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33 Cards in this Set
- Front
- Back
acronym for the "other" anticonvulsant drugs?
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Can The Force of Gravity Pull The Levatating Zona Lower
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What is CTFGPTLZL
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-Clonazepam
-Topiramate -Felbamate -Gabapentin -Pregabine -Tiagabine -Levetiracetam -Zonisamide -Lamotrigine |
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Seizures treated by Clonazepam
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Absence seizures
Myoclonic seizures |
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2 adverse effects of Clonazepam
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-Tolerance w/ repeat doses
-Sedation |
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Mechanism of Clonazepam
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Increases inhibition by enhancing GABA activity
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Seizures/condition treated by Topiramate:
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-Adjunct for partials
-Migraine prevention |
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Mechanism of Topiramate:
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Blocks Kainate/AMPA receptors to decrease excitation
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Seizures treated by Felbamate:
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REFRACTORY partial seizures only
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2 side effects of Felbamate
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-aplastic anemia
-hepatic failure |
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Mechanism of Felbamate:
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Blocks Glycine receptor of NMDA receptor - decreases excitation
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Seizures/conditions treated by Gabapentin:
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-Partials alone
-Partials with Tonic/Clonics -Neuropathic pain |
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Mechanism of Gabapentin:
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Not sure, but not at GABA
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Why no adverse effects of Gabapentin:
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-No protein binding
-No metabolism |
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Seizures/condition treated by Pregabalin:
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-Adjunct for Partials
-Neuropathic pain in diab, postherpetic, fibromyalgia |
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Pregabalin mechanism:
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May act at voltage gated Ca channels
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Tiagabine mechanism:
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Blocks GABA reuptake - increased inhibition
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Seizures treated by Levetiracetam:
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-Adjunct for Partials
-Adjunct for Myoclonics |
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Seizures treated by Zonisamide:
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-Adjunct for Partials
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2 Side effects of Zonisamide:
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-Ataxia
-Speech impairment |
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Mechanism of Zonisamide:
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-Inhibits T-type and Na channels - decreases excitation
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Seizures/condition treated by Lamotrigine:
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-Partials monotherapy
-Absence monotherapy -Bipolar disorder |
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Adverse effect of Lamotrigine
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Rash/Steven johnson syndrome
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Mechanism of Lamotrigine:
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Much like phenytoin; inhibits Na channel to decrease repeated AP generation
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Drug used for Status epilepticus
-stop the seizure -control the seizure |
Stop: Diazepam/Lorazepam IV
Control: Fosphenytoin IV |
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Tiagabine mechanism:
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Blocks GABA reuptake - increased inhibition
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Seizures treated by Levetiracetam:
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-Adjunct for Partials
-Adjunct for Myoclonics |
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Seizures treated by Zonisamide:
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-Adjunct for Partials
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2 Side effects of Zonisamide:
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-Ataxia
-Speech impairment |
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Mechanism of Zonisamide:
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-Inhibits T-type and Na channels - decreases excitation
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Seizures/condition treated by Lamotrigine:
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-Partials monotherapy
-Absence monotherapy -Bipolar disorder |
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Adverse effect of Lamotrigine
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Rash/Steven johnson syndrome
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Mechanism of Lamotrigine:
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Much like phenytoin; inhibits Na channel to decrease repeated AP generation
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Drug used for Status epilepticus
-stop the seizure -control the seizure |
Stop: Diazepam/Lorazepam IV
Control: Fosphenytoin IV |