• Phenytoin, phenobarbital, ethosuximide, and procaine hydrochloride were evaluated for their ability to inhibit Ca flux into isolated presynaptic endings (synaptosomes) prepared from rabbit neocortex. Calcium influx produced by depolarizing concentrations (69 mM) of K+ was inhibited 7% to 63% by phenytoin, phenobarbital, or procaine, whereas ethosuximide was ineffective. Decreased Ca2+ influx was observed with as little as 0.08 mM phenytoin and 0.04 mM phenobarbital. In contrast, 4 mM procaine was needed to produce an effect. These results lead to the conclusion that ability to produce membrane stabilization is not a property of all anticonvulsant drugs; however, this property may be essential for the action of drugs effective in the treatment of major seizures.
Sohn RS, Ferrendelli JA. Anticonvulsant Drug Mechanisms: Phenytoin, Phenobarbital, and Ethosuximide and Calcium Flux in Isolated Presynaptic Endings. Arch Neurol. 1976;33(9):626–629. doi:10.1001/archneur.1976.00500090032006
Artificial Intelligence Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.