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12 Cards in this Set

  • Front
  • Back
HYDANTOINS subgroups
Phenytoin
Mephenytoin
Ethotoin
BENZODIAXEPINES subgroups
Flurazepam
Triazolam
Temazepam
Lorazepam
Diazepam
Clonazepam
PHENYTOIN (Dilantin)
-MAIN GROUP: Hydantoins
-MAO: decreases Na conductance during high frequency repetitive firing
-USAGE: all seizures except Petit Mal
MEPHENYTOIN
-MAIN GROUP: Hydantoins
More serious side effects than phenytoin
ETHOTOIN
-MAIN GROUP: Hydantoins
Less effective than phenytpoin
CARBAMAZEPINE (Tegretol)
MAO:decreases sodium conductance stablizing membrane
USAGE:All types of seizures except Petit Mal. Also used for bipolar disease and trigeminal neuralgia
LAMOTRIGINE (Lamictal)
MAO:decreases sodium conductance stablizing membrane
USAGE:All types of seizures except Petit Mal. Also used for atypical absence.
VALPROIC ACID (Depakote)
MOA: may inhibit the enzymes responsible for breakdown of GABA
(inhibitory neurotransmitter)
USAGE: Primarily used for Absence Seizures and sometimes Grand Mal
ETHOSUXIMIDE (Zarontin)
MOA: uncertain but may involve GABA but may reduce calcium currents in thalamic neurons
USAGE: absence seizure (DOC)
PHENOBARBITAL (Luminal)
MOA: binds to allosteric site on GABA receptors causing chloride influx with resultant membrane hyperpolarization increasing channel opening duration
USAGE: drug of choice for Generalized Seizures and Status Epilepticus in infants and children and can be used for Focal Seizures
PRIMIDONE (Mysoline)
MOA: drug metabolized to phenobarbitol; mechanism may be more like phenytoin
USAGE: generalized tonic-clonic seizures and partial seizures
BENZODIAZEPINES
MOA: Binds to allosteric site on GABA receptor causing increased chloride ion influx with resultant neuron hyperpolarization prolonging channel opening duration
USAGE: diazepam (Valium), and lorazepam (Ativan) preferred drugs for Status Epilepticus and clonazepam used for Absence Seizures