Indication |
Used in the control of absence (petit mal) seizures that are refractory to treatment with other medications. |
Pharmacodynamics |
Paramethadione and trimethadione are anticonvulsants indicated
in the control of absence (petit mal) seizures that are refractory to
treatment with other medications. Dione anticonvulsants are used in the
treatment of epilepsy. They act on the central nervous system (CNS) to
reduce the number of seizures. |
Mechanism of action |
Dione anticonvulsants reduce T-type calcium currents in thalamic
neurons, including thalamic relay neurons. It does so via the inhibition
of voltage dependent T-type calcium channels. This raises the threshold
for repetitive activity in the thalamus, and inhibits corticothalamic
transmission. Thus, the abnormal thalamocortical rhythmicity, which is
thought to underlie the 3-Hz spike-and-wave discharge seen on
electroencephalogram(EEG) with absence seizures, is dampened. |
Absorption |
Not Available |
Volume of distribution |
Not Available |
Protein binding |
90% |
Metabolism |
Not Available |
Route of elimination |
Not Available |
Half life |
Not Available |
Clearance |
Not Available |
Toxicity |
Symptoms of overdose include clumsiness or unsteadiness, coma,
dizziness (severe), drowsiness (severe), nausea (severe), and problems
with vision. |