Zonisamide is a sulfonamide anticonvulsant used as an adjunctive therapy in adults with partial-onset seizures. Zonisamide may act by blocking repetitive firing of voltage-gated sodium channels, leading to a reduction of T-type calcium channel currents or by binding allosterically to GABA receptors. This latter action may inhibit the uptake of the inhibitory neurotransmitter GABA while enhancing the uptake of the excitatory neurotransmitter glutamate. Zonisamide represents an alternative for patients that remain refractory to established antiepileptic drugs. In 1989, it was approved for commercial use in Japan. The US and Europe approved it in 2000 and 2005, respectively.
Zonisamide capsules are indicated as adjunctive therapy in the treatment of partial seizures in adults with epilepsy. Zonisamide oral suspension is indicated as adjunctive therapy for the treatment of partial-onset seizures in adults and pediatric patients 16 years of age and older.
Kangdong Sacred Heart Hosp., Dept. of Neurology, Seoul, Korea, Republic of
Bundang CHA Hospital, Dept. of Neurology, Seongnam, Korea, Republic of
Dong-A University Hospital, Dept. of Neurology, Busan, Korea, Republic of
Behavioral Pharmacology Research Unit, Baltimore, Maryland, United States
Seoul National Univ. Bundang Hosp., Bundang, Korea, Republic of
Dongguk Univ. Ilsan Hosp., Ilsan, Korea, Republic of
Boramae Medical Center, Seoul, Korea, Republic of
Boston University School of Medicine, Boston, Massachusetts, United States
University of South Alabama Department of Neurology, Mobile, Alabama, United States
Kuopio University Hospital, Kuopio, Finland
Universitae Klinik fur Neurologiet, Innsbruck, Austria
Strategic Health Evaluators Pty Ltd, Chatswood, New South Wales, Australia
The Prince of Wales Hospital, Randwick, New South Wales, Australia
Vas County Markusovszky Hospital, Szombathely, Hungary
Fakultni nemocnice Plzen, Plzen, Czech Republic
West-Tallinn Central Hospital, Tallinn, Estonia
Wojewodzki Szpital Specjalistyczny im. M. Kopernika, Gdansk, Poland
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