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Drugs for Epilepsy II

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29 Questions

Which of the following adverse effects is especially common in the elderly?

Hyponatremia

What is the active metabolite of carbamazepine?

Carbamazepine-10,11-epoxide

Which of the following is a prodrug?

Oxcarbazepine

What is the mechanism of action of Eslicarbazepine?

Voltage-gated sodium channel blocker

Which of the following is indicated for absence seizures?

Ethosuximide

What is the mechanism of action of Felbamate?

Calcium channel inhibition, competitive NMDA glutamate receptor binding, GABA

Which of the following can worsen other seizure types?

Ethosuximide

What is the serious, rare adverse effect of Eslicarbazepine?

Pschiatric changes

What is the FDA classification of Carbamazepine?

Strong inducer

Which medication is known to induce drugs metabolized by CYP3A4?

Phenytoin

What is the MOA of Lacosamide?

Stabilization of voltage-gated sodium channels

Which medication is effective for a wide variety of seizure types?

Lamotrigine

What is the unique PK feature of Gabapentin?

No plasma protein binding and no liver metabolism

Which medication is a dihydrofolate reductase inhibitor?

Lamotrigine

What is the unique feature of Brivaracetam?

Inhibition of synaptic vesicle protein SV2A

Which medication has a caution for causing mood changes?

Levetiracetam

What is the MOA of Phenytoin?

Blockage of high voltage-dependent calcium channels

Which medication is available in injectable formulations?

Lacosamide

What is the interaction between Divalproex and Lamotrigine?

Divalproex decreases Lamotrigine clearance

Which medication has few drug-drug interactions?

Levetiracetam

What is the primary goal of antiepileptic drug therapy?

Eliminate or reduce seizure frequency

Which of the following drugs is an inducer of other drugs?

Carbamazepine

What is the mechanism of action of carbamazepine?

Inhibits the generation of repetitive action potentials by blocking sodium channels

What is a potential result of carbamazepine's autoinduction?

Lower total drug blood concentrations at high doses

What is a common adverse effect of carbamazepine?

Dose and non-dose dependent reactions

When is it typically recommended to initiate medication therapy for epilepsy?

After the second seizure

Which of the following drugs is contraindicated for absence seizures?

Carbamazepine

What is a potential risk associated with antiepileptic drugs?

Suicidal behavior or ideation

What is the benefit of monotherapy in epilepsy treatment?

Reduced risk of DDIs

Learn about first-line drugs for epilepsy treatment, including their interactions and things to consider. This quiz covers Carbamazepine, Oxcarbazepine, Eslicarbazepine, and more. Test your knowledge on the goals of epilepsy treatment and how to avoid adverse effects.

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