Why two anticonvulsant are using at same time

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    Dear friends i am a new staff in neuro department i have doubt.Why should we use two anticonvulsant at same time.Here i happened to see citicholine and phenytoin are using for a cva patient.Whether this is recommandable

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  2. 6 Comments...

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    Maybe the two drugs work more effectively as a pair. Like Tylenol and Hydrocodone, for instance. In the past, your patient may have tried one but hasn't managed well with just one. You could ask the doctor why your patient is on two. I bet the doctor has a decent answer for you about this. You could google it? We often see a pt with HTN having two antihypertensives and sometimes with a diuretic. It's very feasible to see multiple drugs for one disease. Good luck!
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    What is citicholine (or is it citicoline)? I've never come across an anticonvulsant with that name.
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    Im not familiar with "citicholine", although a quick google search found its more for memory problems? I could be wrong. But, we use multiple seizure drugs all the time. There are different types of seizures and sometimes one med will not cover them all. We had a pt that was post op crani, rebled, evacuated and was kept intubated for seizures. She was seizing thru propofol (65mcgs/kg/min) Dilantin, and keppra. She was eventually put into a pentobarbital coma while we added phenobarbital and topamax. She eventually came out of pentobarbital while her other levels came up and follows commands x4 and extubated.
    Last edit by MLB55 on Apr 19, '12
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    sorry for the spelling mistake its citicoline
  7. 0
    Sometimes two anti-convulsants are used when one is not sufficient for adequate control. It is called an "adjunct".

    By definition, an adjunct is:
  8. 0
    Quote from munch666nath
    Dear friends i am a new staff in neuro department i have doubt.Why should we use two anticonvulsant at same time.Here i happened to see citicholine and phenytoin are using for a cva patient.Whether this is recommandable
    Oh, and Citicoline is NOT an anti-convulsant. They are two seperate drugs. Phenytoin is an anticonvulsant. Citicoline is an nootropic. It has neuroprotective effects.


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