Nchi: Marekani
Lugha: Kiingereza
Chanzo: NLM (National Library of Medicine)
ZONISAMIDE (UNII: 459384H98V) (ZONISAMIDE - UNII:459384H98V)
Direct_Rx
ORAL
PRESCRIPTION DRUG
Zonisamide capsules USP are indicated as adjunctive therapy in the treatment of partial seizures in adults with epilepsy. Zonisamide capsules are contraindicated in patients who have demonstrated hypersensitivity to sulfonamides or zonisamide. The abuse and dependence potential of zonisamide has not been evaluated in human studies (see WARNINGS, Cognitive/Neuropsychiatric Adverse Events subsection). In a series of animal studies, zonisamide did not demonstrate abuse liability and dependence potential. Monkeys did not self-administer zonisamide in a standard reinforcing paradigm. Rats exposed to zonisamide did not exhibit signs of physical dependence of the CNS-depressant type. Rats did not generalize the effects of diazepam to zonisamide in a standard discrimination paradigm after training, suggesting that zonisamide does not have abuse potential of the benzodiazepine-CNS depressant type.
Zonisamide USP is available as 25 mg, 50 mg and 100 mg two-piece hard gelatin capsules. Zonisamide capsules USP are available in bottles of 100 and 500 with strengths and colors as follows: Dosage Strength Capsule Description Pack 25 mg White opaque body and light blue cap with ‘G 24’ printed on cap and ‘25’ printed on the body in black ink. 100 count 500 count 50 mg White opaque body and yellow gold cap with ‘G 24’ printed on cap and ‘50’ printed on the body in black ink. 100 count 500 count 100 mg White opaque body and light green cap with ‘G 24’ printed on cap and ‘100’ printed on the body in black ink. 100 count 500 count Store at 25°C (77°F), excursions permitted to 15° to 30°C (59° to 86°F). [See USP Controlled Room Temperature.] Store in a dry place and protect from light.
Abbreviated New Drug Application
ZONISAMIDE- zonisamide capsule Direct_Rx ---------- What is the most important information I should know about zonisamide? Zonisamide may cause serious side effects, including: 1. Serious skin rash that can cause death. 2. Serious allergic reactions that may affect different parts of the body. 3. Less sweating and increase in your body temperature (fever). 4. Suicidal thoughts or actions in some people. 5. Increased level of acid in your blood (metabolic acidosis). 6. Problems with your concentration, attention, memory, thinking, speech, or language. 7. Blood cell changes such as reduced red and white blood cell counts. These serious side effects are described below. 1. Zonisamide may cause a serious skin rash that can cause death. These serious skin reactions are more likely to happen when you begin taking zonisamide within the first 4 months of treatment but may occur at later times. 2. Zonisamide can cause other types of allergic reactions or serious problems that may affect different parts of the body such as your liver, kidneys, heart, or blood cells. You may or may not have a rash with these types of reactions. These reactions can be very serious and can cause death. Call your health care provider right away if you have: 1. fever 2. severe muscle pain 3. rash 4. swollen lymph glands 5. swelling of your face 6. unusual bruising or bleeding 7. weakness, fatigue 8. yellowing of your skin or the white part of your eyes 3. Zonisamide may cause you to sweat less and to increase your body temperature (fever). You may need to be hospitalized for this. You should watch for decreased sweating and fever, especially when it is hot and especially in children taking zonisamide. Call your health care provider right away if you have: 9. high fever, recurring fever, or long lasting fever 10. less sweat than normal 4. Like other antiepileptic drugs, zonisamide may cause suicidal thoughts or actions in a very small number of people, about 1 in 500. Call a healthcare provider right away if you have any of these symptoms, espec Soma hati kamili
ZONISAMIDE- ZONISAMIDE CAPSULE DIRECT_RX ---------- ZONISAMIDE Rx Only Manufactured by: Glenmark Pharmaceuticals Ltd. Colvale-Bardez, Goa 403 513, India Manufactured for: [logo] Glenmark Pharmaceuticals Inc., USA Mahwah, NJ 07430 Questions? 1 (888)721-7115 www.glenmarkpharma.com/usa April 2016 Zonisamide USP is an antiseizure drug chemically classified as a sulfonamide and unrelated to other antiseizure agents. The active ingredient is zonisamide USP, 1,2- benzisoxazole-3-methanesulfonamide. The empirical formula is C8H8N2O3S with a molecular weight of 212.23. Zonisamide USP is a white powder, pKa = 10.2, and is moderately soluble in water (0.80 mg/mL) and 0.1 N HCl (0.50 mg/mL). The chemical structure is: [structure] Zonisamide USP is supplied for oral administration as capsules containing 25 mg, 50 mg or 100 mg zonisamide USP. Each capsule contains the labeled amount of zonisamide plus the following inactive ingredients: microcrystalline cellulose, hydrogenated vegetable oil and sodium lauryl sulfate. The printed capsule shell of the different strengths is made from the following ingredients: 25 mg – D&C Red #28, FD&C Blue #1, gelatin and titanium dioxide 50 mg – D&C Yellow #10, FD&C Blue #1, FD&C Red #40, gelatin and titanium dioxide 100 mg – D&C Yellow #10, FD&C Blue #1, FD&C Yellow #6, gelatin and titanium dioxide The dyes used in the printing ink are FD&C Blue #1, FD&C Blue #2, FD&C Red #40, D&C Yellow #10 aluminium lake and iron oxide black. Additionally, the printing ink also contains n-butyl alcohol, ethanol, propylene glycol and shellac. Mechanism of Action: The precise mechanism(s) by which zonisamide exerts its antiseizure effect is unknown. Zonisamide demonstrated anticonvulsant activity in several experimental models. In animals, zonisamide was effective against tonic extension seizures induced by maximal electroshock but ineffective against clonic seizures induced by subcutaneous pentylenetetrazol. Zonisamide raised the threshold for generalized seizures in the kindled rat model and reduced t Soma hati kamili