Gabitril

— THERAPEUTIC CATEGORIES —
  • Seizure disorders

Gabitril Generic Name & Formulations

General Description

Tiagabine HCl 2mg, 4mg, 12mg, 16mg; tabs.

Pharmacological Class

GABA reuptake inhibitor.

How Supplied

Tabs—30

Manufacturer

Generic Availability

YES

Gabitril Indications

Indications

Adjunct in partial seizures.

Gabitril Dosage and Administration

Adult

Take with food. Use lower doses and titrate slower if not on concomitant enzyme-inducing drug(s). 12–18yrs: 4mg once daily for 1 week; may increase to 8mg/day in 2 divided doses for 1 week; then may increase by 4–8mg weekly to clinical response or up to 32mg/day in 2–4 divided doses. ≥18yrs: 4mg once daily for 1 week; may increase by 4–8mg weekly to clinical response or up to 56mg/day in 2–4 divided doses.

Children

Not established.

Gabitril Contraindications

Not Applicable

Gabitril Boxed Warnings

Not Applicable

Gabitril Warnings/Precautions

Warnings/Precautions

Hepatic impairment: reduce dose. Reduce dose or discontinue if generalized weakness occurs. Adjust dose if spike and wave discharges on EEG with cognitive or neuropsychiatric events occur. Discontinue and evaluate if seizures develop in nonepileptic patients during therapy. Suicidal tendencies (monitor). Avoid abrupt cessation. Elderly. Pregnancy (Cat.C). Nursing mothers.

Gabitril Pharmacokinetics

See Literature

Gabitril Interactions

Interactions

CNS depression may be potentiated by alcohol, triazolam, other CNS depressants. Tiagabine levels reduced by enzyme inducers (eg, phenytoin, carbamazepine, primidone, phenobarbital), St. John's wort. May interact with valproate (monitor). May affect or be affected by highly protein bound drugs.

Gabitril Adverse Reactions

Adverse Reactions

Dizziness, asthenia, somnolence, fatigue, GI upset/pain, nervousness, tremor, abdominal pain, concentration difficulties, dysphasia, confusion, other CNS effects, serious rash; possible long-term ophthalmologic effects.

Gabitril Clinical Trials

See Literature

Gabitril Note

Not Applicable

Gabitril Patient Counseling

See Literature