Zonisamide

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Zonisamide. Zonisamide is a benzisoxazole derivative. It inhibits sodium channels. Fully referenced neurology checklist.

Mode of action

  • Zonisamide is a benzisoxazole derivative
  • It inhibits sodium channels
  • It reduces T-type calcium currents

Indications

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Dosing

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Neurological side effects

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Systemic side effects

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References

  1. Brodie MJ, Ben-Menachem E, Chouette I, Giorgi L. Zonisamide: its pharmacology, efficacy and safety in clinical trials. Acta Neurol Scand Suppl 2012; 194:19-28.
  2. Kwan SY, Chuang YC, Huang CW, Chen TC, Jou SB, Dash A. Zonisamide: review of recent clinical evidence for treatment of epilepsy. CNS Neurosci Ther 2015; 21:683-691.
  3. Goldenberg MM. Overview of drugs used for epilepsy and seizures: etiology, diagnosis, and treatment. P T 2010; 35:392-415. 
  4. Zaccara G, Specchio LM. Long-term safety and effectiveness of zonisamide in the treatment of epilepsy: a review of the literature. Neuropsychiatr Dis Treat 2009; 5:249-259. 
  5. Guerrini R, Rosati A, Segieth J, Pellacani S, Bradshaw K, Giorgi L. A randomized phase III trial of adjunctive zonisamide in pediatric patients with partial epilepsy. Epilepsia 2013; 54:1473-1480.
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