Shared Flashcard Set

Details

Seizure Medications
N/A
27
Medical
Graduate
10/14/2009

Additional Medical Flashcards

 


 

Cards

Term
Na channel inactivators
Definition
Phenytoin, carbamazepine, sort of lamotrigine
Term
GABA release
Definition
gabapentin, benzodiazepines (diazepam, lorazepam), phenobarbital (GABA A)
Term
Ca channel blockers
Definition
ethosuximide
Term
First line for tonic clonic
Definition
phenytoin, carbamazepine, valproic acid
Term
First line for status
Definition
benzodiazepines, phenytoin for prophylaxis
Term
Major rules for which epilepsy drugs to given when
Definition
Ethosuximide is first line for absence; benzodiazepine and phenytoin for status; phenytoin, carbamazepine and valproate for tonic-clonic; simple and complex partial can be treated with everything by ethosuximide and benzodiazepines
Term
First line for trigeminal neuralgia
Definition
Carbamazepine
Term
First line in pregnant women
Definition
Phenobarbital
*Get them on monotherapy!!
Term
Myoclonic seizures
Definition
valproic acid
Term
Eclampsia seizures
Definition
First line is MgSO4, next use benzodiazepines
Term
Mixed mechanism of action
Definition
Topirimate, valproate
Term
Benzodiazepine toxicity
Definition
Sedation, tolerancec, dependence
Term
Carbamazepine toxicity
Definition
Induces p450, blood dyscrasias (agranulocytosis, aplastic anemia), hepatotoxicity, ataxia, diplopia, tertogenic
Term
Ethosuximide toxicity
Definition
GI distress, urticaria, fatigue, SJ syndrome, headache
Term
Phenobarbital toxicity
Definition
Sedation, tolerance, dependence, induces p450
Term
Phenytoin toxicity
Definition
Nystagmus, diplopia, ataxia, sedation, gingival hyperplasia, hirsutism, megaloblastic anemia, teratogenic, SLE-like syndrome, induces p450
Term
Valproic acid toxicity
Definition
GI distress, rare but fatal hepatotoxicity (esp young children), spina bifida in fetus, tremor, weight gain, CONTRAINDICATED IN PREGNANCY
Term
Lamotrigine toxicity
Definition
SJ syndrome
Term
Gabapentin toxicity
Definition
Sedation, ataxia
Term
Topiramate toxicity
Definition
Sedation, mental dulling, kidney stones, weight loss
Term
Phenytoin
Definition
tonic clonic seizures, also used as a Class IB anti-arrhythmic
Term
Benzodiazepine types
Definition
Lorazepam, diazepam, triazolam, temazepam, oxazepam, midazolam, chlordiazepoxide, alprazolam
Term
Clinical use of benzodiazepines
Definition
Anxiety, spasticity, status epilepticus (lorazepam and diazepam), detoxification, night terrors, sleepwalking
Term
Benzodiazepine overdose
Definition
flumazenil
Term
Main causes of status epilepticus
Definition
Withdrawal from EtOH or barbituates, medication non-compliance
Term
Other clinical uses of valproate
Definition
migraine, bipolar disorder
Term
Epilepsy risk factors
Definition
Penetrating head wounds, severe head trauma/stroke, severe neo-natal hypoxia, genetics
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