In the following list, the dates in parentheses are the earliest approved use of the drug.
Aldehydes
Main article: Aldehydes
Paraldehyde (1882). One of the earliest anticonvulsants. Still used to treat status epilepticus, particularly where there are no resuscitation facilities.
Aromatic allylic alcohols
Stiripentol (2001 - limited availability). Indicated for the treatment of severe myoclonic epilepsy in infancy (SMEI).
Barbiturates
Main article: Barbiturates
Barbiturates are drugs that act as central nervous system (CNS) depressants, and by virtue of this they produce a wide spectrum of effects, from mild sedation to anesthesia. The following are classified as anticonvulsants:
Phenobarbital (1912). See also the related drug primidone.
Methylphenobarbital (1935). Known as mephobarbital in the US. No longer marketed
in the UK
Metharbital (1952). No longer marketed in the UK or US.
Barbexaclone (1982). Only available in some European countries.
Phenobarbital was the main anticonvulsant from 1912 till the development of phenytoin in 1938. Today, phenobarbital is rarely used to treat epilepsy in new patients since there are other effective drugs that are less sedating. Phenobarbital sodium injection can be used to stop acute convulsions or status epilepticus, but a benzodiazepine such as lorazepam, diazepam or midazolam is usually tried first. Other barbiturates only have an anticonvulsant effect at anaesthetic doses.
Benzodiazepines
Main article: Benzodiazepines
The benzodiazepines are a class of drugs with hypnotic, anxiolytic, anticonvulsive, amnestic and muscle relaxant properties. The relative strength of each of these properties in any given benzodiazepine varies greatly and influences the indications for which it is prescribed. Long-term use can be problematic due to the development of tolerance and dependency. Of the many drugs in this class, only a few are used to treat epilepsy:
Clobazam (1979). Notably used on a short-term basis around menstruation
in women with catamenial epilepsy.
Clonazepam (1974).
Clorazepate (1972).
The following benzodiazepines are used to treat status epilepticus:
Diazepam (1963). Can be given rectally by trained care-givers.
Midazolam (N/A). Increasingly being used as an alternative to diazepam. This
water-soluble drug is squirted into the side of the mouth but not swallowed.
It is rapidly absorbed by the buccal mucosa.
Lorazepam (1972). Given by injection in hospital.
Bromides
Main article: Bromides
Potassium bromide (1857). The earliest effective treatment for epilepsy. There would not be a better drug for epilepsy until phenobarbital in 1912. It is still used as an anticonvulsant for dogs and cats.
Carbamates
Main article: Carbamates
Felbamate (1993). This effective anticonvulsant has had its usage severely restricted due to rare but life-threatening side effects.
Carboxamides
Main article: Carboxamides
The following are carboxamides:
Carbamazepine (1963). A popular anticonvulsant that is available in generic
formulations.
Oxcarbazepine (1990). A derivative of carbamazepine that has similar efficacy
but is better tolerated.
Fatty acids
Main article: Fatty acids
The following are fatty-acids:
The valproates — valproic acid, sodium valproate, and divalproex sodium
(1967).
Vigabatrin (1989).
Progabide
Tiagabine (1996).
Vigabatrin and progabide are also analogs of GABA.
Fructose derivatives
Main article: Fructose
Topiramate (1995).
Gaba analogs
Gabapentin (1993).
Pregabalin (2004).
Hydantoins
Main article: Hydantoins
The following are hydantoins:
Ethotoin (1957).
Phenytoin (1938).
Mephenytoin
Fosphenytoin (1996).
Oxazolidinediones
Main article: Oxazolidinediones
The following are oxazolidinediones:
Paramethadione
Trimethadione (1946).
Ethadione
Propionates
Main article: Propionates
Beclamide
Pyrimidinediones
Main article: Pyrimidinediones
Primidone (1952).
Pyrrolidines
Main article: Pyrrolidines
Brivaracetam
Levetiracetam (1999).
Seletracetam
Succinimides
Main article: Succinimides
The following are succinimides:
Ethosuximide (1955).
Phensuximide
Mesuximide
Sulfonamides
Main article: Sulfonamides
Acetazolamide (1953).
Sulthiame
Methazolamide
Zonisamide (2000).
Triazines
Main article: Triazines
Lamotrigine (1990).
Ureas
Main article: Ureas
Pheneturide
Phenacemide
Valproylamides (amide derivatives of valproate)
Main article: Amides
Valpromide
Valnoctamide