Zonisamide

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Zonisamide API

Haorui supplies high quality Zonisamide API produced by our GMP facility that has been successfully inspected by the FDA. We offer competitive prices and support our products with reliable technical and regulatory services.  Zonisamide API is available from R&D to commercial quantities. Please contact us for more details.

The following information is provided for general information purposes ONLY.

 

What is Zonisamide?

Zonisamide is used in combination with other medications to treat seizures in adults with epilepsy. Zonisamide is in a class of medications called anticonvulsants. It works by decreasing abnormal excitement in the brain.

 

Zonisamide Drug Interaction

Zonisamide and other carbonic anhydrase inhibitors such as topiramate, furosemide, and hydrochlorothiazide have been known to interfere with amobarbital, which has led to inadequate anesthetization during the Wada test.

Additionally, the metabolism of zonisamide is inhibited by ketoconazole, ciclosporin, miconazole, fluconazole and carbamazepine in descending order.

 

Zonisamide Mechenism of Action

The exact mechanism of action is not known for zonisamide. According to Leppik, while zonisamide may be a carbonic anhydrase inhibitor like acetazolamide, this is not one of the primary mechanisms of action, which might be blocking repetitive firing of voltage-gated sodium channels and reduction of T-type Calcium channel currents, or by binding allosterically to GABA receptors like the benzodiazepines and muscimol, or increasing the levels of the glutamate transport protein in the brain while decreasing the amount of GABA transport protein, in other words, inhibiting the uptake of the inhibitory neurotransmitter GABA while enhancing the uptake of the excitatory neurotransmitter glutamate.

 

Precautions Before Using Zonisamide

Before taking zonisamide,

-tell your doctor and pharmacist if you are allergic to zonisamide, celecoxib, diuretics ('water pills'), oral medications for diabetes, sulfa drugs, or any other medications.

-tell your doctor if you have or have ever had liver or kidney disease.

-tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking zonisamide, call your doctor. Zonisamide may harm the fetus.

-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 or operate machinery until you know how this medication affects you.

-remember that alcohol can add to the drowsiness caused by this medication.

-you should know that you may be more likely to develop kidney stones while taking zonisamide. You should drink 6-8 glasses of water daily to help prevent kidney stones from forming.

-you should know that zonisamide can prevent you from sweating 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. You should avoid exposure to heat and notify your doctor if you have a fever and/or are not sweating as usual.

 

Zonisamide side effects

Zonisamide may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:

-drowsiness

-loss of appetite

-upset stomach

-vomiting

-weight loss

-changes in taste

-dizziness

-constipation

-dry mouth

-headache

-confusion

-irritability

-difficulty falling asleep or staying asleep

-difficulty with memory

-pain, burning, or tingling in the hands or feet

-difficulty focusing eyes

-double vision

-sneezing

-runny nose

Some side effects can be serious. The following symptoms are uncommon, but if you experience any of them, call your doctor immediately:

-rash

-worsening or longer lasting seizures

-sudden back pain

-stomach pain

-pain when urinating

-bloody or dark urine

-fever

-sore throat

-sores in mouth

-easy bruising

-depression

-unusual thoughts

-difficulty thinking of words or trouble speaking

-difficulty thinking or concentrating

-lack of coordination

-difficulty walking

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

 

What should you do if you miss a dose of Zonisamide?

Take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.

 

Overdose Zonisamide

In case of overdose, call your local poison control center at 1-800-222-1222. If the victim has collapsed or is not breathing, call local emergency services at 911.

Symptoms of overdose may include:

-slow heartbeat

-difficulty breathing

-dizziness

-fainting

-loss of consciousness

 

Zonisamide Storage

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 excess heat and moisture (not in the bathroom). Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication.

 

Disclaimer:

Information on this page is provided for general information purposes. You should not make a clinical treatment decision based on information contained in this page without consulting other references including the package insert of the drug, textbooks and where relevant, expert opinion. We cannot be held responsible for any errors you make in administering drugs mentioned on this page, nor for use of any erroneous information contained on this page.    

 

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