Examples
| Brand Name | Chemical Name |
| Tegretol | carbamazepine |
| Neurontin | gabapentin |
| Keppra | levetiracetam |
| Trileptal | oxcarbazepine |
| Dilantin | phenytoin |
| Lyrica | pregabalin |
| Topamax | topiramate |
| Zonegran | zonisamide |
How It Works
Anticonvulsants control cancer pain by changing the way sodium and calcium travel across the surface of nerve cells in the brain. The nerve cells send fewer signals, and the brain senses less pain.
Why It Is Used
Anticonvulsants help reduce pain related to the nervous system (neuropathic pain). Some have fewer side effects than tricyclic antidepressants.
How Well It Works
Anticonvulsants help control cancer pain related to the nervous system (neuropathic pain).1
Side Effects
When anticonvulsants are used to control cancer pain, they may be given in small amounts to limit side effects. Tell your doctor if you experience any side effects, especially:
- Drowsiness.
- Restlessness and irritability.
- Confusion and dizziness.
- Nausea, vomiting, loss of appetite, and belly pain.
- Blurred vision or uncontrollable eye movements (nystagmus).
- Itching, fever, or a rash (sensitivity reaction).
See Drug Reference for a full list of side effects. (Drug Reference is not available in all systems.)
What To Think About
Drowsiness is the most common side effect of anticonvulsant drugs.
These drugs are started at low doses and gradually increased to achieve pain relief.
Carbamazepine can cause a decrease in the white blood cell count, or leukopenia. So it is not generally used to treat cancer pain.1
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Credits
| Author | Shannon Erstad, MBA/MPH |
| Editor | Kathleen M. Ariss, MS |
| Associate Editor | Pat Truman |
| Primary Medical Reviewer | Anne C. Poinier, MD - Internal Medicine |
| Specialist Medical Reviewer | Michael Seth Rabin, MD - Medical Oncology |
| Last Updated | October 30, 2007 |
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