Ethosuximide Reduces Mortality and Seizure Severity in Response to Pentylenetetrazole Treatment During Ethanol Withdrawal

Alcohol Alcohol. 2015 Sep;50(5):501-8. doi: 10.1093/alcalc/agv033. Epub 2015 Apr 12.

Abstract

Aims: We recently demonstrated that T-type calcium channels are affected by alcohol abuse and withdrawal. Treatment with ethosuximide, an antiepileptic drug that blocks T-type calcium channels, reduces seizure activity induced by intermittent ethanol exposures and withdrawals. Here, we expand on these findings to test whether ethosuximide can reduce the sensitivity to pentylenetetrazole-induced seizures during ethanol withdrawal.

Methods: We used an intermittent ethanol exposure model to produce withdrawal-induced hyperexcitability in DBA/2J mice.

Results: Ethosuximide (250 mg/kg) reduced seizure severity in mice undergoing ethanol withdrawal with concurrent PTZ treatment (20 mg/kg). Importantly, ethosuximide did not produce rebound excitability and protected against ethanol withdrawal-induced mortality produced by concurrent PTZ treatment (40 mg/kg).

Conclusion: These results, in addition to previous preclinical findings, suggest that ethosuximide should be further evaluated as a safe, effective alternative to benzodiazepines for the treatment of alcohol withdrawal.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Alcoholism / drug therapy*
  • Alcoholism / mortality
  • Alcoholism / pathology
  • Animals
  • Anticonvulsants / therapeutic use
  • Ethosuximide / therapeutic use*
  • Male
  • Mice
  • Mice, Inbred DBA
  • Mortality / trends
  • Pentylenetetrazole / toxicity*
  • Seizures / drug therapy*
  • Seizures / mortality
  • Seizures / pathology
  • Severity of Illness Index*
  • Substance Withdrawal Syndrome / drug therapy*
  • Substance Withdrawal Syndrome / mortality
  • Substance Withdrawal Syndrome / pathology

Substances

  • Anticonvulsants
  • Ethosuximide
  • Pentylenetetrazole