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Phenytoin (Dilantin)
Sodium channel blocker
Carbamazepine (Tegretol)
Sodium Channel blocker
Valproic Acid (Depakene)
Blocks Na channels, suppresses Ca influx, may augment GABA (broad spectrum)
Oxycarbazepine (Trileptal)
Similar to Carbamazepine- blocks recovery of sodium channels. Better tolerated, fewer drug interactions, more expensive.
Gabapentinoids—>Gabapentin
Reduces excitatory neurotransmitter release( binds to voltage gated calcium channels)
Gabapentinoids—> Pregabalin
Reduces excitatory neurotransmitter release (binds to voltage gated calcium channels)
Levetiracetam (Keppra)
Inhibit burst firing from abnormal cells without affecting normal cells
Lorazepam (Ativan)
Class: Benzodiazepine
Actions: Enhances GABA activity causing CNS depression; limits spread of seizure activity