Pharmacology of Antiepileptic Drugs

Pharmacology of Antiepileptic Drugs Pharmacology of Antiepileptic Drugs

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Pleiotropic AEDs • Many AEDs act on multiple targets, increasing their efficacy • Felbamate, lamotrigine, topirmate, valproate

Drug Interactions • Many AEDs are notable inducers of cytochrome P450 enzymes and a few are inhibitors. • Of the classic AEDs, phenytoin, carbamazipine, phenobarbital, and primidone are all strong inducers of cytochrome P450 enzymes. They are autoinducers, in other words they increase their own metabolism. • Valproate inhibits cytochrome P450 enzymes.

Pleiotropic AEDs<br />

• Many AEDs act on multiple targets, increasing<br />

their efficacy<br />

• Felbamate, lamotrigine, topirmate, valproate

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