Anticonvulsant drugs reduce the ability of central neurones to sustain
high-frequency repetitive firing of action potentials. In recent year
s, it has been demonstrated that this effect is primarily due to a Na conductance reduction. We have simulated the electrical behaviour of
a neurone, including Ca2+ and various K+ conductances. Although a redu
ction of Na+ conductance produces a progressive reduction until a comp
lete suppression of the action potential bust, a smaller reduction of
this conductance is necessary to produce the same effect when the dela
yed-rectifier K+ conductance and the Ca2+ conductance are concomitantl
y reduced. The results indicate that the drugs action on conductances
other than Na+ is important for determining their anticonvulsant effec
t on neurones at therapeutic concentrations. (C) 1997 The Italian Phar
macological Society.