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59 Cards in this Set

  • Front
  • Back
what are the main inhibotory and excitatory neurotransmitters in the brain
GABA and glutamate
_____of GABA receptor will trigger seizure
antagonists
______of glutamate receptor will trigger seizure
agonists
drugs that enhance GABA ergic transmission will
inhibit seizures
glutamate recpetor antagonists will
inhibit seziures
what are the Na channel blockers
phenytoin
carbamazepine
lamotrigine
zonisamide
T type ca channel bloskers
ethosuximide
valproate
trimethadione
post synaptically enhances gabaergic transmission
benzodiazepines
barbiturates
topiramate
presynaptically enhances the GABA ergic transmission
tiagabine
vigabatrin
gabapentin
pregabalin
drugs that reduce glutamatergic transmission post synaptically
phenobarbital
topiramate
presynaptically reduce glutamatergic transmisson
gabapentin
pregabalin
drugs that block voltage gated na channels may contribute to the effects of which three drugs
phenobarbital
valproate
topiramate
inhibition of reuptake of GABA
tiagabine
inhibition of degradation of GABA
vigabatrin: inhibits aminotransferase
increases GABA release
gabapentin
pregabalin
block glutamate receptors
phenobarbital
topiramate
decrease glutamate release by blocking presynaptically voltage gated ca channels
gabapentin
pregabalin
for simple and complex partial
and
secondarily generalized tonic clonic seizures
what is the first lien of drug
phenobarbital
but now a second line due to AE of sedation, depression, agitation
for simple and complex partial
and
secondarily generalized tonic clonic seizures
How do the treartment begin
caramazepine and its deravitives like:
oxcarbazepine
or phenytoin

valproate may also be considered.
drugs of choice for the tonic clonic seizures
phenytoin
carbamazepine
valproate
ethosuximide is the drug of choice for
absence seizures
Acetazolamide is used
in the refractory cases of absence seizures
if tonic clonic seizures develop in the case of absence seizures then
drug of choice is valproate
valproic acid is a drug of choice for
myoclonic seizures
which type of seizure is refractory to all tyoes of medicines
atonic seizure
what will happen if benzodiazepien is given in case of atonic seizure
may improve seizure control in some patients and may worsen the attck in others.
which drugs may be beneficial in atonic seizures
valproate and lamotrigine
what dugs to use in infants and young children
corticotropin or corticosteroids

other drugs that can be used are
valproic acid
clinazepam: often tolerence develops.
in cases of febrile convulsions
rectally diazepam
status epilepticus
diazepam and lorazepam
drug induced seizures in nonepliptic patients can eb controlled with
diazepam
lorazepam
phenobarbital
approved for breakthu seizures
diazepam rectal gel
what are the common side effects for carbamazepine
phenobarbital
and phenytoin
induce cytochrome P450
gingival hyperplasia
coarsening of facial features
hirsutism
side effects of phenytoin
nystagmus
diplopia
ataxia
and o order elimination
phenytoin
aplastic anemia
agranulocytosis
thrombocytopenia
carbamazepine : and a skin rash
what are the non pharmologoloical approaches to seizeures
surgery : that part of the brainketogenic diet
vagus nerve stimulation
which ones are tetratgeneic
phenytoin
carbamazepine
valproate
topiramate
phenobarbital
associated with fetal hydantoin syndrome
phenytoin
associated with spina bifida
valproate
which ones have the highest risk of major malformations
valproate and phenobarbital
which drugs are most difficult to discontinue
barbiturates and benzodiazepiens
what is the most dangerous efeect of overdose of medcations
respiratory depression
carbamazepine is also used for
triegminal neuralgia and bipolar disorder
also used for bipolar disorder and migraine prophylaxis
valproate
used in postherpetic neuralgia
gabapentin
used in diabetic peripheral neuropathy
postherpetic neuralgia
fibromylgia
pregabalin
migraine prophylaxis
topiramate
valproate
inhibits the reuptake of GABA
Tiagabine
long term therapy assocaited with irreversible visual feild defects in 1/3rd ofthe patients
vigabatrin
fatal stevens johnson syndrome and toxic epidermal necrolysis have been reported
zonisamide
oxcarbazepine
acute myopia and glaucoma
topiramate
stevens johnson syndrome and SLE
ethosuximide
rapid development of tolerence and paresthesias
acetazolamide
metabolixed to phenobarbital and phenylethylmalonamide
primidone
sedation
benzodiazepines
soulble prodrug of phenytoin for parentral use and is converted to phenytoin in plasma
fosphenytoin
life threatining rashes and including stevens johnson syndrome
lamotrigine
drugs that cause stevens johnson syndrome are
ethosuximide
lamotrigine
zonisamide
oxcarbazepines
carbamazepine