DOC for seizures

[studylol]

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Hello friends,

I'm having trouble figuring what the DOCs are for the different types of seizures. I could be misinterpreting it, but different sources are giving me different answers. I'll keep it simple. Please correct me if i'm wrong:

1. Simple or complex partial: Carbamazepine

2. Generalized tonic-clonic: Phenytoin, carbamazepine, valproic acid.

3. Generalized myoclonic: This is not in the FA table explicitly but I assume it to be the same as generalized tonic clonic.

4. Absence: Ethosuximide

Source for all this is FA 2015 page 496. Thanks very much.

 

[fmestep1]

Really the only one that is high yield is know ethosuximide for absence. for the rest, the high yield is to know the side effects of the medicine.

 

[studylol]

Thanks for the tip. Thing is I got a UWORLD question wrong and its explanation differs from what the FA table says. I want to make sure i'm not misinterpreting anything first.

 

[pathologyDO]

Hello friends,

I'm having trouble figuring what the DOCs are for the different types of seizures. I could be misinterpreting it, but different sources are giving me different answers. I'll keep it simple. Please correct me if i'm wrong:

1. Simple or complex partial: Carbamazepine

2. Generalized tonic-clonic: Phenytoin, carbamazepine, valproic acid.

3. Generalized myoclonic: This is not in the FA table explicitly but I assume it to be the same as generalized tonic clonic.

4. Absence: Ethosuximide

Source for all this is FA 2015 page 496. Thanks very much.

A UWorld Q I had stated that valproic acid is the treatment of choice for myoclonic seizures

 

[seminoma]

Really the only one that is high yield is know ethosuximide for absence. for the rest, the high yield is to know the side effects of the medicine.

And bzds for status epilepticus, and mag sulfate for eclampsia, and phenobarb in neonates, and valproic in bipolar + seizures.

 

[seminoma]

Thanks for the tip. Thing is I got a UWORLD question wrong and its explanation differs from what the FA table says. I want to make sure i'm not misinterpreting anything first.

What was the question about?

 

[studylol]

What was the question about?

What the question was about isn't so important because it was about treating a generalized epilepsy disorder = valproic acid. I don't need help understanding the question directly.

More interestingly, they gave me a table. This table states that broad spectrum antiepileptics are DOC for tonic clonic seizures. This disagrees with FA, which states that phenytoin, carbamazepine, valproic acid are DOC for tonic clonic seizures.

 

[seminoma]

FA does list levetiracetam as top 4 for tonic-clonic in the RR section.

Otherwise I'm not sure.

 

[pd1112]

Aside from no-doubt choices others have mentioned (ethosuximide for absence, benzos for acute status, phenytoin for status prophylaxis, carbamazepine > phenytoin for partial, phenobarbital for neonates) the broad vs. narrow table in UW and the FA chart are generalizations. It's going to be different for every patient depending on current meds, pregnancy, etc. Focus on the starred indications in FA as well as the notes column for other indications, and be able to recognize contraindications & side effects.

 

[studylol]

Thanks, will do!

Also, after more thinking, i'm guessing what UWORLD meant was that to treat both types of general seizures, you need broad spectrums.