https://idwiki.org/index.php?action=history&feed=atom&title=Antiepileptic_drugs 2026-05-13T00:01:43Z Revision history for this page on the wiki MediaWiki 1.43.8 https://idwiki.org/index.php?title=Antiepileptic_drugs&diff=7790&oldid=prev 2021-04-14T15:11:56Z

<p></p> <table style="background-color: #fff; color: #202122;" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="en"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Older revision</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 15:11, 14 April 2021</td> </tr><tr> <td colspan="2" class="diff-lineno">Line 50:</td> <td colspan="2" class="diff-lineno">Line 50:</td> </tr> <tr> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>* Titrate over several months</div></td> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>* Titrate over several months</div></td> </tr> <tr> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br /></td> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br /></td> </tr> <tr> <td class="diff-marker" data-marker="−"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>[[Category:<del style="font-weight: bold; text-decoration: none;">Medication</del>]]</div></td> <td class="diff-marker" data-marker="+"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>[[Category:<ins style="font-weight: bold; text-decoration: none;">Medications</ins>]]</div></td> </tr> <!-- diff cache key site7_mediawiki:diff:1.41:old-4090:rev-7790:wikidiff2=table:1.13.0:bc2a06be --> </table>

Aidan https://idwiki.org/index.php?title=Antiepileptic_drugs&diff=4090&oldid=prev 2020-07-04T01:17:23Z

<p>Imported from text file</p> <p><b>New page</b></p><div>== General Approach ==<br /> <br /> * Partial seizure<br /> ** Phenytoin<br /> ** Carbamazepine (Tegretol)<br /> ** Lacosimide, especially as add-on<br /> * Generalized<br /> ** &#039;&#039;&#039;Valproic acid&#039;&#039;&#039;, unless young woman<br /> ** Lamotrigine (Lamictal)<br /> ** Leviteracetam (Keppra)<br /> ** Phenobarbital<br /> <br /> == Considerations ==<br /> <br /> * Cost<br /> ** Phenytoin<br /> ** Valproic acid<br /> ** Carbamazepine<br /> * Rapidity of onset<br /> ** Levitiracetam<br /> ** Clobazam<br /> ** Phenytoin<br /> ** Valproic acid<br /> * Pregnancy<br /> ** Avoid valproic acid, phenytoin, topiramate, polypharmacy<br /> ** Lamotrigine, leviteracetam are good?<br /> * Type of seizure<br /> ** Generalized<br /> *** Valproic acid for boys<br /> *** Lamotrigine for girls and women<br /> ** Focal<br /> *** Carbamazepine<br /> * Enzyme induction by concurrent medications<br /> * Renal or hepatic metabolism and excretion<br /> * Side effect profile<br /> ** Phenytoin<br /> *** Hirsutism<br /> *** Loading: hypotension, cardiac arrhythmias, and purple glove syndrome<br /> ** Valproic acid<br /> *** PCOS<br /> *** Fatty liver<br /> ** Skin reactions, especially with older medication<br /> <br /> == Initiation ==<br /> <br /> * Loading<br /> ** No need for loading unless in status epilepticus or high risk for recurrence<br /> ** IV loading of phenytoin can cause ataxia<br /> ** Other options can use IV valproic acid or levitiracetam, can use midazolam or propanol in the interim<br /> * Titrate over several months<br /> <br /> [[Category:Medication]]</div>

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