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Gabapentin may augment the availability of glutamate as a precursor in GABA synthesis (B) and can also act as a K+-channel opener. Carbamazepine, valproate, and phenytoin enhance inactivation of voltage- gated sodium and calcium channels and limit the spread of electrical excitation by inhibiting sustained high-frequency firing of neurons.
Following its uptake into the body, the drug is distributed in the blood (1) and through it to the various tissues of the body. Distribution may be restricted to the extracellular space (plasma volume plus interstitial space) (2) or may also extend into the intracellular space (3). |
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