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Select the Mechanism of Action of Topiramate (Topamax)

Question 4

Multiple Choice

Select the mechanism of action of topiramate (Topamax) .


A) Topiramate interferes with the action of Na+ ions and the generation of high-frequency action potentials. The drug may also increase the inhibitory actions of GABA.
B) Topiramate shortens the inactivation period of sodium (Ca++) channels in the nerve membrane, leading to a reduction in the generation of high-frequency repetitive firing of action potentials from neurons involved in initiating seizures.
C) Topiramate reduces the T-type calcium currents in the thalamus, which reduces the occurrence of seizures.
D) Topiramate prolongs the inactivation period of potassium (K+) channels in the nerve membrane, leading to a reduction in the generation of high-frequency repetitive firing of action potentials from neurons involved in initiating seizures.

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