

A

blocks NMDA