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Zonisamide

Zonisamide Side Effects

Kristianne Hannemann, PharmDCydnee Ng, PharmD
Reviewed by Kristianne Hannemann, PharmD, Cydnee Ng, PharmD
Last reviewed on February 3, 2026

The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.

Common Side Effects

  • Sleepiness (17%)
  • Dizziness (13%)
  • Low appetite (13%)
  • Headache (10%)
  • Nausea (9%)
  • Agitation or irritability (9%)
  • Fatigue (8%)
  • Tiredness (7%)
  • Stomach pain (6%)
  • Confusion (6%)
  • Depression (6%)
  • Trouble sleeping (6%)
  • Problems with concentration or memory (6%)
  • Clumsy movement (6%)
  • Double vision (seeing double; 6%)

Less Common Side Effects

  • Diarrhea
  • Indigestion
  • Constipation
  • Kidney stones
  • Dry mouth
  • Speech problems
  • Tingling in your arms, hands, or feet
  • Weight loss
  • Slow thinking
  • Anxiety or nervousness
  • Rash
  • Changes in taste
  • Flu-like symptoms

Zonisamide serious side effects

Contact your healthcare provider immediately if you experience any of the following.

  • Serious allergic reaction: swelling of the face and neck area, trouble breathing, widespread skin redness or rash, fever
  • Serious skin reaction: blisters, skin peeling, fever, flu-like symptoms
  • Suicidal thoughts or behavior
  • Unusual changes in mood, thoughts, or behavior
  • Heat stroke: sweating less than usual; fever; hot, dry, red skin; confusion
  • Eye problems: sudden blurry vision, trouble seeing far away, sudden eye pain or eye redness
  • Kidney problems: sudden back pain, stomach pain, blood in the urine
  • High acid levels: fast breathing, fast heartbeat, tiredness, confusion, loss of appetite, nausea, weakness

Source: DailyMed

The following Zonisamide side effects have also been reported

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

More common

Discouragement

double vision

feeling sad or empty

irritability

lack of appetite

loss of interest or pleasure

mood or mental changes

shakiness or unsteady walking

tiredness

trouble with concentrating

trouble with sleeping

Less common

Agitation

bruising

delusions

hallucinations

large, flat blue or purplish patches on the skin

rash

Incidence not known

Blurred vision

change in near or distance vision

difficulty in focusing eyes

eye pain

increase in frequency of seizures

swelling of the face

yellow eyes or skin

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

Abdominal or stomach pain

anxiety

diarrhea

difficulty with memory

dizziness

double vision

headache

loss of appetite

nausea

restlessness

sleepiness

unusual drowsiness

unusual tiredness or weakness

Less common

Aching muscles or joints

acid or sour stomach

bad, unusual, or unpleasant taste in the mouth

belching

change in taste

chills

constipation

difficulty with speaking

difficulty with thinking

dry mouth

fever

general ill feeling

headache

heartburn

indigestion

mental slowness

nervousness

runny or stuffy nose

sneezing

tingling, burning, or prickly feelings on the skin

uncontrolled, back and forth, or rolling eye movements

weight loss

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

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Why trust our experts?

Kristianne Hannemann, PharmD, is a licensed pharmacist in California. She has been a retail pharmacy manager and staff pharmacist for over 7 years and has contributed drug information content to different health companies.
Cydnee Ng, PharmD
Reviewed by:
Cydnee Ng, PharmD
Cydnee Ng, PharmD, is a drug information pharmacist at GoodRx, where she lends her expertise to providing reader-friendly, accessible content about medications. She holds her pharmacist license in California.

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