4 Corners Neurological Pharmacy

Epilepsy medications. Anti-epileptic drugs (AEDs) are the medications used in the treatment of epilepsy. They are potent medications that act on the brain to prevent seizures. The drugs do not cure epilepsy. They improve seizure control and thereby enhance the quality of life for the majority of people with epilepsy.

%d1%84%d0%b0%d1%80%d0%bcThe selection of effective AED therapy is aided by an accurate diagnosis of seizure type/s as well as epilepsy syndrome as not all AEDs are effective in the treatment of all types of epilepsy. Some may even worsen a person’s seizure disorder.

Many people with epilepsy are successfully treated with one AED. This is called monotherapy. Some people have seizure types/syndromes less responsive to AED therapy and may require two or more drugs. This process is called polytherapy.

4 Corners Pharmacy is able to supply the following Medications

Dilantin (Phenytoin) capsules,
Dosage: Average daily dose range (adults) 200-400mg in divided doses. Dose needs to be individually adjusted.Treatment: Effective against generalised tonic-clonic and partial seizures. Ineffective against absences. Serum level monitoring essential.

Possible side effects: Blurred vision, double vision, drowsiness, unsteadiness and slurred speech may occur if the dose is too high. Coarsening of facial features, overgrowth of gums and acne may be a problem with prolonged use, as well as an increase in body hair.

Tegretol CR / Tegretol (Carbamazepine)
Dosage: Average daily dose range (adults) 600-1200mg in divided doses.Treatment: Effective against generalised tonic-clonic and partial seizures. Ineffective against absences.Possible side effects: Blurred vision, double vision, unsteadiness and nausea may occur initially or if dose is too high. Occasional rash and drowsiness may occur.

Zarontin (Ethosuximide) capsules
Dosage: As prescribed by the doctor.Treatment: Effective against absences only.Possible side effects: Behavioural disturbances. Nausea and drowsiness may occur. Hiccups, headaches and rash. Other possible side effects include a decrease in appetite, abdominal pain and an unsteady walk

 

Also 4 Corners Pharmacy can supply two recently released drugs approved as add on therapy.

Neurontin (Gabapentin) capsules

Topamax (Topiramate)
Topamax is an anti-epileptic drug, prescribed to control both the mild attacks known as partial seizures and the severe tonic-clonic convulsions known as grand mal seizures. It is typically added to the treatment regimen when other drugs fail to fully control a patient’s attacks

4 Corners Pharmacy can also supply:

Diamox (Acetazolamide)
Diamox controls fluid secretion. It is used in the treatment of glaucoma (excessive pressure in the eyes), epilepsy (for both brief and unlocalized seizures), and fluid retention due to congestive heart failure or drugs. It is also used to prevent or relieve the symptoms of acute mountain sickness in climbers attempting a rapid climb and those who feel sick even though they are making a gradual climb.

 

Alzheimer’s Medications

Aricept, Exelon and Reminyl – the new drugs for Alzheimer’s disease

Aricept, Exelon and Reminyl are not cures for Alzheimer’s disease. However, they can temporarily slow down the progression of symptoms in people in the early to middle stages of the disease.

 

Research has shown that there is not enough of a chemical called acetylcholine in the brains of people with Alzheimer’s disease. Acetylcholine helps nerve cells to communicate.

Aricept, Exelon and Reminyl are called acetylcholinesterase inhibitors. They prevent an enzyme known as acetylcholinesterase from breaking down acetylcholine in the brain. Increased concentrations of acetylcholine lead to increased communication between nerve cells which may in turn temporarily improve or stabilise the symptoms of Alzheimer’s disease.

Aricept, Exelon and Reminyl work in similar ways. However, Reminyl also appears to act on the nicotinic neuronal receptors in the body, making them release more acetylcholine.

Nicotinic receptors are concentrated in the brain, spinal cord and muscles. They appear to be involved in cognition, pain and neurodegeration. A growing body of evidence suggests that drugs which regulate specific nicotinic receptors may be used to treat a number of disorders including Alzheimer’s disease, Parkinson’s disease and schizophrenia.

It is possible that one of these drugs might suit an individual better than another. The specialist should be able to advise whether there is any advantage associated with a particular drug.

 

Aricept (donepezil hydrochloride)
Also known as donepezil or E2020

Exelon (rivastigine tartrate)

Reminyl (galantamine hydrobromide)

 

Parkinson’s Medications

The symptoms of Parkinsons are caused by a lack of dopamine and a relative excess of acetylcholine. Most specialist Parkinsons medication aims to restore the balance between dopamine and acetylcholine.

There are various forms of the main medications, eg slow release, different dosages. As some people have different reactions and sensitivities to the drugs, it is most important to discuss your needs and reactions with your doctor or specialist to get the best possible individual prescription.

In additon, the drugs may have side effects you should be aware of, so again it is important you have full discussions with your doctor or specialists. Field Officers can provide you with pamphlets that explain the medication that may be prescribed.

4 Corners Pharmacy is able to supply a number of medications for the treatment of Parkinsons.

Bromocriptine (Parlodel)

Eldepryl / Selegiline (Selegiline hydrochloride) also sold under the brand name Carbex

Madopar (Levodopa and benserazide hydrochloride)

Norflex (Orphenadrine)
Also sold under the following Brand Names

In the U.S.— Antiflex, Banflex, Flexoject, Mio-Rel, Myolin, Myotrol, Norflex, Orfro, Orphenate

In Canada— Disipal Norflex

Permax (Pergolide mesylate)
This medication is used to treat Parkinson’s disease. It is used along with levodopa or levodopa/carbidopa to make it more effective.

Sinemet (decarboxylase inhibitor)

Symmetrel (amantadine)

 

Migraine Treatments

Migraine affects people form all walks of life, age, race and gender. Migraines are long term companions, affecting teenagers or young adults and staying with them for life. Migraines are severe headaches that interfere with your activities.

Migraine is differentiated from a headache in several ways. You experience migraine if you have pain only on one side of your head. You may get nausea and vomiting and you become hypersensitive to light and sound. Migraines may last for 3 days. Other accompanying symptoms are diarrhea, constipation, chills, hot flashes or cold hands and feet. The frequency of migraine attacks varies. Migraine is a hereditary illness.

4 Corners Pharmacy is able to supply the 2 following prescription medications which are used for the treatement of Migraines.

Imigran / Imitrex
Imigran / Imitrex (sumatriptan succinate) is an abortive medication used for the treatment of Migraine attacks in adults. Imigran / Imitrex is the oldest of the new ‘Tripans’ Migraine wonder drugs.

This is a highly effective acute treatment, which appeared in 1993, which will work with efficiency for most Migraineurs, and has very few side effects.

Imigran / Imitrex Injection Device and Refill Packs
Imigran Injection is a subcutaneous injection for the acute relief of migraine attacks. Like the oral form of the medication, the injection refill contains sumatriptan succinate.

Generic Medications

As well as well known branded drugs 4 Corners Pharmacy is supplying the following Generic Medications:

Suminat Tablets – Generic Imitrex

Suminat Spray – Generic Imitrex

Atomoxetine – Generic Strattera

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