Medicine & USMLE

Ethosuximide

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Antiepileptics (New)
  1. Ethosuximide

Summary

Ethosuximide is an antiepileptic drug used to treat seizures. More specifically, it is a narrow-spectrum antiepileptic that is particularly effective for treating absence seizures.

Ethosuximide works by blocking voltage-dependent calcium channels in neurons. This decreases neuronal excitability and helps suppress seizure activity.

Common side effects of ethosuximide include sedation, vomiting, and dizziness.

Key Points

  • Ethosuximide
    • Mechanism
      • Blocks voltage-dependent Ca2+ channels
        • In particular, blocks the thalamic T-type calcium channels
        • Inhibits the propagation of APs that trigger and sustain rhythmical burst discharges in thalamic neurons
    • Clinical Use
      • Antiepileptic
        • Narrow-spectrum
        • Treats absence seizures
          • First-line treatment for absence seizures
    • Side Effects
      • Sedation
      • Dizziness
      • Vomiting