Sabril 500mg (Vigabatrin)
₦95,000.00
Buy Sabril 500mg (Vigabatrin) Online – Prescription Treatment for Refractory Focal Seizures and Infantile Spasms
Buy Sabril 500mg (vigabatrin) online from HubPharm Africa, a PCN licensed specialty pharmacy. Sabril contains vigabatrin, an antiepileptic medicine used as add-on therapy for refractory focal (partial) seizures that have not been controlled by other combinations of antiepileptic drugs, and as first-line treatment for infantile spasms (West syndrome) in babies.
Vigabatrin works differently from most epilepsy medicines. Instead of acting on a single receptor, it irreversibly blocks GABA transaminase, the enzyme that breaks down GABA, the brain’s main calming neurotransmitter. GABA levels rise and stay raised, which raises the seizure threshold. This is also why the effect persists after a dose is missed and why the medicine must never be stopped suddenly.
Sabril carries a recognised risk of permanent peripheral visual field loss, so it is prescribed only where the expected seizure control outweighs that risk, and only alongside a formal eye monitoring schedule. Every HubPharm order is reviewed by a licensed pharmacist against a valid specialist prescription. We help you set up your visual field testing calendar, plan refills so therapy is never interrupted, and counsel on safe dose changes. Same-day delivery within Lagos, 48 hours nationwide, and international shipping available.
Key Features
- Specialist Epilepsy Therapy: Indicated as adjunctive treatment for drug-resistant focal seizures with or without secondary generalisation, and as monotherapy for infantile spasms.
- Unique Mechanism: Irreversible GABA transaminase inhibition raises brain GABA, giving a long biological effect that outlasts the drug in the bloodstream.
- 500mg Film-Coated Tablets: Also available as 500mg powder sachets for oral solution, the usual presentation for infants and young children who cannot swallow tablets.
- Pharmacist-Guided Dispensing: A HubPharm pharmacist verifies the prescription, checks the dose against weight in children, and reviews interactions before dispatch.
- Refill and Monitoring Support: We track your supply and remind you when your six-monthly eye assessment is due, so treatment and monitoring stay in step.
FAQ
What is Sabril 500mg used for?
Sabril is used with other antiepileptic medicines to treat focal (partial) seizures that have not responded to other treatment combinations, and on its own to treat infantile spasms (West syndrome) in babies.
How does vigabatrin work?
Vigabatrin irreversibly inhibits GABA transaminase, the enzyme that destroys GABA in the brain. GABA is the brain’s principal inhibitory neurotransmitter, so blocking its breakdown increases inhibition and makes seizures less likely.
How is Sabril dosed in adults?
Adults usually start at 1g daily, taken as a single dose or in two divided doses, and the dose is increased in 500mg steps at weekly intervals according to response. Most adults are maintained on 2g to 3g daily. Your neurologist sets the dose. Do not adjust it yourself.
How is Sabril dosed in babies with infantile spasms?
Treatment usually begins at 50mg per kg per day and is titrated upward over about a week, commonly to between 100mg and 150mg per kg per day, depending on response and tolerance. Dosing in infants must be supervised by a paediatric neurologist.
Can Sabril tablets be crushed or dissolved?
Sabril tablets can be taken with or without food and are swallowed with water. For infants and young children, the 500mg powder sachets are dissolved in water or juice immediately before the dose. Do not prepare the solution in advance.
What is the visual field problem associated with Sabril?
Vigabatrin can cause permanent constriction of the peripheral visual field. It affects roughly one in three treated patients, usually develops after months to years of use, and is not reversible when the medicine is stopped. Central vision is normally preserved, so many people do not notice it themselves, which is exactly why scheduled testing matters.
How often do I need eye tests while taking Sabril?
A baseline assessment should be done before or shortly after starting, and repeated at least every six months for as long as treatment continues. Where formal perimetry is not possible, as in infants, electroretinography and specialist ophthalmology review are used instead.
What happens if a visual field defect is found?
Your neurologist will reassess whether the seizure benefit still justifies continuing. Vigabatrin is sometimes continued in severe, otherwise uncontrolled epilepsy, but only as a deliberate specialist decision after discussing the risk. Never stop the medicine on your own because of an eye test result.
What are the other side effects of Sabril?
Common effects include drowsiness, fatigue, dizziness, headache, weight gain, tremor, joint pain and blurred vision. Mood changes, agitation, depression and, less often, psychosis or suicidal thoughts have been reported. Reversible MRI signal changes have been seen in some infants treated for infantile spasms.
Can I stop taking Sabril suddenly?
No. Abrupt withdrawal can trigger rebound seizures or status epilepticus. Vigabatrin is withdrawn gradually over two to four weeks or longer, under medical supervision.
Does Sabril interact with other medicines?
Vigabatrin has relatively few interactions because it is not extensively metabolised by the liver, but it can lower plasma phenytoin levels. Tell your pharmacist about every medicine you take, including other antiepileptics, and avoid alcohol, which adds to drowsiness.
Is Sabril safe in pregnancy or breastfeeding?
Vigabatrin crosses the placenta and passes into breast milk. Epilepsy in pregnancy needs careful specialist planning rather than sudden stopping, because uncontrolled seizures are themselves dangerous. If you are pregnant, breastfeeding or planning a pregnancy, speak to your neurologist and pharmacist before making any change.
Can I drive while taking Sabril?
Sabril can cause drowsiness and visual field loss, both of which affect driving. Do not drive or operate machinery until you know how the medicine affects you and your doctor confirms you are fit to do so.
Can I buy Sabril 500mg online in Nigeria?
Yes. HubPharm Africa is a PCN licensed pharmacy (LAG20247B39C9) and dispenses Sabril against a valid specialist prescription with pharmacist review. We deliver same-day within Lagos, within 48 hours nationwide, and ship internationally.
Description
Sabril 500mg (Vigabatrin) – Full Product Information
Active ingredient: Vigabatrin 500mg, an irreversible GABA transaminase inhibitor.
Presentation: 500mg film-coated tablets for oral use. Also supplied as 500mg powder in sachets for oral solution.
Indications: Adjunctive therapy for resistant focal (partial) epilepsy with or without secondary generalisation, where other appropriate drug combinations have proved inadequate or have not been tolerated. Monotherapy for infantile spasms (West syndrome).
Legal category: Prescription only medicine. Specialist initiation required.
How Sabril Works
Vigabatrin is a structural analogue of GABA that binds irreversibly to GABA transaminase, the enzyme responsible for degrading GABA in the central nervous system.
Dosage
Adults typically start on 1g daily, increased in 500mg increments at weekly intervals to a usual maintenance dose of 2g to 3g daily, given once or twice a day. In infantile spasms, treatment usually starts at 50mg/kg/day and is titrated over about one week toward 100 to 150mg/kg/day according to response and tolerability.
Storage and Handling
Store below 25°C in the original packaging, protected from moisture and light. Keep out of the sight and reach of children. Do not use after the expiry date shown on the carton.
Pharmacist Support
Every HubPharm order is reviewed by a licensed pharmacist before dispatch. You can reach our pharmacy team on WhatsApp at +234 705 050 5001, or through Afiya, our AI health companion, 24 hours a day in over 50 languages.
This information is provided for general education and does not replace the advice of a qualified healthcare professional. Always read the manufacturer’s leaflet supplied with your medicine.





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