Oxcarbazepine Pharmacokinetics and Mechanism of Action Quiz

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Questions and Answers

What is the primary mechanism of action of lamotrigine?

  • Blocking voltage-gated sodium channels (correct)
  • Inhibiting GABA transaminase
  • Blocking T-type calcium channels
  • Inhibiting glutamate release

Which of the following statements about lamotrigine's pharmacokinetics is correct?

  • It has a high protein binding of around 55% (correct)
  • It has a half-life of approximately 24 hours
  • It undergoes extensive hepatic metabolism by CYP3A4
  • It has a bioavailability of 100%

Which of the following is a common adverse effect associated with oxcarbazepine?

  • Hyponatremia
  • Hiccups
  • Bone marrow suppression
  • Diplopia (correct)

What is the primary role of the UGT enzyme system in the context of antiepileptic drugs?

<p>Metabolizing and eliminating drugs (A)</p> Signup and view all the answers

Which of the following statements about the excretion of oxcarbazepine is true?

<p>It is primarily excreted as an inactive glucuronide conjugate (B)</p> Signup and view all the answers

What is the maximum recommended IV infusion rate for phenytoin?

<p>50 mg/min (C)</p> Signup and view all the answers

What is the primary reason for the recommended limit on the IV infusion rate of phenytoin?

<p>The propylene glycol diluent can cause severe cardiac effects if infused too quickly (D)</p> Signup and view all the answers

How does the co-administration of CYP 450 inducers affect phenytoin plasma concentrations?

<p>CYP 450 inducers decrease phenytoin plasma concentrations (A)</p> Signup and view all the answers

How does the co-administration of CYP 450 inhibitors affect phenytoin plasma concentrations?

<p>CYP 450 inhibitors increase phenytoin plasma concentrations (C)</p> Signup and view all the answers

What is the primary reason phenytoin has a high risk of toxicity when co-administered with other highly protein-bound drugs?

<p>Phenytoin is highly protein bound, so other protein-bound drugs can displace it from albumin, increasing the free, unbound concentration (D)</p> Signup and view all the answers

What is a key advantage of fosphenytoin compared to phenytoin?

<p>Fosphenytoin can be administered IM without risk of precipitation or erratic absorption (D)</p> Signup and view all the answers

Which of the following is a common adverse effect associated with phenytoin therapy?

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

Which of the following statements about the pharmacokinetics of phenytoin is correct?

<p>Phenytoin has linear pharmacokinetics at all doses (D)</p> Signup and view all the answers

What is the recommended loading dose of phenytoin for status epilepticus?

<p>16-20 mg/kg IV (D)</p> Signup and view all the answers

Which of the following is a key difference between phenytoin and fosphenytoin?

<p>Fosphenytoin can be administered IM without risk of precipitation or erratic absorption (A)</p> Signup and view all the answers

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