zonisamide (Zonegran)

  • Pharmacy Author:
    Omudhome Ogbru, PharmD

    Dr. Ogbru received his Doctorate in Pharmacy from the University of the Pacific School of Pharmacy in 1995. He completed a Pharmacy Practice Residency at the University of Arizona/University Medical Center in 1996. He was a Professor of Pharmacy Practice and a Regional Clerkship Coordinator for the University of the Pacific School of Pharmacy from 1996-99.

  • Medical and Pharmacy Editor: Charles Patrick Davis, MD, PhD
    Charles Patrick Davis, MD, PhD

    Charles Patrick Davis, MD, PhD

    Dr. Charles "Pat" Davis, MD, PhD, is a board certified Emergency Medicine doctor who currently practices as a consultant and staff member for hospitals. He has a PhD in Microbiology (UT at Austin), and the MD (Univ. Texas Medical Branch, Galveston). He is a Clinical Professor (retired) in the Division of Emergency Medicine, UT Health Science Center at San Antonio, and has been the Chief of Emergency Medicine at UT Medical Branch and at UTHSCSA with over 250 publications.

GENERIC AVAILABLE: Yes

PREPARATIONS: Capsules: 25, 50, and 100 mg.

STORAGE: Store zonisamide capsules between 20 C and 25 C (68 F and 77 F).

DOSING: The recommended starting dose of zonisamide is 100 mg/day. Doses may be increased 100 mg/day every 2 weeks. The usual dosage varies from 100 to 600 mg/day, administered in 1 to 2 divided doses.

Safe and effective use of zonisamide is not established for children under the age of 16.

DRUG INTERACTIONS: Zonisamide increases the risk of lactic acid build up when combined with metformin (Glucophage). If you experience sudden weakness, heavy breathing, and increased drowsiness, contact your healthcare professional immediately.

Orlistat (Xenical) should be used with caution with zonisamide because it lowers the beneficial effects of zonisamide and increases the chances of seizures. If you experience dizziness, drowsiness, difficulty walking, nausea, vomiting, and abnormal eye movements, contact your healthcare professional immediately.

PREGNANCY: There are no adequate studies done on zonisamide to determine its safe and effective use in pregnant mothers.

NURSING MOTHERS: It is not known whether zonisamide is excreted in breast milk. It should be used with caution in females who are nursing.

REFERENCE: FDA Prescribing Information.

Medically Reviewed by a Doctor on 12/22/2014

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