Drug types

Hydantoin | Tricyclic | Carboxylic acid | Succinimide |
Benzodiazepine | Barbiturate derivative | Barbiturate

water glass with pillsThe most effective treatment for seizure disorders is the use of anticonvulsant drugs. While anticonvulsant drugs can not cure epilepsy, they greatly reduce or eliminate the incidence of seizures.


Common anticonvulsants

The following table lists some of the common anticonvulsants (and their drug classes), the types of seizure they're used for, and adverse effects they could cause.

Some of the drugs have been hyperlinked to specific Web pages with more information about those drugs, if you want to know more about them. These pages will open up in new browser windowns. To return to this lesson, just close the other windows.

Drug class & specific examples

Type of seizure

Adverse effects

class = Hydantoin

example:
phenytoin (Dilantin)

  • Tonic-clonic
  • Partial
  • dizziness
  • drowsiness
  • confusion
  • ataxia
  • nausea
  • gingival hyperplasia
  • megaloblastic anemia
  • leukopenia

class = Tricyclic

example:
carbamazepine
(Epitol, Tegretol)

  • Tonic-clonic
  • Partial
  • sedation
  • dizziness
  • fatigue
  • confusion
  • ataxia
  • nausea
  • blood dyscrasias
  • hepatotoxicity

class = Carboxylic acid

example:
valproic acid
(Depakene, Depakote)

  • Tonic-clonic
  • Partial
  • Absence
  • Myoclonic
  • anorexia
  • diarrhea
  • nausea
  • drowsiness
  • ataxia
  • irritability
  • confusion
  • headache
  • leukopenia
  • thrombocytopenia
  • hepatotoxicity
  • prolonged bleeding time

class = Succinimide

example:
ethosuximide
(Zarontin)

  • Absence
  • Myoclonic
  • Atonic
  • ataxia
  • sedation
  • dizziness
  • hallucinations
  • behavioral changes
  • headache
  • Stevens-Johnson syndrome
  • systemic lupus erythematosus
  • nausea
  • anorexia

class = Benzodiazepine

example:
clonazepam
(Klonopin)

  • Absence
  • Myoclonic
  • Atonic
  • tachycardia
  • drowsiness
  • fatigue
  • anxiety
  • ataxia
  • headache
  • dizziness
  • blurred vision
  • xerostomia

class = Barbiturate derivative

example:
primidone
(Mysoline)

  • Tonic-clonic
  • Partial
  • drowsiness
  • vertigo
  • ataxia
  • behavioral changes
  • headache
  • nausea

class = Barbiturate

example:
phenobarbital
(Barbita, Luminal,
Solfoton)

  • Tonic-clonic
  • Partial
  • dizziness
  • lightheadedness
  • sedation
  • ataxi
  • impaired judgment
  • skin rashes


For more information about the drugs in the table above or in the list below, be sure to check out the Epilepsy Foundation’s Medicines for Epilepsy. You can look up specific medications by clicking on the last link, Identification Chart, in the menu to the right. (This link opens up in a new browser window.)

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Other anticonvulsants

Researchers continue to develop newer anticonvulsant drugs for epilepsy. Some of those are listed below:

  • felbamate (Felbatol)
  • gabapentin (Neurontin)
  • lamotrigine (Lamictal)
  • levetiracetam (Keppra)
  • oxcarbazepine (Trileptal)
  • tiagabine (Gabitril)
  • topiramate (Topamax)
  • zonisamide (Zonagran)

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