Pharmacology · single question

What is the mechanism of action of carbamazepine?

  1. Voltage-gated sodium channel blocker
  2. Beta-adrenergic blocker
  3. ACE inhibitor
  4. Calcium channel blocker
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Correct answer: A. Voltage-gated sodium channel blocker

  • A. ✅ Correct. Carbamazepine blocks voltage-gated sodium channels in a use-dependent manner, stabilizing neuronal membranes and preventing repetitive firing. Effective for trigeminal neuralgia and epilepsy.
  • B. ❌ Beta blockers affect adrenergic receptors, not ion channels.
  • C. ❌ ACE inhibitors are antihypertensives, not anticonvulsants.
  • D. ❌ Calcium channel blockers are a different class (gabapentin/pregabalin have a partial calcium mechanism).

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