content:vigabatrin

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content:vigabatrin [2020/02/23 18:14] – [Main disadvantages] icnacontent:vigabatrin [2020/02/23 18:15] – [Dosage and titration] icna
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 ===== Dosage and titration ===== ===== Dosage and titration =====
-**Adults:** start treatment with 500 mg/day and titrate in increments of 500 mg/day every week. Typical adult maintenance dose is 1000–3000 mg/day given in two equally divided doses. +**Adults:** start treatment with 500 mg/day and titrate in increments of 500 mg/day every week. Typical adult maintenance dose is 1000–3000 mg/day given in two equally divided doses.Because the excretion is mainly renal, the dose should be reduced in patients with renal insufficiency and creatinine clearance
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-Because the excretion is mainly renal, the dose should be reduced in patients with renal insufficiency and creatinine clearance+
  
 **Children with infantile spasms:** start treatment with 50 mg/kg/day and adjust according to the response over 7 days, up to a total of 150–200 mg/kg/day. **Children with infantile spasms:** start treatment with 50 mg/kg/day and adjust according to the response over 7 days, up to a total of 150–200 mg/kg/day.
  
-Dosing: despite its short half-life (5–7 hours), vigabatrin may be given once or twice daily, because inhibition of GABA-T results in a relatively long duration of action, and GABA levels in the CSF can remain elevated for up to 120 hours after a single oral dose.+**Dosing:** despite its short half-life (5–7 hours), vigabatrin may be given once or twice daily, because inhibition of GABA-T results in a relatively long duration of action, and GABA levels in the CSF can remain elevated for up to 120 hours after a single oral dose.
  
 **TDM:** unnecessary; useful only to check compliance.18,19 **TDM:** unnecessary; useful only to check compliance.18,19
  
-Reference range: 6–278 μmol/l, which is irrelevant in clinical practice.+**Reference range:** 6–278 μmol/l, which is irrelevant in clinical practice.
  
 ===== Adverse drug reactions ===== ===== Adverse drug reactions =====
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