Vigabatrin is an irreversible inhibitor of the enzyme gamma-aminobutyr
ic acid (GABA) transaminase (GABA-T) and is marketed in >20 countries,
including Canada but not the U.S.A., as an antiepileptic drug, Vigaba
trin has demonstrated considerable efficacy against complex partial an
d secondarily generalized tonic-clonic seizures in patients refractory
to conventional antiepileptic drugs. The most common side effects of
vigabatrin are drowsiness, irritability, ataxia, dizziness, and headac
he. Behavioral disturbances are a rare and reversible side effect. The
drug has no known systemic or irreversible side effects. The time cou
rse of action of vigabatrin depends principally upon regeneration of G
ABA-T inactivated by the drug.