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Neurology aNd Special SeNSeS  ` neurology—PhArmACology  Neurology aNd Special SeNSeS  ` neurology—PhArmACology  SecTioN iii  545




                  Epilepsy therapy (continued)



                                                                    EXCITATORY
                                                                     NEURON
                                                                     Action
                                Na CHANNEL BLOCKERS                  potential
                                  +
                                                                                       +
                                                                                     Ca² CHANNEL BLOCKERS

                                Carbamazepine            Voltage-gated
                                                           +
                                Fosphenytoin              Na  channel                Ethosuximide
                                Lamotrigine                  Na   +                  Gabapentin
                                Phenytoin
                                Topiramate                           Depolarization
                                Valproic acid                                    Voltage-gated
                                                                                    2+
                                                                                  Ca  channel
                                                                     Glutamate vesicle  Ca
                                                                                          2+
                                                                        release
                                       SV2A RECEPTOR BLOCKER      SV2A
                                                                receptor
                                      Levetiracetam
                                                                                 Ca
                                                                                  2+
                                                                       Na   +
                                                                                       NMDA
                                                                                       receptor
                                                                   AMPA
                                         GABA A    AGONISTS      receptor
                                                                            Depolarization
                                      Benzodiazepines
                                      Topiramate                  GABA A Cl   _
                                      Phenobarbital              receptor
                                      Propofol
                                                                                Action
                                                               Cl   _          potential




                                               GABA     GABA                    POST-SYNAPTIC
                                                      reuptake                     NEURON
                                             GAD      receptor      GABA REUPTAKE
                                       Glutamate                    INHIBITOR
                                                        GABA
                                        Succinic semi-
                              INHIBITORY           GABA             Tiagabine
                               NEURON   aldehyde (SSA)  transaminase
                                                               GABA TRANSAMINASE
                                                               INHIBITORS

                                                               Valproic acid
                                                               Vigabatrin


























          FAS1_2019_12-Neurol.indd   545                                                                                11/8/19   7:39 AM
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