Table 3

Classic antiepileptic drugs: PIs against cocaine-induced seizures and proposed mechanisms of action

DrugPI (TD50/ED50)3-aProposed Primary Mechanims of Action3-b
Valproic acid1.22Increases GABA levels through stimulation of GABA synthesis and/or inhibition of GABA-transaminase
Clonazepam0.90Benzodiazepine positive GABAAreceptor modulator
Diazepam0.13Benzodiazepine positive GABAA receptor modulator
Ethosuximide0.88T-type Ca2+ channel blocker
TrimethadioneN.E.T-type Ca2+channel blocker
PhenytoinN.E.Na+ channel blocker
CarbamazepineN.E.Na+ channel blocker
PrimidoneN.E.Prodrug for phenobarbital, Na+ channel blocker
PhenobarbitalN.E.Barbiturate positive GABAAreceptor modulator, Na+ channel blocker
  • N.E., lack of significant efficacy against cocaine-induced seizures.

  • 3-a Protective indices from Witkin et al. (1999).

  • 3-b Mechanisms of action of the drugs were cited from Rogawski and Porter, 1990; Löscher and Schmidt, 1994; Macdonald and Kelly, 1995.