Trimethadione: Difference between revisions

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{{Short description|An anticonvulsant medication}}
{{Short description|Overview of the anticonvulsant medication Trimethadione}}
{{Drugbox
{{Drugbox
| verifiedfields = changed
| verifiedfields = changed
| verifiedrevid = 477002123
| verifiedrevid = 477002123
| IUPAC_name = 3,5,5-Trimethyl-2,4-oxazolidinedione
| image = Trimethadione.svg
| image = Trimethadione.svg
| width = 200px
| image2 =  
| tradename = Tridione
| pregnancy_AU = D
| pregnancy_US = D
| legal_status = Rx-only
| routes_of_administration = Oral
| bioavailability = 100%
| protein_bound = 0%
| metabolism = Hepatic
| elimination_half-life = 16-24 hours
| excretion = Renal
| CAS_number = 127-48-0
| ATC_prefix = N03
| ATC_suffix = AD01
| PubChem = 5563
| DrugBank = DB00347
| ChemSpiderID = 5363
| UNII = 3Z8Z60B3YX
| KEGG = D00382
| ChEBI = 4598
| ChEMBL = 1201310
| C=6
| H=9
| N=1
| O=2
| smiles = CC1(C)C(=O)N(C)C(=O)O1
| StdInChI = 1S/C6H9NO2/c1-6(2)4(8)7(3)5(9)10-6/h1-3H3
| StdInChIKey = ZLJMRSGQIGNYQG-UHFFFAOYSA-N
}}
}}


'''Trimethadione''' is a medication used primarily in the treatment of [[epilepsy]], specifically for [[absence seizures]]. It was one of the first anticonvulsant drugs developed and was introduced in the 1940s. Trimethadione is known by the brand name '''Tridione'''.
'''Trimethadione''' is a medication used primarily in the treatment of [[epilepsy]], specifically for the management of [[absence seizures]]. It belongs to the class of [[oxazolidinediones]], which are known for their anticonvulsant properties.
 
==Pharmacology==
Trimethadione works by modulating the activity of [[voltage-gated calcium channels]] in the brain. This action helps to stabilize neuronal membranes and reduce the frequency of seizure activity. The drug is metabolized in the liver to its active metabolite, dimethadione, which is responsible for its therapeutic effects.


==Medical uses==
==Medical uses==
Trimethadione is used to control [[absence seizures]], which are a type of [[generalized seizure]] characterized by brief lapses in consciousness. It is not effective for other types of seizures such as [[tonic-clonic seizures]] or [[partial seizures]].
Trimethadione is primarily indicated for the treatment of absence seizures, also known as [[petit mal seizures]]. These seizures are characterized by brief, sudden lapses in attention and activity, often occurring in children. Trimethadione is typically used when other medications, such as [[ethosuximide]] or [[valproic acid]], are not effective or cause unacceptable side effects.


==Mechanism of action==
==Side effects==
The exact mechanism by which trimethadione exerts its anticonvulsant effects is not fully understood. It is believed to work by modulating the activity of [[voltage-gated calcium channels]] in the [[thalamus]], which play a key role in the generation of absence seizures.
The use of trimethadione can lead to several side effects, some of which may be serious. Common side effects include:
* [[Drowsiness]]
* [[Dizziness]]
* [[Nausea]]
* [[Vomiting]]


==Side effects==
Serious side effects may include:
Common side effects of trimethadione include [[drowsiness]], [[dizziness]], and [[nausea]]. More serious side effects can include [[blood dyscrasias]], [[liver toxicity]], and [[dermatological reactions]]. Long-term use can lead to [[gingival hyperplasia]] and [[hirsutism]].
* [[Blood dyscrasias]] such as [[agranulocytosis]] and [[aplastic anemia]]
* [[Hepatotoxicity]]
* [[Dermatological reactions]] such as [[rash]] and [[Stevens-Johnson syndrome]]


==Contraindications==
==Contraindications==
Trimethadione is contraindicated in patients with a history of [[hypersensitivity]] to the drug. It is also not recommended for use during [[pregnancy]] due to the risk of [[teratogenicity]].
Trimethadione is contraindicated in patients with a history of hypersensitivity to the drug or any of its components. It should be used with caution in patients with [[liver disease]] or [[blood disorders]].


==History==
==History==
Trimethadione was first synthesized in the 1940s and was one of the earliest anticonvulsant drugs used to treat absence seizures. It has largely been replaced by newer medications such as [[ethosuximide]] and [[valproic acid]], which have more favorable side effect profiles.
Trimethadione was first introduced in the 1940s as one of the earliest anticonvulsant medications. It was widely used for the treatment of absence seizures before the development of newer agents with improved safety profiles.


==Related pages==
==Related pages==
* [[Epilepsy]]
* [[Anticonvulsant]]
* [[Absence seizure]]
* [[Ethosuximide]]
* [[Ethosuximide]]
* [[Valproic acid]]
* [[Valproic acid]]
* [[Epilepsy]]
* [[Seizure types]]
==References==
{{Reflist}}


[[Category:Anticonvulsants]]
[[Category:Anticonvulsants]]
[[Category:Oxazolidinediones]]
[[Category:Oxazolidinediones]]
[[Category:Epilepsy treatments]]
[[Category:Epilepsy treatments]]

Revision as of 11:34, 15 February 2025

Overview of the anticonvulsant medication Trimethadione


Trimethadione
INN
Drug class
Routes of administration
Pregnancy category
Bioavailability
Metabolism
Elimination half-life
Excretion
Legal status
CAS Number
PubChem
DrugBank
ChemSpider
KEGG


Trimethadione is a medication used primarily in the treatment of epilepsy, specifically for the management of absence seizures. It belongs to the class of oxazolidinediones, which are known for their anticonvulsant properties.

Pharmacology

Trimethadione works by modulating the activity of voltage-gated calcium channels in the brain. This action helps to stabilize neuronal membranes and reduce the frequency of seizure activity. The drug is metabolized in the liver to its active metabolite, dimethadione, which is responsible for its therapeutic effects.

Medical uses

Trimethadione is primarily indicated for the treatment of absence seizures, also known as petit mal seizures. These seizures are characterized by brief, sudden lapses in attention and activity, often occurring in children. Trimethadione is typically used when other medications, such as ethosuximide or valproic acid, are not effective or cause unacceptable side effects.

Side effects

The use of trimethadione can lead to several side effects, some of which may be serious. Common side effects include:

Serious side effects may include:

Contraindications

Trimethadione is contraindicated in patients with a history of hypersensitivity to the drug or any of its components. It should be used with caution in patients with liver disease or blood disorders.

History

Trimethadione was first introduced in the 1940s as one of the earliest anticonvulsant medications. It was widely used for the treatment of absence seizures before the development of newer agents with improved safety profiles.

Related pages