Ashton, D., K. Reid, R. Willems, R. Marrannes, and A. Wauquier: Comparative action of flunarizine, phenytoin, carbamazepine and two calcium-entry blockers on spontaneous epileptiform bursts in the low calcium-hippocampal slice preparation. Drug Dev. Res. a:397-405,1986 Exposure of hippocampal slices to a medium containing a low Ca2+-concentration and an increased concentration of Mg2+ and K+ resulted in the blockade of synaptic transmission and the development of spontaneous synchronized epileptiform bursts (SSEB) in area CA1. The SSEBs were measured extracellularly as a negative potential shift with superimposed population spikes. Flunarizine is a "Ca2+-entry blocker" with antiepileptic actions in humans. We compared flunarizine with two reference antiepileptics (phenytoin and carbamazepine) and two other "Ca2+-entry blockers" (verapamil and nimodipine) for their ability to reduce SSEBs. Flunarizine, which is insoluble in ACSF bathing medium, was applied in a nanodrop directly onto the CA1 region of the slice. All other drugs were applied in the bathing medium. changes in Ca2+ and K + did not occur before changes in potential, modulation of Ca2+ or K + channels in striatum pyrarnidale is unlikely to explain flunarizine's ability to reduce synchronized bursts. Further, the ability to block Ca2+ channels in the periphery appears to be unrelated to the ability to block SSEBs in this model. It is suggested that reduction of Na+ currents during depolarization may be the basis of the similar effects of phenytoin, carbamazepine and flunarizine in this model.