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12 Cards in this Set
- Front
- Back
HYDANTOINS subgroups
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Phenytoin
Mephenytoin Ethotoin |
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BENZODIAXEPINES subgroups
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Flurazepam
Triazolam Temazepam Lorazepam Diazepam Clonazepam |
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PHENYTOIN (Dilantin)
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-MAIN GROUP: Hydantoins
-MAO: decreases Na conductance during high frequency repetitive firing -USAGE: all seizures except Petit Mal |
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MEPHENYTOIN
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-MAIN GROUP: Hydantoins
More serious side effects than phenytoin |
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ETHOTOIN
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-MAIN GROUP: Hydantoins
Less effective than phenytpoin |
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CARBAMAZEPINE(Tegretol)
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MAO:decreases sodium conductance stablizing membrane
USAGE:All types of seizures except Petit Mal. Also used for bipolar disease and trigeminal neuralgia |
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LAMOTRIGINE(Lamictal)
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MAO:decreases sodium conductance stablizing membrane
USAGE:All types of seizures except Petit Mal. Also used for atypical absence. |
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VALPROIC ACID(Depakote)
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MOA: may inhibit the enzymes responsible for breakdown of GABA
(inhibitory neurotransmitter) USAGE: Primarily used for Absence Seizures and sometimes Grand Mal |
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ETHOSUXIMIDE(Zarontin)
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MOA: uncertain but may involve GABA but may reduce calcium currents in thalamic neurons
USAGE: absence seizure (DOC) |
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PHENOBARBITAL(Luminal)
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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 |
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PRIMIDONE(Mysoline)
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MOA: drug metabolized to phenobarbitol; mechanism may be more like phenytoin
USAGE: generalized tonic-clonic seizures and partial seizures |
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BENZODIAZEPINES
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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 |