{"id":630547,"date":"2024-11-20T21:21:26","date_gmt":"2024-11-21T02:21:26","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=630547"},"modified":"2026-03-11T15:05:51","modified_gmt":"2026-03-11T19:05:51","slug":"zonisamide-for-dogs","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/zonisamide-for-dogs\/","title":{"rendered":"What is zonisamide used for in dogs?"},"content":{"rendered":"<p><a href=\"https:\/\/www.singlecare.com\/prescription\/zonisamide\"><span style=\"font-weight: 400;\">Zonisamide<\/span><\/a><span style=\"font-weight: 400;\"> is an <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/anticonvulsants\"><span style=\"font-weight: 400;\">antiseizure drug<\/span><\/a><span style=\"font-weight: 400;\"> that helps prevent seizures in dogs. Veterinarians typically prescribe it in combination with another anticonvulsant, but may sometimes use it alone. As a maintenance treatment, zonisamide for dogs only prevents seizures when caregivers give the dog two doses every day. Zonisamide never helps during an active seizure. As a daily medicine, though, zonisamide is a safe drug. Side effects are generally mild.<\/span><\/p>\n\t\t<div id=\"coupon-cta\" class=\"coupon-cta master-template\">\n\t\t\t<p id=\"headline\">Save up to 80% on Zonisamide with SingleCare<\/p>\n\t\t\t<p id=\"subheadline\">Different pharmacies offer different prices for the same medication. 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Veterinarians can prescribe it as an initial standalone treatment, but they are likely to use it as an add-on drug when other drug therapies are not adequately controlling seizures.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/dog-seizures\/\"><b>How to treat seizures in dogs<\/b><\/a><\/p>\n<h3><span style=\"font-weight: 400;\">Seizure disorders<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Seizures result from simultaneous overexcitement and overactivity of brain nerves. They are often short-lived episodes with symptoms ranging from \u201cblanking out\u201d to convulsions. When seizures happen in a dog more than once in six months, veterinarians diagnose the dog with epilepsy, a condition that affects about <\/span><a href=\"https:\/\/www.akc.org\/expert-advice\/health\/epilepsy-in-dogs\/\"><span style=\"font-weight: 400;\">1%<\/span><\/a><span style=\"font-weight: 400;\"> of dogs in the U.S.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Veterinarians use two types of drugs called anticonvulsants to treat epileptic dogs. Some drugs are used to stop active seizures. They are used only when a dog is seizing. Maintenance drugs are taken daily when the dog is not seizing. They help to reduce the incidence of seizures. Veterinarians prescribe maintenance anticonvulsants only after they\u2019ve diagnosed the pet with epilepsy.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">One-time-only seizures usually don\u2019t warrant maintenance treatment unless the dog has had a severe or long-lasting seizure or has taken a long time to recover. If seizures are spaced farther than six months apart, the veterinarian may start maintenance treatment if seizures are becoming longer, more severe, or require longer recovery periods. Having more than one seizure in a day, called a cluster seizure, is also a reason to start maintenance treatment.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Veterinarians usually begin maintenance treatment with only one anticonvulsant. The goal is to reduce the incidence of seizures while minimizing side effects. Using just one drug to treat a medical condition is called \u201cmonotherapy.\u201d\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">When starting maintenance anticonvulsants, vets most commonly prescribe either <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/phenobarbital\"><span style=\"font-weight: 400;\">phenobarbital<\/span><\/a><span style=\"font-weight: 400;\"> or <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/potassium-bromide\"><span style=\"font-weight: 400;\">potassium bromide<\/span><\/a><span style=\"font-weight: 400;\">, but zonisamide and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/levetiracetam\"><span style=\"font-weight: 400;\">levetiracetam<\/span><\/a><span style=\"font-weight: 400;\"> can also be used. Zonisamide is <\/span><a href=\"https:\/\/www.dvm360.com\/view\/what-s-new-what-s-tried-and-true-update-small-animal-seizure-management\"><span style=\"font-weight: 400;\">more effective with some types of seizures than others<\/span><\/a><span style=\"font-weight: 400;\">, so the type of seizure disorder will determine if zonisamide monotherapy is appropriate. However, veterinarians also consider seizure frequency and severity when choosing the most appropriate monotherapy.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Veterinarians would prefer to treat seizures with just one drug. It\u2019s easier on the dog. If one drug is not enough to control seizures, a veterinarian will add a second anticonvulsant. Adding drugs to a primary drug treatment is called adjunctive drug therapy. The list of possible adjunct anticonvulsants is long, but zonisamide is a preferred add-on treatment.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Nearly all antiseizure medications work by slowing nerve signals and making the nervous system less excitable. Zonisamide works slightly differently. While it can make dogs tired or slow-moving, the drug primarily stabilizes nerve activity. Scientists aren\u2019t sure how. They believe zonisamide reduces nerve electrical conductivity by decreasing the movement of electrolytes into the nerve. Electrolytes like sodium and calcium are responsible for the electrical firing of nerves. By doing this, zonisamide prevents large clusters of nerve cells from firing at the same time, which is <\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC3591697\/\"><span style=\"font-weight: 400;\">what a seizure is<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Zonisamide stays in the body for<\/span><a href=\"https:\/\/dailymed.nlm.nih.gov\/dailymed\/drugInfo.cfm?setid=3164d438-90bf-420a-9a56-5498b987f91c\"><span style=\"font-weight: 400;\"> a long time<\/span><\/a><span style=\"font-weight: 400;\">, so once-daily doses are enough. Its half-life is much shorter in dogs, so they need two doses each day for the medicine to work.\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Is zonisamide safe for dogs?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">When used as directed for seizure control, zonisamide therapy is safe for dogs. Based on veterinarians\u2019 clinical experience, side effects are minimal. Unfortunately, zonisamide\u2019s side effects and other potential problems have not been well studied in veterinary medicine.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Because of safety concerns, veterinarians never use zonisamide in dogs who:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Have had an allergic reaction to zonisamide<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Have a known allergy to <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/sulfonamides\/\"><span style=\"font-weight: 400;\">sulfonamide drugs<\/span><\/a><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Giving zonisamide to a pregnant dog isn\u2019t prohibited, but it is a risk. Zonisamide can cause heart defects in unborn puppies.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Veterinarians use zonisamide cautiously in dogs with liver problems.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Side effects of zonisamide in dogs<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The most commonly reported side effects of zonisamide in dogs are:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sleepiness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Vomiting<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Loss of appetite<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Listlessness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Poor coordination (ataxia)<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">The most serious side effect reported in at least <\/span><a href=\"https:\/\/veterinarypartner.vin.com\/default.aspx?pid=19239&amp;id=8001494\"><span style=\"font-weight: 400;\">two case reports<\/span><\/a><span style=\"font-weight: 400;\"> has been liver damage. Call the veterinarian if you notice <\/span><a href=\"https:\/\/boerumhillvet.com\/wp-content\/uploads\/2024\/06\/Zonisamide.pdf\"><span style=\"font-weight: 400;\">common signs of liver damage<\/span><\/a><span style=\"font-weight: 400;\">:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Complete loss of appetite<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Yellowing of the eyes or gums<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dark or smelly urine<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Decreased energy<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">In people, zonisamide can cause severe adverse reactions such as high acid levels in the blood or electrolyte abnormalities. These problems have not been reported in dogs, but talk to the veterinarian about any possible signs to watch for if you are worried.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Zonisamide could reduce thyroid function.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Interactions of zonisamide with other pet meds<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Before giving a dog zonisamide, pet owners should tell the prescribing veterinary professional about all the drugs, remedies, and supplements being given to the dog.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Zonisamide\u2019s most serious drug interaction is with <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/phenobarbital\/what-is\"><span style=\"font-weight: 400;\">phenobarbital<\/span><\/a><span style=\"font-weight: 400;\">. Both drugs are frequently prescribed together as epilepsy maintenance treatments. Phenobarbital speeds up the metabolism of zonisamide, making it less effective. When the two drugs are combined, veterinarians will often double the dose of zonisamide to compensate.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In people, zonisamide can cause problems when combined with:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Drugs that cause sleepiness, like narcotic pain relievers, <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/benzodiazepines\"><span style=\"font-weight: 400;\">benzodiazepines<\/span><\/a><span style=\"font-weight: 400;\">, sedatives, and CBD<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Drugs called <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/carbonic-anhydrase-inhibitors\"><span style=\"font-weight: 400;\">carbonic anhydrase inhibitors<\/span><\/a><span style=\"font-weight: 400;\">, such as <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/topiramate\"><span style=\"font-weight: 400;\">topiramate<\/span><\/a><span style=\"font-weight: 400;\">, or drugs that treat glaucoma.<\/span><\/li>\n<\/ul>\n<h2><span style=\"font-weight: 400;\">Zonisamide dosage for dogs<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The standard veterinary zonisamide dosage for dogs is 5\u201310 mg\/kg, given by mouth every 12 hours. The higher dose is used when the drug is combined with <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/phenobarbital\/dosage\"><span style=\"font-weight: 400;\">phenobarbital<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Zonisamide is not FDA-approved for use in dogs, but the veterinarian can prescribe veterinary formulations of zonisamide capsules. Unless specially prepared, the standard dosage strengths of both veterinary and human versions of zonisamide are 25, 50, and 100 mg per capsule.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">People can also use a brand-name oral suspension (liquid) of zonisamide if they can\u2019t take capsules. As a brand-name drug, it carries a premium price. If a liquid version is needed, the veterinarian can prescribe a generic oil-based liquid version of zonisamide prepared by a compounding pharmacy.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Can dogs overdose on zonisamide?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Dogs can overdose on zonisamide. A large enough overdose can be fatal.<\/span><\/p>\n<p><a href=\"https:\/\/dailymed.nlm.nih.gov\/dailymed\/drugInfo.cfm?setid=3164d438-90bf-420a-9a56-5498b987f91c\"><span style=\"font-weight: 400;\">In people<\/span><\/a><span style=\"font-weight: 400;\">, large overdoses can cause slow heartbeats, low blood pressure, and slow or shallow breathing.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you see or believe a dog has overdosed on zonisamide, immediately call an animal poison control center or veterinarian. The dog may need to be treated in a veterinary hospital for several days.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Can I give my dog zonisamide every day?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Zonisamide is a long-term treatment that requires daily doses to be taken for months or years. It will take about one or two weeks of constant dosing for the drug to reach steady concentrations within zonisamide\u2019s therapeutic range. Do not miss doses.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">How to give your dog zonisamide<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Doses of zonisamide are given twice a day, 12 hours apart. Zonisamide helps prevent seizures, so do not miss doses. If necessary, get an app or set an alarm as a reminder.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Follow all the instructions given by the veterinarian.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Do not give more than prescribed or give zonisamide capsules more often than prescribed.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Do not stop giving the dog zonisamide doses until you\u2019ve talked to the veterinarian. The vet will have to gradually decrease the dose so that the dog doesn\u2019t experience rebound seizures.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Zonisamide capsules and liquid can be given to a dog with or without food. If the dog vomits or has other gastrointestinal issues after taking a dose, give future doses with food.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The dog should swallow the capsule whole. If you do not know how to give a capsule to a dog, have a veterinary professional show you the best procedure.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Zonisamide liquid may need to be shaken before measuring a dose.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Always use the calibrated oral syringe or dropper that comes with the liquid to measure accurate doses.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Give a missed dose when remembered, unless it\u2019s almost time for the next dose. In that case, don\u2019t give the missed dose. Give the next dose at its regular time. Do not give the dog two doses to compensate for a missed dose.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The veterinarian will require follow-up visits and blood tests to monitor the effectiveness of treatment. Please keep all appointments. Keep a seizure diary for the dog and share it with the vet at these visits.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Keep zonisamide capsules or liquid securely out of the reach of children and pets.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Store zonisamide capsules at room temperature in a dry place protected from light.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Read and follow the storage instructions for zonisamide liquid.<\/span><\/li>\n<\/ul>\n<h2><span style=\"font-weight: 400;\">Zonisamide alternatives for dogs<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Veterinarians use zonisamide either as a first-choice drug for canine seizures or as an add-on treatment, but they usually use it as an add-on treatment.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If zonisamide alone doesn\u2019t control seizures, the veterinarian may choose to add another drug or switch to another first-line drug, such as phenobarbital, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/potassium-bromide\/what-is\"><span style=\"font-weight: 400;\">potassium bromide<\/span><\/a><span style=\"font-weight: 400;\">, or <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/levetiracetam\/what-is\"><span style=\"font-weight: 400;\">levetiracetam<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For <\/span><a href=\"https:\/\/todaysveterinarypractice.com\/neurology\/treatment-plans-for-routine-and-refractory-canine-epilepsy\/\"><span style=\"font-weight: 400;\">refractory seizures<\/span><\/a><span style=\"font-weight: 400;\">, those that can\u2019t be controlled with monotherapy, a veterinarian has a long list of <\/span><a href=\"https:\/\/www.vin.com\/apputil\/content\/defaultadv1.aspx?pId=11268&amp;id=3866651\"><span style=\"font-weight: 400;\">possible drugs<\/span><\/a><span style=\"font-weight: 400;\"> to choose from, including:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/gabapentin\"><span style=\"font-weight: 400;\">Gabapentin<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/clonazepam\"><span style=\"font-weight: 400;\">Clonazepam<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/valproic-acid\"><span style=\"font-weight: 400;\">Valproic acid<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Clorazepate<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/pregabalin\"><span style=\"font-weight: 400;\">Pregabalin<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/felbamate\"><span style=\"font-weight: 400;\">Felbamate<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/topiramate\"><span style=\"font-weight: 400;\">Topiramate<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Imepitoin<\/span><\/li>\n<\/ul>\n<h2><span style=\"font-weight: 400;\">Summary<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Zonisamide treats dogs with seizure disorders. Veterinarians use it alone or in combination with other drugs. When given under the supervision of a veterinarian, zonisamide is safe as a long-term, daily treatment. Adverse effects are minimal and infrequent. Zonisamide can, on rare occasions, cause liver problems, so pet parents should watch for symptoms. Zonisamide could cause heart defects in puppies if given to pregnant dogs.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Zonisamide is an antiseizure drug that helps prevent seizures in dogs. Veterinarians typically prescribe it in combination with another anticonvulsant, but may sometimes use it alone. As a maintenance treatment, zonisamide for dogs only prevents seizures when caregivers give the dog two doses every day. Zonisamide never helps during an active seizure. As a daily [&hellip;]<\/p>\n","protected":false},"author":15,"featured_media":630548,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[7956],"tags":[7969,20802],"coauthors":[8861],"class_list":["post-630547","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-pets","tag-dogs","tag-seizures","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.8 (Yoast SEO v27.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Zonisamide for dogs: Dosage and safety<\/title>\n<meta name=\"description\" content=\"Zonisamide is used to treat seizures in dogs. The standard dose for dogs is 5-10 mg twice daily. Side effects like lethargy, drowsiness, and vomiting may occur.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.singlecare.com\/blog\/zonisamide-for-dogs\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"What is zonisamide used for in dogs?\" \/>\n<meta property=\"og:description\" content=\"Zonisamide is used to treat seizures in dogs. The standard dose for dogs is 5-10 mg twice daily. 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