Seizure Pharmacology

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Drugs that inactive sodium channels

  1. Carbamazepine
  2. Phenytoin
  3. Lamotrigine

A patient presents to your clinic with seizures that originate in the thalamus and then spread to other parts of the cerebral cortex. What medication are you prescribing?

Ethosuximide - T-Type calcium channel inhibitor --> works for ABSENT seizure disorders

Which types of drugs allow for hyper polarization of the neuron by facilitating GABAa receptor's ability to release Cl- into the post-synaptic cell?

Barbituates and Benzodiazepines (lorazepam, diazepam, clonazepam)

Which drug inhibits the GABA transporter, thus inhibiting the reuptake of GABA from the synaptic cleft and into the pre-synaptic neuron (and thus allowing GABA to remain in the synaptic cleft and exert its depressing effects)

Tiagabine

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What drugs inhibits GABA metabolism, thus preventing its breakdown and allowing GABA to stay in the synaptic cleft for longer

Vigabtrin

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T or F: Gabapentin and Pregablin are active at GABA A receptors

FALSE

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Which two drugs modulates synaptic transmission by binding to alpha 2 delta 1 subunits on the calcium channels in order to prevent the influx of Ca2+ into the pre-synaptic cell?

Gabapentin and Pregablin

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The following drug modulates synaptic vesicle activity by binding to the SV2A synaptic protein and thus prevents the release of neurotransmitters into the synaptic cleft

Levetiracetam

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The following drug can be used for focal seizures, generalized tonic seizures, combination seizures, bipolar disorder and migraines

Valproic acid (Depakene)

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The following drug can be used for focal seizures, generalized tonic seizures and migraines

Topiramate (Topamax)

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