Zonisamide Drug: Indication, Dosage, Precaution, Side Effect , Storage, Category Type and corresponding Brands - www.genericdrugscan.com

Zonisamide

pronunciation

pronounced as (zoe nis' a mide)

Why is this medication prescribed?

Zonisamide is used in combination with other medications to treat certain types of seizures. Zonisamide is in a class of medications called anticonvulsants. It works by decreasing abnormal electrical activity in the brain.

How should this medicine be used?

Zonisamide comes as a capsule to take by mouth. It is usually taken once or twice a day with or without food. To help you remember to take zonisamide, take it at around the same time(s) every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take zonisamide exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.

Swallow the capsules whole; do not split, chew, or crush them.

Your doctor will probably start you on a low dose of zonisamide and gradually increase your dose, not more often than once every 2 weeks.

Zonisamide may help control your condition but will not cure it. It may take 2 weeks or longer before you feel the full benefit of zonisamide. Continue to take zonisamide even if you feel well. Do not stop taking zonisamide without talking to your doctor, even if you experience side effects such as unusual changes in behavior or mood. If you suddenly stop taking zonisamide, your seizures may become worse. Your doctor will probably decrease your dose gradually.

Your doctor or pharmacist will give you the manufacturer's patient information sheet (Medication Guide) when you begin treatment with zonisamide and each time you refill your prescription. Read the information carefully and ask your doctor or pharmacist if you have any questions. You can also visit the Food and Drug Administration (FDA) website (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) or the manufacturer's website to obtain the Medication Guide.

What are the precautions to be followed?

• tell your doctor and pharmacist if you are allergic to zonisamide, diuretics ('water pills'), oral medications for diabetes, sulfa drugs, or any other medications.
• tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, and nutritional supplements you are taking or plan to take. Be sure to mention any of the following: amiodarone (Cordarone, Pacerone);antifungals such as itraconazole (Sporanox) and ketoconazole (Nizoral); carbonic anhydrase inhibitors such as acetazolamide (Diamox) and methazolamide; clarithromycin (Biaxin, in Prevpac); diltiazem (Cardizem, Dilacor, Tiazac); erythromycin (E.E.S., E-Mycin, Erythrocin); fluvoxamine (Luvox); HIV protease inhibitors such as indinavir (Crixivan), nelfinavir (Viracept), and ritonavir (Norvir, in Kaletra); medications for irritable bowel disease, motion sickness, Parkinson's disease, ulcers, or urinary problems; other medications for seizures including carbamazepine (Carbatrol, Epitol, Tegretol),phenobarbital (Luminal, Solfoton), phenytoin (Dilantin, Phenytek),and valproic acid (Depakene, Depakote); nefazodone (Serzone); hormonal contraceptives (birth control pills, patches, rings, and injections); pioglitazone (Actos, in Actoplus, in Duetact); rifabutin (Mycobutin); rifampin (Rifadin, Rimactane); troleandomycin (TAO) (not available in the U.S.); and verapamil (Calan, Covera, Isoptin, Verelan). Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
• tell your doctor what herbal products you are taking, especially St. John's wort.
• tell your doctor if you are following a ketogenic diet (a high fat, low carbohydrate diet used to control seizures) or if you have or have ever had breathing problems, kidney liver, or lung disease. Also tell your doctor if you have diarrhea now, or if you develop diarrhea at any time during your treatment.
• tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. You should use birth control to prevent pregnancy during your treatment. Talk to your doctor about birth control methods that will work for you. If you become pregnant while taking zonisamide, call your doctor.
• if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking zonisamide.
• you should know that zonisamide may make you drowsy. Do not drive a car, operate machinery, or perform dangerous tasks until you know how this medication affects you.
• you should know that zonisamide can decrease the body's ability to sweat and make it harder for your body to cool down when it gets very hot. This happens most often in warm weather and to children who take zonisamide. (Children should not normally take zonisamide, but in some cases, it may be prescribed by a doctor.) You should avoid exposure to heat and call your doctor right away if you have a fever and/or are not sweating as usual.
• you should know that your mental health may change in unexpected ways and you may become suicidal (thinking about harming or killing yourself or planning or trying to do so) while you are taking zonisamide for the treatment of epilepsy, mental illness, or other conditions. A small number of adults and children 5 years of age and older (about 1 in 500 people) who took anticonvulsants such as zonisamide to treat various conditions during clinical studies became suicidal during their treatment. Some of these people developed suicidal thoughts and behavior as early as 1 week after they started taking the medication. There is a risk that you may experience changes in your mental health if you take an anticonvulsants medication such as zonisamide, but there may also be a risk that you will experience changes in your mental health if your condition is not treated. You and your doctor will decide whether the risks of taking an anticonvulsant medication are greater than the risks of not taking the medication. You, your family, or your caregiver should call your doctor right away if you experience any of the following symptoms: panic attacks; agitation or restlessness; new or worsening irritability, anxiety, or depression; acting on dangerous impulses; difficulty falling or staying asleep; aggressive, angry, or violent behavior; mania (frenzied, abnormally excited mood); talking or thinking about wanting to hurt yourself or end your life; withdrawing from friends and family; preoccupation with death and dying; giving away prized possessions; or any other unusual changes in behavior or mood. Be sure that your family or caregiver knows which symptoms may be serious so they can call the doctor if you are unable to seek treatment on your own.

What are possible side effects of this medication ?

• nausea
• vomiting
• weight loss
• changes in taste
• diarrhea
• constipation
• heartburn
• dry mouth
• headache
• dizziness
• confusion
• irritability
• difficulty falling asleep or staying asleep
• difficulty with memory
• pain, burning, numbness, or tingling in the hands or feet
• uncontrollable eye movements
• double vision

• rash
• blistering or peeling of skin
• worsening or longer-lasting seizures
• sudden back pain
• stomach pain
• pain when urinating
• bloody or dark urine
• fever, sore throat, chills, cough, and other signs of infection
• sores in mouth
• easy bruising
• difficulty thinking of words or trouble speaking
• difficulty thinking or concentrating
• lack of coordination
• difficulty walking
• severe weakness
• severe muscle pain
• extreme tiredness
• loss of appetite
• fast, shallow breathing
• irregular heartbeat
• loss of consciousness

Zonisamide may cause other side effects. Call your doctor if you have any unusual problems while taking this medication.

Zonisamide may cause metabolic acidosis (abnormally low levels of a certain natural substance in the blood). Metabolic acidosis that is left untreated for a long time may increase the risk that other medical problems, including kidney stones and bone problems that may lead to fractures, will develop. Untreated metabolic acidosis may also cause slowed growth and a decrease in final height in children. Talk to your doctor about the risks of taking zonisamide.

How to store the medication and dispose it of after its use later?

Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from light, excess heat and moisture (not in the bathroom).

Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. However, you should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a medicine take-back program.

Drug Category/Class

• Antioxidants
• Anticonvulsants
• Antiepileptics
• Cytochrome P-450 CYP2C19 Inducers
• CYP3A4 Inhibitors
• Nervous System
• Other antiepileptics

Prescribed	For use as adjunctive treatment of partial seizures in adults with epilepsy.
Weight :	212.226
Structure	Zonisamide
Formula	C8H8N2O3S

Zonisamide has 12 Brands listed

Search Generic Drugs alphabetically