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Table 23-7

DrugSeizure TypeTherapeutic Blood Level (µg/mL)Side Effects
PhenobarbitalGeneralized15–35Sedation
Increased drug metabolism
ValproateGeneralized50–100Pancreatitis
AbsenceHepatic dysfunction
Thrombocytopenia
FelbamateGeneralizedInsomnia
PartialAtaxia
Nausea
PhenytoinGeneralized10–20Gingival hyperplasia
PartialDermatitis
Resistance to nondepolarizing muscle relaxants
FosphenytoinGeneralizedParesthesias
PartialHypotension
CarbamazepineGeneralized6–12Cardiotoxicity
PartialHepatitis
Resistance to nondepolarizing muscle relaxants
LamotrigineGeneralized2–16Rash
PartialStevens-Johnson syndrome
TopiramateGeneralized4–10Severe metabolic acidosis
PartialHyperthermia
GabapentinGeneralized4–16Fatigue
PartialSomnolence
PrimidoneGeneralized6–12Nausea
PartialAtaxia
ClonazepamAbsence0.01–0.07Ataxia
EthosuximideAbsence40–100Leukopenia
LevetiracetamGeneralized5–45Erythema multiforme
PartialDizziness
Headache
OxcarbazepinePartial10–35Hyponatremia
Diplopia
Somnolence
TiagabinePartialTremor
Depression
ZonisamideGeneralized10–40Anorexia
Decreased cognition