Antiepileptics: Prescribing by brand Flashcards
1
Q
Why are some antiepileptics prescribed by brand rather than generic?
A
They have a narrow therapeutic index and potentially serious consequences of therapeutic failure.
Some generic drugs aren’t the clinical equivalent of the branded drugs.
2
Q
Which antiepileptics should prescribed using their brand name?
A
Category 1 Anti-Epileptics
- Phenytoin
- Carbamazepine
- Phenobarbital
- Primodine
3
Q
Which antiepileptics can be prescribed generically but need to be carefully considered?
A
Category 2 AEDs
- Sodium valproate
- Lamotrigine
- Clonazepam
- Topiramate
Use clinical judgement and consultation with the patient, taking into account seizure frequency and treatment history.
4
Q
Which AEDs can be prescribed generically with little risk to the patient?
A
Category AEDs
- Levetiracetam
- Gabapentin
- Pregabalin
- Ethosuximide
- Vigabatrin
