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Quiz 1
Top 200 Drugs
Generic | Brand | Therapeutic Class | Indication | AEs | Pearls |
---|---|---|---|---|---|
Carbamazepine | Tegretol XR, Carbatrol ER, Equetro ER | Anticonvulsant | Bipolar disorder, seizures, neuropathic pain | SJS, TENS, n/v, dizziness | HLA-B*1502 (+) should avoid (high risk for SJS and TEN), induces own metabolism (autoinduction) |
Divalproex Sodium | Depakote (ER) | Anticonvulsant/bipolar agent | Bipolar disorder, focal and generalized onset seizures, migraine prophylaxis | Suicidal ideation, thrombocytopenia, drowsiness, tremor | BBW for fetal risk, avoid in pregnancy, ok for breast feeding |
Gabapentin | Neurontin | Anticonvulsant/bipolar agent | Postherpetic neuralgia, seizures | CNS depression, respiratory depression, drowsiness, dizziness, suicidal ideation | Not controlled but monitored by WI PDMP, avoid alcohol (CNS depression), avoid pregabalin |
Lamotragine | Lamictal (XR, ODT, CD) | Anticonvulsant & analgesic | Bipolar I disorder, seizures, focal and generalized seizures | DRESS, skin reactions, weight gain, suicidal ideation | High skin rash risk if stopped for >5 days and didn't restart titration or if coadministration with divalproex |
Levetiracetam | Keppra | Anticonvulsant & analgesic | Seizures | CNS depression, suicidal thoughts, increased BP, drowsiness, dermatologic reactions | Unusual changes in mood or behavior |
Oxacarbazepine | Trileptal, Oxtellar XR | Anticonvulsant | Seizures | Agranulocytosis, hyponatremia, nystagmus, vomiting, hepatic dysfunction | ER on empty stomach, avoid carbamazepine d/t cross-reactive rash |
Phenobarbital | N/A | Anticonvulsant - barbiturate | N/A (off-label for epilepsy and sedation) | Somnolence, syncope, hallucinations, barbiturate withdrawal | Report withdrawal s/sx w/dose reduction or d/c |
Phenytoin Sodium | Dilantin | Anticonvulsant | Seizures, status epilepticus | Gingival hyperplasia, cardiac arrhythmia, acute hepatic failures, nausea, hirsutism | Peds @ high gingival hyperplasia risk, vesicant so needs proper infusion needle handling |
Pregabalin | Lyrica | Anticonvulsant & analgesic | DPN, fibro, neuropathic pain, seizures | CNS depression, respiratory depression, drowsiness, dizziness, suicidal ideation | C-V, avoid alcohol (CNS depression) |
Topiramate | Topamax, Trokendi XR | Anticonvulsant | Seizures, migraines | Cognitive dysfunction, fatigue, metabolic acidosis, ocular effects, suicidal thoughts | Weight loss, more cognitive ADRs |