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Vigabatrin information


Vigabatrin
Clinical data
Pronunciation/vˈɡæbətrɪn/
vy-GAB-ə-trin
Trade namesSabril, Vigpoder
Other namesγ-Vinyl-GABA
AHFS/Drugs.comMonograph
MedlinePlusa610016
Pregnancy
category
  • AU: D
Routes of
administration
By mouth
ATC code
  • N03AG04 (WHO)
Legal status
Legal status
  • AU: S4 (Prescription only)
  • BR: Class C1 (Other controlled substances)[1]
  • CA: ℞-only
  • UK: POM (Prescription only)
  • US: ℞-only
  • EU: Rx-only
Pharmacokinetic data
Bioavailability80–90%
Protein binding0%
Metabolismnot metabolized
Elimination half-life5–8 hours in young adults, 12–13 hours in the elderly.
ExcretionKidney
Identifiers
IUPAC name
  • (RS)-4-aminohex-5-enoic acid
CAS Number
  • 68506-86-5 checkY
PubChem CID
  • 5665
IUPHAR/BPS
  • 4821
DrugBank
  • DB01080 checkY
ChemSpider
  • 5463 checkY
UNII
  • GR120KRT6K
KEGG
  • D00535 checkY
ChEMBL
  • ChEMBL89598 checkY
CompTox Dashboard (EPA)
  • DTXSID4041153 Edit this at Wikidata
ECHA InfoCard100.165.122 Edit this at Wikidata
Chemical and physical data
FormulaC6H11NO2
Molar mass129.159 g·mol−1
3D model (JSmol)
  • Interactive image
Melting point171 to 177 °C (340 to 351 °F)
SMILES
  • O=C(O)CCC(\C=C)N
InChI
  • InChI=1S/C6H11NO2/c1-2-5(7)3-4-6(8)9/h2,5H,1,3-4,7H2,(H,8,9) checkY
  • Key:PJDFLNIOAUIZSL-UHFFFAOYSA-N checkY
  (verify)

Vigabatrin, sold under the brand names Sabril and Vigpoder, is a medication used in the management and treatment of infantile spasms and refractory complex partial seizures.

It works by inhibiting the breakdown of γ-aminobutyric acid (GABA). It is also known as γ-vinyl-GABA, and is a structural analogue of GABA, but does not bind to GABA receptors.[2]

Vigabatrin is generally used only in cases of treatment-resistant epilepsy due to the risk of permanent vision loss.[3] Although estimates of visual field loss vary substantially, risk appears to be lower among infants with treatment duration less than 12 months and the risk of clinically meaningful vision loss is very low among children treated for infantile spasms.[4][5]

  1. ^ Anvisa (March 31, 2023). "RDC Nº 784 - Listas de Substâncias Entorpecentes, Psicotrópicas, Precursoras e Outras sob Controle Especial" [Collegiate Board Resolution No. 784 - Lists of Narcotic, Psychotropic, Precursor, and Other Substances under Special Control] (in Brazilian Portuguese). Diário Oficial da União (published April 4, 2023). Archived from the original on August 3, 2023. Retrieved August 16, 2023.
  2. ^ Long PW (2003). "Vigabatrin". Drug Monograph. Internet Mental Health. Archived from the original on April 23, 2006.
  3. ^ "Sabril (vigabatrin) Tablets for Oral Use, Powder for Oral Solution. Full Prescribing Information" (PDF). Lundbeck.
  4. ^ Hussain, S. A.; Schmid, E.; Peters, J. M.; Goyal, M.; Bebin, E. M.; Northrup, H.; Sahin, M.; Krueger, D. A.; Wu, J. Y.; Tuberous Sclerosis Complex Autism Center of Excellence Network; Williams, Marian E.; Hanson, Ellen; Bing, Nicole; Kent, Bridget; o'Kelley, Sarah; Filip-Dhima, Rajna; Dies, Kira; Bruns, Stephanie; Scherrer, Benoit; Cutter, Gary; Murray, Donna S.; Roberds, Steven L. (2018). "High vigabatrin dosage is associated with lower risk of infantile spasms relapse among children with tuberous sclerosis complex". Epilepsy Research. 148: 1–7. doi:10.1016/j.eplepsyres.2018.09.016. PMC 6347124. PMID 30296632.
  5. ^ Schwarz, M. D.; Li, M.; Tsao, J.; Zhou, R.; Wu, Y. W.; Sankar, R.; Wu, J. Y.; Hussain, S. A. (2016). "A lack of clinically apparent vision loss among patients treated with vigabatrin with infantile spasms: The UCLA experience". Epilepsy & Behavior : E&B. 57 (Pt A): 29–33. doi:10.1016/j.yebeh.2016.01.012. PMID 26921595.

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of epilepsy in TSC patients include mTOR inhibitors, cannabidiol and vigabatrin. Epilepsy surgery is often pursued. Sturge-Weber syndrome is caused by...

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Ataxia

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