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9 Cards in this Set
- Front
- Back
phenytoin
a/e - megaloblastic anemia, SLE-like syndrome, induction of cytochrome P450 enzymes, hirsutism |
MOA - incr Na+ channel inactivation
1st line in tonic-clonic seizures 1st line in prophylaxis of status epilepticus also used for tx of partial seizures |
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carbamazepine
a/e - sedation, tolerance, dependence |
MOA - incr Na+ channel inactivation
1st line for trigeminal neuralgia 1st line for tonic-clonic also used for tx of partial seizures |
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lamotrigine
a/e - steven johnson syndrome (prodrome of malaise, fever followed by rapid onset of erythematous macules) |
MOA - blocks voltage gated Na+ channels
tx of partial, tonic-clonic |
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gabapentin
a/e - sedation, ataxia |
MOA - incr GABA release
tx of partial, tonic-clonic, peripheral neuropath |
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topiramate
a/e - sedation, mental dulling, kidney stones, wt loss |
MOA - blocks Na+ channels, incr GABA action
tx of partial, tonic-clonic seizures |
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phenobarbital
a/e - sedation, tolerance, dependence, induction of cytochrome p450 enzymes |
MOA - incr GABA action
1st line in PREGNANT WOMEN, CHILDREN |
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valproic acid
a/e - GI distress, neural tube defects, C/I in pregnancy |
MOA - incr Na+ channel inactivation, incr GABA conc
1st line in tonic-clonic others- tonic-clonic, ABSENCE, partial also used for MYOCLONIC seizures |
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ethosuximide
a/e - EFGH (ethosuximide - fever, GI distress, headache) |
MOA = blocks thalamic t-type Ca2+ channels
1st line for ABSENCE |
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benzodiazepines (diazepam, lorazepam)
a/e - sedation, tolerance, dependence |
MOA - incr GABA action
1st line for acute STATUS EPILEPTICUS others - seizures of ecclampsia (1st line is magnesium sulfate) |