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Pharmacology of Antiepileptic Drugs

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Epilepsy—Glutamate<br />

Epilepsy Glutamate<br />

The brain’s major excitatory neurotransmitter<br />

Two groups <strong>of</strong> glutamate receptors<br />

– Ionotropic—fast synaptic transmission<br />

• NMDA, AMPA, kainate<br />

• Gated Ca ++ and Gated Na+ channels<br />

– Metabotropic—slow synaptic transmission<br />

• Regulation <strong>of</strong> second messengers (cAMP and<br />

Inositol)<br />

• Modulation <strong>of</strong> synaptic activity<br />

Modulation <strong>of</strong> glutamate receptors<br />

– Glycine, polyamine sites, Zinc, redox site

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