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AntiConvulsants
Anticonvulsants
21
Pharmacology
Undergraduate 1
10/09/2010

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Term
Drug characteristics of Anticonvulsants
Definition
Drugs use for reducing uncontrolled neuronal activity.
Used to treat epilepsy, headaches, and migraines
Drug action include:
1) Reducing Ca influx
2) Reducing Na Influx
3) Increasing GABA
Term
Drug groups of anticonvulsants
Definition
Drug groups include:
Hydontoin
Barbituates (see CNS Depressants)
Succinimides- Not popularly used
Benzodiazapines (See CNS Depressants)
Eminostillbenes
Valproate (see CNS Stimulants)
Term
SubClass: Hydantoins
Definition
Class: Anticonvulsants
Drugs include:
Phenyltoin (Dilantin)
Term
Drug: Dilantin
Definition
Generic: Phenytoin
Subclass: Hydantoins
Action: Reduces sodium influx
Note: DOC, least toxic, non-addicting, has narrow therapeutic range of 10-20mcg/ml
Term
Subclass: Barbituates (CNS depressant as well)
Definition
Drugs include:
Phenobarbital- also a CNS depressant/Hypnotic-sedative
Precautions:
Do not take with alcohol, and taper off
Term
Phenobarbital (see CNS depressants
Definition
Class: Sedative and hypnotic
Subclass: Barbituates
Type: long acting barbituate
Term
Subclass: Succinimides
Definition
not popularly used
Drugs include:
Ethosuximide (Zarontin)
Term
Zarontin
Definition
Generic: Ethosuximide
Class: Anticonvulsant
SubClass: Succinimides
Use: To treat petite mal seizures
Term
SubClass: Oxazolidones/Oxzolidinediones
Definition
Not popularly used
Term
Subclass: Benzodiazapines (See CNS depressant)
Definition
Class: Sedative and hypnotics
Note: should not be used longer than 4 weeks as a hypnotic
Drugs used as anticonvulsants:
Clonazepam (Klonopin)
Clorazepate depotassium (Tranxene)
Diazepam (Valium)
Lorazepam (Ativan)
Term
Drug: Klonopin
Definition
Generic: Clonazepam
Subclass: Benzodiazapine
Class: Anticonvulsant
Note: DOC as an anticonvulsant, used to treat bipolar disorder as well.
Do not take with grapefruit
Term
Drug: Tranxene
Definition
Generic: Clorazepatedepotassium
Subclass: Benzodiazapine
Class: Anticonvulsant
Term
Valium
Definition
Generic: Diazepam
Subclass: Benzodiazapene
Class: Anticonvulsant
Note: Effective Anticonvulsant
Term
Ativan
Definition
Generic: Lorazepam
Subclass: Benzodiazapene
Class: Anticonvulsant
Term
Subclass: Eminostilbenes
Definition
Class: Anticonvulsant
Includes Drug Carbamazepine (Tegretol)
Term
Drug: Tegretol
Definition
Generic: Carbamazepine
Subclass: Eminostilbene
Class: Anticonvulsant
Note: used if seizure disorder has not responded to anticonvulsant drugs. Used for bipolar disorders as well.
Contraindicated with grapefruit
Term
Subclass: Valproate
Definition
Class: Anticonvulsant
Action: These drugs suppress Ca influx
Includes drugs:
Valproic acid (Depakene)
Divalproex Sodium (Depakote)
Note: drugs are hepatoxic
Term
Drug: Depakene
Definition
Generic: Valproic acid
Subclass: Valproate
Class: Anticonvulsant
Note: suppresses Ca influx, hepatoxic
Contraindicated with liver problems
Term
Depakote
Definition
Generic: Divalproex sodium
Subclass: Valproate
Class: Anticonvulsant
Note: suppresses Ca influx, hepatoxic
Contraindicated with liver problems
Term
Side effects: Anticonvulsants
Definition
Low platelet, low WBC, hyperglycemia (b/c of insulin inhibition)
Term
Assessment: Anticonvulsants
Definition
Assess for liver problems (labs)
Assess if client is a danger to self as a result of epileptic seizures
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