PHARMACOLOGY OF VIGABATRIN

被引:51
作者
SABERS, A
GRAM, L
机构
[1] University Clinic of Neurology, Hvidovre Hospital, Hvidovre
来源
PHARMACOLOGY & TOXICOLOGY | 1992年 / 70卷 / 04期
关键词
D O I
10.1111/j.1600-0773.1992.tb00465.x
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Vigabatrin (gamma-vinyl GABA) is a relatively new antiepileptic drug. Vigabatrin increases the concentration of gamma-aminobutyric acid (GABA) in the brain by inhibiting the major GABA metabolizing enzyme, GABA transaminase, Controlled clinical trials have demonstrated an excellent antiepileptic effect of vigabatrin, especially in the treatment of partial epilepsies. Long-term evaluations have shown no signs of tolerance development. Vigabatrin decreases the plasma concentration of phenytoin during concomitant therapy, the only drug with which an interaction seems to occur. In general, vigabatrin is well tolerated. Psychotic reactions occur in 3-6% of patients. Other frequent side effects are sedation and weight increase. Chronic vigabatrin intoxication in animals caused development of intramyelinic oedema, appearing as microvacuoles in brain white matter. No microvacuolation has been observed in humans, even after long-term treatment. Vigabatrin seems a very valuable new antiepileptic drug.
引用
收藏
页码:237 / 243
页数:7
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