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22 Cards in this Set

  • Front
  • Back
Absence Seizures

Also known as Petit mal, usually begin in childhood, no aura is present, is a brief loss of


consciousness

Drugs that treat Absence Seizures

1. Ethosuximide (Zerotin)


2. Valporic acid (Valprose)

Tonic-Clonic Seizures
Also known as Grand mal, has longer period of unconsciousness, tonic rigidity
Drugs that treat Tonic-Clonic Seizures

1. Valproate


2. Lamotrigine


3. Levetiracetam

Drugs that treat Status Epilepticus (lasts longer than 30 minutes)

1. Valium


2. Phenytoin


3. Phenobarbital

Drugs that treat Partial (Focal) Epilepsies

1. Carbamazepine


2. Levetiracetam


3. Oxcarbazepine


4. Lamotrigine

Valproates

These are not related to other anticonvulsants.


Depakene & Depakote.


Bleeding time may be prolonged.

Adverse Reactions of Valproates

nausea, vomiting, sedations, drowsiness,


hepatotoxicity, bleeding, teratogenicity. Interacts with the drugs Phenytoin & Phenobarbital

Lamotrigine (Lamictal)
They are sodiym channel blocking antiepileptic drugs. Treats partial seizures, tonic-clonic seizures, & Lennox-Gestaut syndrome. They are also used for bipolar disorders
Adverse Reactions of Lamotrigine
headache, nausea, vomiting, insomnia, ataxia, rash. Interacts with Carbazepine & Valproate
Levetiracetam (Keppra)
They inhibit presynaptic calcium channels. Treat partial-onset seizures, tonic-clonic seizures, Lennox-Gestuat syndrome.
Adverse Reactions of Levetiracetam
dizziness, aggression, irritability, Steven-Johnson syndrome. have no real drug interactions.
Oxcarbazepine (Trileptal)
Chemically similar to Carbamazepine. Treats partial seizures. Half-life is 8-10 hours. Interacts with Phenobarbital & Phenytoin
Carbamazepine (Tergretol)
anticonvulsant, anticholinergic, antidepressant, sedative, muscle-relaxer
Adverse Reactions of Carbamazepine
dizziness, vertigo, nausea, BP changes, rashes, alopecia, aplastic anemia
Drug Interactions of Carbamazepine

1. INCREASES erythromycin, INH, & CCBs


2. DECREASES doxycycline, BCPs, warfarin, and theophylline

Phenobarbital
Most common barbiturate used in the tx of epilepsy. Treats tonic-clonic and partial seizures. Common side effect is sedation
Phenytoin (Dilantin)
Treats tonic-clonic & partial seizures & trigeminal neuralgia.
Adverse Reactions of Phenytoin
GI irritation, gingival hyperplasia, hirusutism, ataxia
Ethosuximide (Zarontin)
Drug of choice for absence seizures

Benzodiazepines that are used orally

1. Clonazepam (Klonopin): popular


2. Clorazepate (Tranxene)

Benzodiazepines that are used parentrally

1. Diazepam (Valium)


2. Lorazepam (Ativan)


3. Medazolam (Versed)