Flashcards in Seizure Medications - Unit 3 Deck (24):
Carbamazepine - what does it do?
It's a sodium channel blocker and enzyme inducing
Carbamazepine - are there many drug interactions?
Yes - low levels with phenobarbital, dilantin and warfarin.
What are some major side effects of Carbamazepine (Tegretol) ?
Most serious are decrease in RBC and WBC, SJS Skin rash, etc.
Carbamazepine - what levels should we check?
Drug levels, liver function, rental function, RBC and WBC
What is Carbamazepine (Tegretol) used for?
Complex partial and generalized seizures, bipolar disorder, trigeminal neuralgia
Phenytoin (Dilantin) - what does it do?
Approved in 1939, it is a sodium channel blocker and enzyme inducing classification.
Phenytoin (Dilantin) - what is it used for?
Generalized, complex partial and seizures after neurosurgery.
What is the normal level for Phenytoin?
Phenytoin - what are the levels elevated with (drug wise)?
Zoloft, Prilosec, alcohol intake, valium, amiodorone
What is one of the biggest and most major side effects of Phenytoin (Dilantin) ?
Gingivitis Hyperplasia - which is bleeding gums, bad gums, etc. That's why we need to provide great oral care for our patients who are on phenytoin.
What is oxacarbazepine (Trileptal) used for?
Partial seizures and adjunct therapy for kids with partial seizures.
What are some side effects of Oxacarbazepine?
Drowsiness, tiredness, etc.
Oxacarbazepine - what big thing is it used for?
What is gabapentin used for?
Partial Seizures/Neuropathic Pain
What are some side effects of gabapentin?
Dizziness and ataxia
What is vaproic acid used for?`
Generalized and partial seizures, and migraines as well.
Valproic acid - should we use it for childbearing women and manic episodes?
What are some side effects of valproic acid?
Sedation, dizziness, weight gain, hepatotixicity, GI problems.
What is Levetiracetam (Keppra) used for?
Generalized, also partial seizures.
Keppra - where is it excreted?
In the kidney's.
Keppra - what are some side effects?
Dizziness, drowsiness - most widely used in the elderly because of less hepatic and renal problems.
Depakote - what is it used for?
Absence, generalized, complex partial, myoclonic
What are some side effects of depakote?