Page last updated: 2024-11-05

zonisamide and Pregnancy

zonisamide has been researched along with Pregnancy in 16 studies

Zonisamide: A benzisoxazole and sulfonamide derivative that acts as a CALCIUM CHANNEL blocker. It is used primarily as an adjunctive antiepileptic agent for the treatment of PARTIAL SEIZURES, with or without secondary generalization.
zonisamide : A 1,2-benzoxazole compound having a sulfamoylmethyl substituent at the 3-position.

Pregnancy: The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.

Research Excerpts

ExcerptRelevanceReference
"Animal data suggest teratogenic effects with zonisamide use and risk of pregnancy losses."8.02Zonisamide safety in pregnancy: Data from the UK and Ireland epilepsy and pregnancy register. ( Bromley, R; Campbell, E; Craig, JJ; Delanty, N; Heath, C; Hunt, SJ; Irwin, B; Kinney, MO; Liggan, B; MacKillop, L; McCluskey, G; Morrison, PJ; Morrow, J; Murphy, S; Parsons, L; Russell, A; Smithson, WH, 2021)
"To investigate the change in zonisamide (ZNS) serum concentration and its consequences in pregnant women with epilepsy."7.88Zonisamide serum concentrations during pregnancy. ( Aurlien, D; Becser Andersen, N; Brodtkorb, E; Christensen, J; Haggag, K; Helde, G; Lillestølen, KM; Nakken, KO; Reimers, A; Surlien Navjord, E, 2018)
"To assess the possible effects of topiramate and zonisamide use during pregnancy on fetal growth."7.80Association between topiramate and zonisamide use during pregnancy and low birth weight. ( Hauser, WA; Hernández-Díaz, S; Holmes, LB; Mittendorf, R; Smith, CR; Yerby, M, 2014)
"A 30-year-old woman with primary generalized tonic-clonic seizures and myoclonic jerks was taking zonisamide 200 mg daily as her sole antiepileptic agent when she conceived."7.74Zonisamide concentrations during pregnancy. ( Bell, WL; Oles, KS, 2008)
"Pregnancy is a state where drug pharmacokinetic changes are more pronounced and more rapid than any other period of life."5.48Effect of zonisamide on refractory epilepsy during pregnancy in lamotrigine resistant kindled rats. ( Keramati, K; Mahdavi, A; Moezifar, M; Narenji Sani, R; Saberi, N, 2018)
" The present study was aimed to investigate the potential effects of pregnancy on the pharmacokinetic profile of zonisamide (ZNM) in the rabbit."5.39Impact of pregnancy on zonisamide pharmacokinetics in rabbits. ( Matar, KM, 2013)
"Anencephaly was detected in one case at 16 weeks of gestation (case 1, artificial abortion), and atrial septal defect was detected in another case at 37 weeks of gestation (case 2, delivery by cesarean section)."5.29Preliminary report on teratogenic effects of zonisamide in the offspring of treated women with epilepsy. ( Amano, Y; Egawa, I; Kaneko, S; Kondo, T, 1996)
"A brief review of epilepsy as a disease, anti-epileptic drugs and methods of evaluation of anti-epileptic drugs are presented as a background for assessment of zonisamide, which has been approved by the FDA as add-on therapy for the treatment of partial seizures with or without secondary generalisation in adults."4.80An assessment of zonisamide as an anti-epileptic drug. ( Jain, KK, 2000)
"05) of an increased hazard of fetal malformation associated with exposure to valproate, carbamazepine, topiramate, zonisamide, and with conception after assisted fertilization, but a reduced hazard in the offspring of women who continued to smoke during pregnancy."4.31Specific fetal malformations following intrauterine exposure to antiseizure medication. ( Eadie, M; Graham, J; Hitchcock, A; Lander, C; O'Brien, T; Perucca, P; Vajda, F, 2023)
"Animal data suggest teratogenic effects with zonisamide use and risk of pregnancy losses."4.02Zonisamide safety in pregnancy: Data from the UK and Ireland epilepsy and pregnancy register. ( Bromley, R; Campbell, E; Craig, JJ; Delanty, N; Heath, C; Hunt, SJ; Irwin, B; Kinney, MO; Liggan, B; MacKillop, L; McCluskey, G; Morrison, PJ; Morrow, J; Murphy, S; Parsons, L; Russell, A; Smithson, WH, 2021)
"To investigate the change in zonisamide (ZNS) serum concentration and its consequences in pregnant women with epilepsy."3.88Zonisamide serum concentrations during pregnancy. ( Aurlien, D; Becser Andersen, N; Brodtkorb, E; Christensen, J; Haggag, K; Helde, G; Lillestølen, KM; Nakken, KO; Reimers, A; Surlien Navjord, E, 2018)
"To assess the possible effects of topiramate and zonisamide use during pregnancy on fetal growth."3.80Association between topiramate and zonisamide use during pregnancy and low birth weight. ( Hauser, WA; Hernández-Díaz, S; Holmes, LB; Mittendorf, R; Smith, CR; Yerby, M, 2014)
"A 30-year-old woman with primary generalized tonic-clonic seizures and myoclonic jerks was taking zonisamide 200 mg daily as her sole antiepileptic agent when she conceived."3.74Zonisamide concentrations during pregnancy. ( Bell, WL; Oles, KS, 2008)
"Zonisamide is widely used for intractable epilepsy and the effects of this drug on fetuses and neonates through the mother taking it for epilepsy need to be clarified."3.71Pharmacokinetics of zonisamide in perinatal period. ( Ishii, M; Isobe, K; Itoh, S; Kawada, K; Kusaka, T, 2002)
" Exposure to certain newer ASMs, such as lamotrigine and levetiracetam, does not thus far appear to impact certain aspects of neurodevelopment, but further delineation across the different neurodevelopmental domains and dosage levels is required."2.72Neurodevelopmental outcomes in children exposed to newer antiseizure medications: A systematic review. ( Bromley, RL; Knight, R; Wittkowski, A, 2021)
"Juvenile myoclonic epilepsy is a common idiopathic generalized epileptic syndrome that includes generalized myoclonic seizures and commonly generalized tonic-clonic and generalized absence seizures."2.45The first line of therapy in a girl with juvenile myoclonic epilepsy: should it be valproate or a new agent? ( Abou-Khalil, B; Montouris, G, 2009)
"Pregnancy is a state where drug pharmacokinetic changes are more pronounced and more rapid than any other period of life."1.48Effect of zonisamide on refractory epilepsy during pregnancy in lamotrigine resistant kindled rats. ( Keramati, K; Mahdavi, A; Moezifar, M; Narenji Sani, R; Saberi, N, 2018)
" The present study was aimed to investigate the potential effects of pregnancy on the pharmacokinetic profile of zonisamide (ZNM) in the rabbit."1.39Impact of pregnancy on zonisamide pharmacokinetics in rabbits. ( Matar, KM, 2013)
"The etiology of Moebius syndrome remains unknown."1.34A case of Moebius syndrome presenting with congenital bilateral vocal cord paralysis. ( Arinami, T; Hasegawa, M; Kamoda, T; Kanemoto, K; Kanemoto, N, 2007)
"Anencephaly was detected in one case at 16 weeks of gestation (case 1, artificial abortion), and atrial septal defect was detected in another case at 37 weeks of gestation (case 2, delivery by cesarean section)."1.29Preliminary report on teratogenic effects of zonisamide in the offspring of treated women with epilepsy. ( Amano, Y; Egawa, I; Kaneko, S; Kondo, T, 1996)
" [14C]AD-810 was found to be completely absorbed from digestive tracts in animals, since urinary and biliary excretion accounted for virtually total recovery of dosed radioactivity."1.27Absorption, distribution and excretion of 3-(sulfamoyl[14C]methyl)-1,2-benziosoxazole (AD-810) in Rats, Dogs and Monkeys and of AD-810 in Men. ( Fujii, T; Hashimoto, M; Kagemoto, A; Maeda, T; Matsumoto, K; Miyazaki, H, 1983)

Research

Studies (16)

TimeframeStudies, this research(%)All Research%
pre-19901 (6.25)18.7374
1990's1 (6.25)18.2507
2000's5 (31.25)29.6817
2010's5 (31.25)24.3611
2020's4 (25.00)2.80

Authors

AuthorsStudies
Pennell, PB1
Karanam, A1
Meador, KJ1
Gerard, E1
Kalayjian, L1
Penovich, P1
Matthews, A1
McElrath, TM1
Birnbaum, AK1
Vajda, F1
O'Brien, T1
Graham, J1
Hitchcock, A1
Perucca, P1
Lander, C1
Eadie, M1
Knight, R1
Wittkowski, A1
Bromley, RL1
McCluskey, G1
Kinney, MO1
Russell, A1
Smithson, WH1
Parsons, L1
Morrison, PJ1
Bromley, R1
MacKillop, L1
Heath, C1
Liggan, B1
Murphy, S1
Delanty, N1
Irwin, B1
Campbell, E1
Morrow, J1
Hunt, SJ1
Craig, JJ1
Narenji Sani, R1
Keramati, K1
Saberi, N1
Moezifar, M1
Mahdavi, A1
Reimers, A1
Helde, G1
Becser Andersen, N1
Aurlien, D1
Surlien Navjord, E1
Haggag, K1
Christensen, J1
Lillestølen, KM1
Nakken, KO1
Brodtkorb, E1
Matar, KM1
Hernández-Díaz, S1
Mittendorf, R1
Smith, CR1
Hauser, WA1
Yerby, M1
Holmes, LB1
Oles, KS1
Bell, WL1
Montouris, G1
Abou-Khalil, B1
Terada, K1
Inoue, Y1
Kanemoto, N1
Kanemoto, K1
Kamoda, T1
Hasegawa, M1
Arinami, T1
Matsumoto, K1
Miyazaki, H1
Fujii, T1
Kagemoto, A1
Maeda, T1
Hashimoto, M1
Kondo, T1
Kaneko, S1
Amano, Y1
Egawa, I1
Jain, KK1
Kawada, K1
Itoh, S1
Kusaka, T1
Isobe, K1
Ishii, M1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Physiological-based Pharmacokinetics Approach to Determine the Extent of Drug Exposure of Antiseizure Medications During Pregnancy and Breastfeeding[NCT05450978]60 participants (Anticipated)Observational [Patient Registry]2022-07-20Recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Reviews

3 reviews available for zonisamide and Pregnancy

ArticleYear
Neurodevelopmental outcomes in children exposed to newer antiseizure medications: A systematic review.
    Epilepsia, 2021, Volume: 62, Issue:8

    Topics: Anticonvulsants; Child; Female; Gabapentin; Humans; Lacosamide; Lamotrigine; Levetiracetam; Oxcarbaz

2021
The first line of therapy in a girl with juvenile myoclonic epilepsy: should it be valproate or a new agent?
    Epilepsia, 2009, Volume: 50 Suppl 8

    Topics: Anticonvulsants; Congenital Abnormalities; Delayed-Action Preparations; Drug Design; Epilepsy, Gener

2009
An assessment of zonisamide as an anti-epileptic drug.
    Expert opinion on pharmacotherapy, 2000, Volume: 1, Issue:6

    Topics: Adolescent; Adult; Aged; Animals; Anticonvulsants; Child; Clinical Trials as Topic; Epilepsy; Female

2000

Other Studies

13 other studies available for zonisamide and Pregnancy

ArticleYear
Antiseizure Medication Concentrations During Pregnancy: Results From the Maternal Outcomes and Neurodevelopmental Effects of Antiepileptic Drugs (MONEAD) Study.
    JAMA neurology, 2022, 04-01, Volume: 79, Issue:4

    Topics: Adult; Anticonvulsants; Carbamazepine; Epilepsy; Female; Humans; Lacosamide; Lamotrigine; Levetirace

2022
Specific fetal malformations following intrauterine exposure to antiseizure medication.
    Epilepsy & behavior : E&B, 2023, Volume: 142

    Topics: Abnormalities, Drug-Induced; Anticonvulsants; Australia; Carbamazepine; Female; Humans; Male; Pregna

2023
Zonisamide safety in pregnancy: Data from the UK and Ireland epilepsy and pregnancy register.
    Seizure, 2021, Volume: 91

    Topics: Abnormalities, Drug-Induced; Anticonvulsants; Epilepsy; Female; Follow-Up Studies; Humans; Ireland;

2021
Effect of zonisamide on refractory epilepsy during pregnancy in lamotrigine resistant kindled rats.
    Neuroscience letters, 2018, 01-18, Volume: 664

    Topics: Animals; Animals, Newborn; Anticonvulsants; Brain; Drug Resistance; Drug Resistant Epilepsy; Female;

2018
Zonisamide serum concentrations during pregnancy.
    Epilepsy research, 2018, Volume: 144

    Topics: Adult; Denmark; Drug Monitoring; Epilepsy; Female; Gestational Age; Humans; Norway; Pregnancy; Pregn

2018
Impact of pregnancy on zonisamide pharmacokinetics in rabbits.
    BioMed research international, 2013, Volume: 2013

    Topics: Administration, Oral; Animals; Anticonvulsants; Epilepsy; Female; Humans; Isoxazoles; Pregnancy; Rab

2013
Association between topiramate and zonisamide use during pregnancy and low birth weight.
    Obstetrics and gynecology, 2014, Volume: 123, Issue:1

    Topics: Adult; Anticonvulsants; Birth Weight; Cohort Studies; Female; Fructose; Humans; Isoxazoles; Pregnanc

2014
Zonisamide concentrations during pregnancy.
    The Annals of pharmacotherapy, 2008, Volume: 42, Issue:7

    Topics: Adult; Anticonvulsants; Female; Humans; Isoxazoles; Myoclonic Epilepsy, Juvenile; Pregnancy; Pregnan

2008
[Clinical application of newer anti-epileptic drugs].
    Rinsho shinkeigaku = Clinical neurology, 2012, Volume: 52, Issue:11

    Topics: Amines; Anticonvulsants; Cyclohexanecarboxylic Acids; Epilepsy; Female; Fructose; Gabapentin; gamma-

2012
A case of Moebius syndrome presenting with congenital bilateral vocal cord paralysis.
    European journal of pediatrics, 2007, Volume: 166, Issue:8

    Topics: Anticonvulsants; Epilepsy; Female; Humans; Infant, Newborn; Isoxazoles; Mobius Syndrome; Pregnancy;

2007
Absorption, distribution and excretion of 3-(sulfamoyl[14C]methyl)-1,2-benziosoxazole (AD-810) in Rats, Dogs and Monkeys and of AD-810 in Men.
    Arzneimittel-Forschung, 1983, Volume: 33, Issue:7

    Topics: Animals; Autoradiography; Bile; Dogs; Erythrocytes; Female; Humans; Intestinal Absorption; Isoxazole

1983
Preliminary report on teratogenic effects of zonisamide in the offspring of treated women with epilepsy.
    Epilepsia, 1996, Volume: 37, Issue:12

    Topics: Abnormalities, Drug-Induced; Adult; Anencephaly; Anticonvulsants; Epilepsy; Female; Humans; Infant,

1996
Pharmacokinetics of zonisamide in perinatal period.
    Brain & development, 2002, Volume: 24, Issue:2

    Topics: Adult; Anticonvulsants; Chromatography, High Pressure Liquid; Epilepsy; Female; Fetal Blood; Humans;

2002