Medicine & USMLE

Ethosuximide

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Antiseizure Drugs
  1. Ethosuximide
  2. Gabapentinoids
  3. Levetiracetam
  4. Lamotrigine
  5. Valproic Acid
  6. Phenytoin
  7. Carbamazepine
  8. Oxcarbazepine
  9. Levetiracetam (Old)

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