Epilepsy Medications
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Questions and Answers

What is the mechanism of action of valproic acid?

  • Inhibition of voltage-sensitive sodium channels
  • Inhibition of carbonic anhydrase
  • Irreversible inhibition of GABA transaminase
  • Blockage of T-type calcium channels and GABA transaminase (correct)

What is the effect of phenytoin and carbamazepine on the metabolism of another anticonvulsant?

  • They inhibit the metabolism of vigabatrin
  • They induce the metabolism of valproic acid (correct)
  • They inhibit the metabolism of zonisamide
  • They induce the metabolism of a carbonic anhydrase inhibitor

What is the primary concern during pregnancy for women taking valproic acid?

  • Risk of hepatotoxicity
  • Risk of teratogenicity (correct)
  • Risk of weight loss
  • Risk of somnolence

What is the most common adverse effect of vigabatrin?

<p>Vision loss (D)</p> Signup and view all the answers

What is the mechanism of action of zonisamide?

<p>Blockage of voltage-sensitive sodium channels (B)</p> Signup and view all the answers

What is the effect of valproic acid on the metabolism of other anticonvulsants?

<p>It inhibits the metabolism of phenobarbital (C)</p> Signup and view all the answers

What is the primary indication for vigabatrin?

<p>Adjunctive therapy for partial seizures (A)</p> Signup and view all the answers

What is the protein binding of valproic acid?

<p>~90% (B)</p> Signup and view all the answers

Which of the following antiepileptic medications is known to cause oligohidrosis?

<p>Topiramate (C)</p> Signup and view all the answers

What is the primary mechanism of action of Cannabidiol (Epidiolex)?

<p>Binding to cannabinoid receptors in the brain (A)</p> Signup and view all the answers

Which of the following antiepileptic medications can decrease the efficacy of hormonal contraceptives?

<p>Phenytoin, phenobarbital, carbamazepine, and oxacarbazepine (B)</p> Signup and view all the answers

What should be initiated in women taking antiepileptic drugs?

<p>High-dose folic acid (C)</p> Signup and view all the answers

Why should women who are pregnant and taking antiepileptic medications register with the North American AED Registry?

<p>To monitor for potential birth defects (C)</p> Signup and view all the answers

Which of the following is a first-line medication for partial seizures?

<p>Carbamazepine (D)</p> Signup and view all the answers

What is a common adverse effect of Cannabidiol (Epidiolex)?

<p>Somnolence (B)</p> Signup and view all the answers

Why should divalproex be avoided in women of childbearing age?

<p>It can cause birth defects (C)</p> Signup and view all the answers

What is the primary mechanism of action of tiagabine?

<p>Inhibiting GABA reuptake transporters (B)</p> Signup and view all the answers

Which of the following adverse effects is commonly associated with pregabalin?

<p>Weight gain and edema (D)</p> Signup and view all the answers

What is the primary indication for phenobarbital?

<p>Primary treatment for status epilepticus (B)</p> Signup and view all the answers

Which of the following drugs is converted to phenobarbital?

<p>Primidone (C)</p> Signup and view all the answers

What is a unique property of tiagabine's pharmacokinetics?

<p>Not highly protein-bound (D)</p> Signup and view all the answers

Which of the following drugs can cause seizures in individuals without epilepsy?

<p>Tiagabine (D)</p> Signup and view all the answers

What is the mechanism of action of phenobarbital?

<p>Enhancing GABA action as an inhibitory NT (A)</p> Signup and view all the answers

Which of the following drugs is primarily eliminated by the kidneys?

<p>Pregabalin (C)</p> Signup and view all the answers

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