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Antiepileptic drugs

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Question
Answer
Drugs which lower seizure threshold?   show
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Describe Generalized seizures and describe   show
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show atonic seizure (generalized)  
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Seizure type? 10-30secs LOC,eye/muscle flutters; mostly CHILDHOOD; pt suddenly stops what they're doing and resumes postictus   show
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Drugs used for Absence Seizures? *****   show
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show Tonic-Clonic Seizures (grand mal)  
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Seizure type? jerking movements of single/multiple muscle group; no LOC   show
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show Tonic Seizures  
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show partial seizure due to injury, trauma, stroke, tumor  
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show Complex partial-LOCSimple partial-NO LOC  
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This seizure type starts with specific motor sensory or psychomotor phenomenon w/o LOC; ofter preceded by aura/specific smell   show
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Difficult form of childhood epilepsy (mostly nocturnal)2-6yrs old; Characterized by frequent and different seizure types, M.R., & behavioral problems;   show
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1-2 min. dissociation w/ surroundings; stagger, mental confusion 1-2 minutes;over originates in temporal lobe-Schizo,depression   show
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show Status epilepticus  
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Status epilepticus...DOC?   show
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show 1.)FEBRILE seizures(fever fit); Simple febrile seizure= ~15min& 1episode/24hrs 2.)Complex febrile seizure= LONGER&RECURS; 3.)tonic-clonic  
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highly lipophilic, structure related to IMIPRAMINE (TRICYCLIC),effective for Tonic-Clonic &Partial Seizures   show
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show Carbamazepine  
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Caution with Carbamazepine...name 2 reasons why:   show
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Carbamazepine:adverse effects   show
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show Increases:Theophylline,OC's,Doxycycline, Warfarin Decreases: Verapamil, Fluoxetine, Diltiazem, Isoniazid, Erythromycin  
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show Valproate  
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show Valproate  
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show potentiates GABA, Na&Ca blockade (decreases neurotransmission)  
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show protein bound---therefore can be easily displaced by others etc.  
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Adverse effects of Valproate?   show
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Avoid Valproate in what type of patients? name 3   show
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show Ethosuxomide  
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Valproate...P450------?   show
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This AED is contraindicted in pregnancy   show
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This AED doesn't reduce efficacy of OC   show
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show ANTI-ARRHYTHMIC!!!!  
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MOA of Phenytoin?   show
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Phenytoin effective for what types of seizures?   show
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Adverse effects of Phenytoin?   show
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Deficiency of what? is ass'd with Phenytoin use?   show
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show inducer, therefoere increases metabolism of theophylline, OC's, carbamazepine, and valproate  
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show Valproate  
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show Valproate displaces Phenytoin--> increased free fraction of Phenytoin-->higher adverse effects of Phenytoin  
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MOA Ethosuximide?   show
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Adverse effects Ethosuximide?   show
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MOA Phenobarbital & Primidone?   show
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Drugs for CHRONIC tx of epilepsy? partial and generalized seizures   show
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show Osteomalacia; Paradoxical effects (hyperactivity&insomnia); P450 inducers  
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show impotence  
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Primidone is a prodrug converted to   show
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show Benzodiazepines for tx. of epilepsy  
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show Benzodiazepines; Excess salivation, wt. gain, anterograde amnesia  
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strucural analog of GABA that enhances its release; used for partial seizrures, tonic clonic, neuropathic pain, mood stabilizers   show
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Blocks release of excitatory Amino acids(glutamate); increases GABA levels; used for partial seizures   show
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Blocks Na channels and inhibits excitatory AA's; uses-partial&generalized szrs; short 1/2 life   show
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This med inhibits metabolism of Latorigine   show
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Analog of GABA; increases levels; uses:partial and focal seizures   show
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show can exacerbate absence/myoclonic seizures  
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show Levitriacetam  
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MOA of Levitiracetam   show
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Slide 32??   show
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P450 AED inhibitors?   show
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show Phenytoin, Carbamazepine, Phenobarbital  
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Antiepilectic drugs that are mood stabilizers?****   show
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show check blood levels  
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This AED causes neural tube defects in fetus   show
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show Phenytoin  
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Safest AED in Pregnancy for Grand Mal and Partial epilepsy?   show
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show Phenobarb, Phenytoin, Primidone  
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Baby of mom taking AED is lethargic...why?   show
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show Grand mal  
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it's antiseizure activity is due to its metabolism to Phenobarbital and Phenylethylmalonide   show
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alcohol is P450 inducer therefore it ___'s phentoin   show
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Phenytoin can ____OC efficacy   show
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Valproate can cause Phenobarbital to ___   show
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show complex partial  
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show simple partial  
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show Phenytoin  
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show GABAPENTIN, caramazepine, phenytoin  
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show Valproate  
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6wk preggers lady with seizure disorders...she takes phenytoin? please advise...   show
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