What is the mechanism of action of Banzel (rufinamide)?
How does Banzel work?
Exactly how Banzel (rufinamide) works to prevent epilepsy- its mechanism of action - is not known. However, it’s thought that it may affect sodium channels in the brain which play a role in causing seizures.
Neurons (nerve cells) in the brain generate electrical pulses, which causes the release of neurotransmitters. Neurotransmitters are chemical messengers that signal other neurons, muscles and glands. They form part of a communication system that helps control the way your body works, including how you think and feel.
During a seizure, the normal pattern of electrical pulses in the brain changes. Sudden bursts of impulses all at the same time can disrupt how the brain works causing a seizure. Voltage-gated sodium channels are involved in the generation and propagation of electrical pulses in the brain.
Banzel is thought to help prevent seizures by prolonging how long sodium channels remain in an inactive state for. When the sodium channels are in an inactive state they don’t generate and pass on electrical pulses, which helps to prevent the sustained repetitive firing of neurons that causes seizures.
Banzel is used as an add-on treatment for seizures associated with Lennox-Gastaut Syndrome.
References
- Humayun MJ, Wadhwa R. Rufinamide. [Updated 2022 Apr 25]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK557595/.
Read next
Does topiramate cause weight loss?
Yes, topiramate (Topamax) has been shown to cause weight loss when used for both seizure control and migraine prevention. Topiramate by itself is not specifically approved by the FDA for weight loss, but is used in an "off-label" fashion for this condition. Qsymia, an extended-release medicine that contains phentermine and topiramate, is FDA approved for weight loss, along with diet and exercise. Continue reading
Can you stop taking Topamax suddenly?
Talk to your doctor first if you want to stop taking Topamax (topiramate), even if you do not have epilepsy. You should not stop taking Topamax suddenly unless your doctor has told you to stop. Stopping suddenly may increase the risk of seizures or other withdrawal side effects. If you have epilepsy and you stop taking Topamax suddenly, you may have seizures that do not stop. Continue reading
How long does it take for Topamax to start working?
It may take 8 to 12 weeks for you to see the full effect of Topamax on your migraine headaches. In clinical studies, some people had fewer headaches after 4 weeks of treatment. In the treatment of epilepsy, Topamax is also started slowly and the dose is increased over a 6-week period. Continue reading
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Related support groups
- Banzel (1 questions, 5 members)
- Rufinamide (1 questions, 4 members)
- Lennox-Gastaut Syndrome (12 questions, 10 members)