Anti Epilepsy: Partial Seizures: Phenytoin, Carbamazepine, Lamotrigine, Gabapentin, Topiramate mnemonic

Anti Epilepsy: partial seizures

Most drugs in this class are also effective against tonic-clonic seizures [raining tonic drops]
Phenytoin [pee hen to inside the brain]
- Used for partial seizures, status epilepticus ["highest status"] and tonic-clonic seizures
- Blocks sodium channels [salt from the salt shaker is blocked]
- Side effects:
  - Gingival hyperplasia [funky teeth]
  - Megaloblastic anemia [big RBC]
  - Hirsutism [hairy back, chin and chest]
  - Blurred vision [blurred eye]
  - Malignancies [malignant egg]
Carbamazepine [carbon maze pine] is used to treat:
- Trigeminal neuralgia [inflamed trigeminal nerve]
- Partial seizures [maze partially in seizure]
lamotrigine [lamborghini]
Gabapentin [Gaba-pen-tin can (GABA="a bag" spelled backwards)]
- Eliminated by the kidney
Topiramate [top pyramid ate]
- Not effective against tonic-clonic seizures [shielded from the tonic rain]