Displaying 1 - 20 of 53
Active Ingredient NALOXONE
Therapeutic Class OPIATE ANTAGONISTS
Indications Opioid Overdosage.
Caution Beware physical dependence on narcotics. Has now replaced nalorphine as antagonist of choice.
Dose Range 0.4-2mg i.v. repeated if necessary every 2-3 minutes to a maximum of 10mg. Pediatric: 10mcg/kg; if no response 100mcg/kg max.2mg.
Drug Interactions
Pregnancy
Breast Feeding
Active Ingredient ANTICONVULSANTS
Therapeutic Class ANTICONVULSANTS
Indications
Caution
Dose Range
Drug Interactions
Pregnancy
Breast Feeding
Active Ingredient PHENOBARBITAL
Therapeutic Class BARBITURATES (ANTICONVULSANTS)
Indications
Caution
Dose Range
Drug Interactions
Pregnancy
Breast Feeding
Active Ingredient PHENOBARBITONE
Therapeutic Class BARBITURATES (ANTICONVULSANTS)
Indications Grand mal and focal seizures. Less potent but easier to manage than phenytoin.
Caution Avoid sudden withdrawal. Drowsiness, paradoxical excitement and restlessness in children and the elderly. Skin rashes . C.f. prescribing in liver and renal disease p. 16; 34.
Dose Range 60 - 180mg at night in a single dose.
Drug Interactions
Pregnancy
Breast Feeding
Active Ingredient PRIMIDONE
Therapeutic Class BARBITURATES (ANTICONVULSANTS)
Indications As for phenytoin, but no longer recommended except for patients already well controlled with it.
Caution Avoid sudden withdrawal. Drowsiness, ataxia, nausea, rashes and folate deficiency. May decrease effectiveness of pill, may cause drowsiness and loss of appetite. Avoid alcohol. C.f. prescribing in li More ...
Dose Range Adult and children 10 years and over: 125mg at bedtime increased if necessary by 125mg every 3 days to a total of 500mg daily in divided doses. The daily dose may be increased further every 3 days by 250 mg up to a maximum of 1.5 g daily given in divided
Drug Interactions
Pregnancy
Breast Feeding
Active Ingredient CLONAZEPAM
Therapeutic Class BENZODIAZEPINES (ANTICONVULSANTS)
Indications All forms of epilepsy including status epilepticus.
Caution Withdraw drug slowly. Avoid alcohol. Drowsiness limits chronic use.
Dose Range 1 mg (500 mcg in the elderly) at night for 4 nights gradually increased over 2 to 4 weeks to a usual maintenance dose of 4 to 8mg daily ;maximum of 20mg/day in divided doses.
Drug Interactions
Pregnancy
Breast Feeding
Active Ingredient PHENYTOIN
Therapeutic Class HYDANTOINS
Indications Partial and generalized tonic-clonic seizures. Prophylaxis after cerebral trauma or neuro-surgery .
Caution Avoid sudden withdrawal. Do not use substitute products. Monitor
drug levels when in doubt. Nystagmus, dizziness, ataxia, slurred speech, drowsiness, blurred vision and confusion. Hirsutism, gingival More ...
Dose Range Adult:150-300mg daily, rarely more than 400mg, in one (night time)
or two doses daily to a maximum of 600mg daily as a single dose or as 2 divided doses. In status epilepticus loading doses of 10-20 mg/kg given by slow infusion according to body weight, f
Drug Interactions
Pregnancy
Breast Feeding
Active Ingredient ETHOSUXIMIDE
Therapeutic Class SUCCINIMIDES
Indications Absence seizures, (petit mal). Note: Petit mal does not begin in
adulthood.
Caution Avoid sudden withdrawal. Dizziness, ataxia, G.I. upset anorexia,
hiccups, headache. Take with food or milk to reduce gastric
irritation.
Dose Range Adult and children over 6 years: 500mg-2g daily in divided doses. Paediatric: 250 mg initially, increased gradually to 20 mg/kg per day; (maximum 1g daily).
Drug Interactions
Pregnancy
Breast Feeding
Active Ingredient CARBAMAZEPINE
Therapeutic Class ANTICONVULSANTS MISCELLANEOUS
Indications Grand mal (tonic clonic), partial (focal) and complex partial
Psychomotor or temporal lobe seizures. Drug of choice. Trigeminal neuralgia.
Caution Withdraw drug slowly. Drug increases hepatic microsomal enzymes
- increases warfarin metabolism, nausea, drowsiness, dizziness, Unsteadiness, rash in 3% patients. Occasional jaundice and (rare) leucop More ...
Dose Range Adult: Epilepsy: 100-200mg 2 times daily, increasing as necessary
to 800-1200 mg/day daily in divided doses with food. CNS side effects are dose limiting. Trigeminal Neuralgia: 100mg 2 times daily. Child 1 month-12yrs: Initially 5mg/kg at night or 2.5mg/k
Drug Interactions
Pregnancy
Breast Feeding
Active Ingredient CARBAMAZEPINE CR
Therapeutic Class ANTICONVULSANTS MISCELLANEOUS
Indications Grand mal (tonic clonic), partial (focal) and complex partial psychomotor or temporal lobe seizures. Drug of choice. Trigeminalneuralgia.
Caution Withdraw drug slowly. Drug increases hepatic microsomal enzymes - increases warfarin metabolism, nausea, drowsiness, dizziness, Unsteadiness, rash in 3% patients. Occasional jaundice and (rare) leucop More ...
Dose Range Adult: Epilepsy: 100-200mg 2 times daily, increasing as necessary
to 800-1200 mg/day daily in divided doses with food. CNS side effects are dose limiting. Trigeminal Neuralgia: 100mg 2 times daily. Child 1 month-12yrs: Initially 5mg/kg at night or 2.5mg/k
Drug Interactions
Pregnancy
Breast Feeding
Active Ingredient GABAPENTIN
Therapeutic Class ANTICONVULSANTS MISCELLANEOUS
Indications Partial seizure, adjunct postherpetic neuralgia, diabetic peripheral neuropathy, and neuropathic pain
Caution Peripheral edema, myalgia, ataxia, dizziness, hyperactive behavior, nystagmus, somnolence, tremor, disorder of form of thought, hostile behavior, mood swings, fatigue, stevens-johnson syndrome (rare), More ...
Dose Range Adult and children over 12 years: Epilepsy: Initial dose of
300 mg on the first day of treatment, 300 mg twice daily on the second day, and 300 mg three times daily on the third day ; alternatively , gabapentin may be given as 300 mg thr
Drug Interactions
Pregnancy
Breast Feeding
Active Ingredient LAMOTRIGINE
Therapeutic Class ANTICONVULSANTS MISCELLANEOUS
Indications Monotherapy or adjunctive treatment of partial seizures; primary
and secondary generalised tonic-clonic seizures and seizures associated with Lennox-Gastaut syndrome. To be used in women of child-bear More ...
Caution Blurred vision; aggression; agitation; arthralgia; ataxia; back pain; diarrhoea; diplopia; dizziness; drowsiness; dry mouth; headache; insomnia; nausea; nystagmus; rash; tremor; vomiting.
Dose Range Adult and children 12 years and older: monotherapy: 25 mg
once daily for 2 weeks followed by 50 mg once daily for 2 weeks; increased by a maximum of 50 to 100 mg every 1 to 2 weeks to usual maintenance doses of 100 to 200 mg daily, given as a sin
Drug Interactions
Pregnancy
Breast Feeding
Active Ingredient LEVETIRACETAM
Therapeutic Class ANTICONVULSANTS MISCELLANEOUS
Indications Epilepsy .
Caution Somnolence, weakness, and dizziness, depression, nervousness.
Dose Range Adult: Monotherapy: 500mg daily increased by 500mg increments every 2 weeks. Maximum dose 3g daily in divided doses. Adjunct therapy: 1g on first day of treatment, increased by 1g increments every 2-4 weeks. Maximum dose 3g daily in divided doses. Chil
Drug Interactions
Pregnancy
Breast Feeding
Active Ingredient MAGNESIUM SULPHATE
Therapeutic Class ANTICONVULSANTS MISCELLANEOUS
Indications Eclampsia and pre-eclampsia.
Caution c.f. prescribing in liver and renal disease p. 15; 31.
Dose Range Loading dose 4g over 5 to 15 minutes, followed 1g per hour (for at least 24 hours after the last seizure).
Drug Interactions
Pregnancy
Breast Feeding
Active Ingredient OXCARBAZEPINE
Therapeutic Class ANTICONVULSANTS MISCELLANEOUS
Indications Monotherapy or adjunctive therapy in treatment of partial seizures .
Caution As for Carbamazepine. A lower incidence of skin rashes but more pronounced hyponatremia than with carbamazepine have been reported.
Dose Range Adult: 600 mg in 2 divided doses, increased, if necessary, in maximum increments of 600 mg at weekly intervals until the desired effect has been achieved. Maintenance dose: 600mg - 1200mg. Initial dose should be halved in patients with renal impairmen
Drug Interactions
Pregnancy
Breast Feeding
Active Ingredient PREGABALIN
Therapeutic Class ANTICONVULSANTS MISCELLANEOUS
Indications Peripheral and central neuropathic pain, adjunctive therapy for focal seizures with or without secondary generalization.
Caution Dry mouth, constipation, vomiting, flatulence, oedema, dizziness, drowsiness, irritability, impaired attention, disturbances in muscle control and movement, speech disorder, impaired memory .
Dose Range Adult: Neuropathic pain: Initially 150 mg daily in 2-3 divided doses. Maximum dose 600mg daily in divided doses. Epilepsy:
150 mg daily increased after 1 week according to response 300 mg daily in 2-3 divided doses. Maximum dose 600mg daily in divided dos
Drug Interactions
Pregnancy
Breast Feeding
Active Ingredient SODIUM VALPROATE
Therapeutic Class ANTICONVULSANTS MISCELLANEOUS
Indications Grand mal, petit mal, myoclonic and temporal lobe seizures.
Caution Nausea, vomiting. Ataxia, increase in appetite and weight gain. C.f.
Prescribing in liver disease p. 17.
Dose Range Adult: i.v. inj over 3-5 minutes 10mg/kg followed by i.v infusion to a max.2.5g daily. Child 1 mth -12 yrs: Initially orally 5-7.5mg/kg twice daily, usual maintainence dose 12.5-15mg/kg twice daily . Child 12-18 yrs: Initially 300mg twice daily i
Drug Interactions
Pregnancy
Breast Feeding
Active Ingredient SODIUM VALPROATE | VALPROIC ACID
Therapeutic Class ANTICONVULSANTS MISCELLANEOUS
Indications All types of epilepsy. Most suitable for patients needing high doses, on poly therapy or on multiple daily doses.
Caution As for sodium valproate.
Dose Range Adult: Initially 600mg daily in two divided doses, increasing by
200mg daily at 3 day intervals to 1-2g or a maximum of 2.5g/day . Pediatric over 20kg: Initially 400mg/day in divided doses increasing to 20-30mg/kg daily or a maximum of 35mg/kg/day .
Drug Interactions
Pregnancy
Breast Feeding
Active Ingredient TOPIRAMATE
Therapeutic Class ANTICONVULSANTS MISCELLANEOUS
Indications Lennox-Gastaut syndrome, migraine prohylaxis, partial seizure and tonic-clonic seizure as adjunct or monotherapy .
Caution Anemia, increased body temperature, dyspnea, hepatitis, hypohidrosis, leucopenia, liver failure.
Dose Range Migraine prophylaxis: Initally 25mg at night to a usual dose of
50mg twice a day. Seizures: Initially 25 -50 mg at night for 1 week
increased by increments of 25-50 mg at intervals of 1- 2 weeks to the usual maintenance dose for adjunctive therapy of 200
Drug Interactions
Pregnancy
Breast Feeding
Active Ingredient VALPROIC ACID
Therapeutic Class ANTICONVULSANTS MISCELLANEOUS
Indications Grand mal, petit mal, myoclonic and temporal lobe seizures.
Caution Do not chew capsules, swallow whole to avoid irritation of mouth and throat. If G.I. up set occurs it may be taken with food. Transient hair loss, thrombocytopenia, impaired liver function.
Dose Range 250mg 2-3 times daily to a maximum of 2.5g daily .
Drug Interactions
Pregnancy
Breast Feeding