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Zonisamide

Brand names: Zonegran, Zonisade

Zonisamide treats partial seizures. It's long-acting and taken once or twice a day.

Brand namesZonegran, Zonisade
Type of medicineAnticonvulsant (seizure medicine)
Prescription?Prescription
ImportantThis page is general information, not a prescription. Don't start, stop, or change a medicine without talking to your provider or pharmacist.

Overview

It's a sulfa-type medicine.

What it's used for

  • Partial (focal) seizures (with other medicines)

How to take it

  • Swallow capsules whole.
  • Drink plenty of fluids to lower kidney stone risk.
  • Don't stop suddenly.

Your dose depends on your health and other medicines. Always follow your prescription label, and ask your pharmacist if anything is unclear.

Side effects

Common side effects

  • Sleepiness
  • Dizziness
  • Less appetite
  • Trouble concentrating
Call 911A blistering, peeling, or widespread red rash, especially with fever
Call your provider todayNot sweating with a high body temperature, especially in children
Call your provider todaySide or back pain or blood in urine
Call 911Thoughts of suicide or harming yourself. Call or text 988 any time.

Warnings

  • Not for people allergic to sulfa drugs.

Other medicines, foods, and alcohol

  • Carbamazepine and phenytoin lower its level.
  • Topiramate adds to kidney stone and acid risk.

Tell your provider and pharmacist about every medicine, vitamin, and supplement you take.

Pregnancy and breastfeeding

Talk with your provider.

Missed doses, overdose, and storage

If you miss a dose

Take it as soon as you remember, unless it's almost time for your next dose. Then skip the missed dose. Don't take two doses at once.

If someone takes too much

Call Poison Control at 1-800-222-1222 or get help online at poison.org. Call 911 if the person collapses, has a seizure, has trouble breathing, or can't be woken.

Storing it

Store at room temperature, away from heat and moisture (not in the bathroom), and out of reach of children and pets.

Conditions it's used for

Sources

Last updated 2026-11-13.