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Composition

ZONISAMIDE-100MG

Manufacturer/Marketer

Zydus Cadila

Consume Type

ORAL

Return Policy

Not Returnable

for this medicine

About Epigran 100mg Capsule

Epigran 100mg Capsule belongs to a group of medicines called anti-convulsants or anti-epileptics used to treat epilepsy (seizures/fits). Epilepsy is a sudden rush of electricity in the brain. In epilepsy the brain's electrical rhythms become imbalanced, resulting in recurrent seizures. In patients with seizures, the typical brain electrical pattern is disrupted by sudden bursts of electrical impulses that affect an individual’s consciousness, movements, or sensations.

Epigran 100mg Capsule contains 'Zonisamide’ that reduces the abnormal and excessive activity of nerve impulses in the brain that cause fits or seizures. Thereby helps in controlling seizures. In patients with seizures, the typical brain electrical pattern is disrupted by sudden bursts of electrical impulses that affect an individual’s consciousness, movements, or sensations. Epigran 100mg Capsule is used alone or in combination to treat and prevent partial seizures in adults and children above 6 years of age.

Take Epigran 100mg Capsule as prescribed by your doctor. You are advised to take Epigran 100mg Capsule for as long as your doctor has prescribed it for you depending on your medical condition. In some cases, you may experience certain common side-effects such as dizziness, irritability, loss of appetite, memory impairment, double vision, confusion, depression, constipation, nausea, headache, uncontrolled movements. Most of these side-effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.

To treat your condition effectually, continue taking Epigran 100mg Capsule for as long as your doctor has prescribed. Please do not stop taking Epigran 100mg Capsule without consulting your doctor to avoid worsening of seizures. Do not take Epigran 100mg Capsule if you are pregnant or planning for pregnancy unless prescribed by the doctor. Avoid taking Epigran 100mg Capsule while breastfeeding as it may cause side-effects in the breastfed babies. Epigran 100mg Capsule should not be given to children unless prescribed. Epigran 100mg Capsule causes drowsiness and dizziness, so drive if you are alert. Epigran 100mg Capsule should not be given to children unless prescribed. Avoid consuming alcohol along with Epigran 100mg Capsule as it could lead to increased dizziness and sleepiness. Consult your doctor immediately if you experience mood swings or suicidal tendencies. Epigran 100mg Capsule can cause permanent vision loss, inform your doctor immediately if you have any eye pain, redness, or any changes in your vision. Keep your doctor informed about your health condition and medicines to rule out any side effects.

Uses of Epigran 100mg Capsule

Treatment of Epilepsy/Seizures.

Medicinal Benefits

Epigran 100mg Capsule belongs to a group of medicines called anti-convulsants or anti-epileptics. Epigran 100mg Capsule is used to treat epilepsy/seizures/fits. Epilepsy is a sudden rush of electricity in the brain. Epigran 100mg Capsule works by blocking the sodium and calcium current in the brain and suppress the abnormal and excessive activity of nerve impulses in the brain that cause fits and pain. Thereby help in controlling seizures. Epigran 100mg Capsule is used alone or in combination to treat and prevent partial seizures and generalized seizures in adults. Epigran 100mg Capsule may be used as solo therapy or in combination in treating and preventing seizures in children above 6 years of age. Epigran 100mg Capsule is not associated with any psychological or physical dependence, and there is no potential for abuse.

Side Effects of Epigran 100mg Capsule

  • Dizziness
  • drowsiness
  • Irritability
  • Loss of appetite
  • Memory impairment
  • Impaired coordination
  • Double vision
  • Confusion
  • Kidney stones
  • Diarrhoea
  • Constipation
  • Decreased blood levels of bicarbonates (a substance that prevents the blood from becoming acidic)

Directions for Use

Swallow Epigran 100mg Capsule as a whole with a glass of water; do not chew or crush the medicine.

Storage

Store in a cool and dry place away from sunlight

Drug Warnings

Do not take Epigran 100mg Capsule if you are allergic to Zonisamide or any of its contents. Avoid intake of Epigran 100mg Capsule if you are pregnant or planning for pregnancy unless prescribed by the doctor. Breastfeeding mothers should consult the doctor before using Epigran 100mg Capsule to pass into the breast milk and affect the baby. Epigran 100mg Capsule should not be given to children unless prescribed. Inform your doctor before taking Epigran 100mg Capsule if you have or had kidney and liver problems, glaucoma, high levels of ammonia, osteoporosis, depression, heart problems if you have low levels of bicarbonate in blood you have previously suffered from kidney stones. Do not stop taking Epigran 100mg Capsule without consulting your doctor to avoid worsening of seizure episodes. Epigran 100mg Capsule causes drowsiness and dizziness, so drive only if you are alert. Avoid consuming alcohol along with Epigran 100mg Capsule as it could lead to increased dizziness and sleepiness. Consult your doctor immediately if you experience mood swings or suicidal tendencies. Epigran 100mg Capsule can cause permanent vision loss, inform your doctor immediately if you have any eye pain, redness, or any changes in your vision.

Therapeutic Class

ANTICONVULSANT

Drug Interactions

Drug-Drug Interactions: Epigran 100mg Capsule may have interaction with an anti-depressant (amitriptyline, duloxetine, sertraline, fluoxetine), anti-convulsant (gabapentin, lamotrigine, pregabalin, phenytoin, topiramate), antipsychotic (aripiprazole, quetiapine, lithium), anti-anxiety (alprazolam, triazolam), antibiotics (erythromycin, clarithromycin, telithromycin, troleandomycin), pain killer (codeine, oxycodone, tramadol, morphine), antihistamine (diphenhydramine, chlorpheniramine, brompheniramine), and antifungal (ketoconazole, itraconazole, fluconazole).

Drug-Food Interactions: Avoid alcohol consumption while taking Epigran 100mg Capsule as it might cause increased dizziness and sleepiness. Herbal preparations containing St. John's wort should be avoided while taking Epigran 100mg Capsule.

Drug-Disease Interaction: Epigran 100mg Capsule may have interactions with disease conditions such as depression, liver disease, kidney dysfunction, suicidal tendency, irregular heartbeat, thyroid dysfunction, low bicarbonate levels in the blood, and blood disorders.

Drug-Drug Interactions Checker List

  • AMITRIPTYLINE
  • DULOXETINE
  • SERTRALINE
  • FLUOXETINE
  • GABAPENTIN
  • LAMOTRIGINE
  • PREGABALIN
  • PHENYTOIN
  • TOPIRAMATE
  • ARIPIPRAZOLE
  • QUETIAPINE
  • LITHIUM
  • ALPRAZOLAM
  • ERYTHROMYCIN
  • CLARITHROMYCIN
  • TELITHROMYCIN
  • CHLORPHENIRAMINE
  • CODEINE
  • OXYCODONE
  • TRAMADOL
  • MORPHINE
  • DIPHENHYDRAMINE
  • KETOCONAZOLE
  • ITRACONAZOLE
  • FLUCONAZOLE
  • TRIAZOLAM
  • TROLEANDOMYCIN
  • BROMPHENIRAMINE

Diet & Lifestyle Advise

  • A ketogenic diet (low in carbohydrates and high in fats) is recommended for children with epilepsy. This diet helps in utilizing fat instead of glucose for the generation of energy.

  • Atkins diet (high fay and controlled carbohydrates) is recommended for adolescents and adults.

  • Rest well, get plenty of sleep.

  • Avoid smoking and alcohol consumption.

  • Exercise, meditation, and yoga can help lower stress, decrease pain sensitivity, and improves coping skills.

  • Prepare your living area; small changes may reduce the risk of physical injury during a seizure.

  • Install an alarm or emergency device to get assistance during a seizure attack.

Habit Forming

No

What if I have taken an overdose of Epigran 100mg Capsule

Do not take more than the prescribed dose of Epigran 100mg Capsule as it may cause overdose. The symptoms of overdose include slow heart rate, fainting, feeling lightheaded, shallow or slow breathing. If you suspect you have taken overdose or notice signs of overdose, please consult a doctor immediately.

Special Advise

  • Regular monitoring of bicarbonate levels while taking Epigran 100mg Capsule is advised to prevent low blood bicarbonate levels.
  • Epigran 100mg Capsule may cause low blood cell count, so if you have any red or purple spots on the body, let your doctor know about this.

Disease/Condition Glossary

Epilepsy: Epilepsy is a sudden rush of electricity in the brain. It is a disorder of the nervous system which occurs due to disturbed nerve cell activity in the brain. In epilepsy, the brain's electrical rhythms become imbalanced, resulting in recurrent seizures. In patients with seizures, the typical brain electrical pattern is disrupted by sudden bursts of electrical impulses that affect an individual's consciousness, movements, or sensations. Seizures are of two types: generalized and partial seizures. Generalized seizures affect the entire brain, whereas partial seizures affect only a part of the brain. Seizures can cause uncontrollable muscle twitches and spasms. Stronger seizures may cause people to become confused or unconscious. Possible causes include high fever, trauma, genetic disorders, brain injury, or stroke.

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Alcohol

Unsafe

Avoid consumption of alcohol while taking Epigran 100mg Capsule as it may increase dizziness and sleepiness.

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Pregnancy

Caution

Avoid taking Epigran 100mg Capsule if you are pregnant unless prescribed by a doctor to lead to serious birth defects/congenital disabilities. Please consult your doctor if you have any concerns regarding this, your doctor will prescribe only if the benefits outweigh the risks.

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Breast Feeding

Caution

Epigran 100mg Capsule should not be taken by breastfeeding mothers as it passes into breast milk and could lead to side-effects for breastfed babies.

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Driving

Unsafe

Epigran 100mg Capsule causes drowsiness, sleepiness, and tiredness. Do not drive or operate machinery unless you are alert.

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Liver

Caution

Dose adjustment may be needed in patients with liver impairment. Please consult your doctor if you have a liver impairment or any concerns regarding this.

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Kidney

Caution

Dose adjustment may be needed in patients with kidney impairment. Please consult your doctor if you have kidney impairment or any concerns regarding this, your doctor will prescribe only if the benefits outweigh the risks.

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Children

Safe if prescribed

Epigran 100mg Capsule can be given to children above 6 years if prescribed by the doctor. The dose will be adjusted by the doctor depending upon the child's body weight.

Country of origin

India
Other Info - EP56796

Author Details

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FAQs

Epigran 100mg Capsule belongs to a group of medicines called anti-convulsants or anti-epileptics used to treat epilepsy (seizures/fits).
Epigran 100mg Capsule consists of 'zonisamide' that decreases the brain's excessive and abnormal nerve activity by blocking sodium and calcium currents in your brain and body. This reduces abnormal electrical activity between your nerve cells.
Consult your doctor before taking Epigran 100mg Capsule if you are pregnant or planning for pregnancy. Your doctor will prescribe Epigran 100mg Capsule only if the benefits outweigh the risks. If you are planning for pregnancy, use contraception while taking Epigran 100mg Capsule.
Epigran 100mg Capsule should be used with caution during hot weather as it may increase the chance of having a heat stroke. Inform your doctor if you have heat intolerance or fever. To avoid this condition, it is advisable to drink a lot of cold fluid and water, move to a cooler place, especially in summer.
No, Epigran 100mg Capsule is not a habit-forming drug. However, it can cause side-effects, especially when you stop taking it suddenly.
Do not discontinue Epigran 100mg Capsule without consulting your doctor. To treat your condition effectually continue taking Epigran 100mg Capsule for as long as prescribed. Do not be reluctant to speak with your doctor if you feel any difficulty while taking Epigran 100mg Capsule; your doctor will gradually reduce the dose to avoid precipitating seizures.
Consult your doctor before taking Epigran 100mg Capsule if you have had kidney stones. Your doctor will prescribe Epigran 100mg Capsule only if the benefits outweigh the risks. Epigran 100mg Capsule should be taken with caution in patients with kidney stones. You may be at increased risk of developing more kidney stones. Reduce the risk of kidney stones, drink sufficient water.
Consult your doctor before taking Epigran 100mg Capsule if you have glaucoma. Epigran 100mg Capsule is contraindicated in patients with narrow-angle glaucoma. Epigran 100mg Capsule may cause blindness on long-term use in the case of patients with narrow-angle glaucoma.
Epigran 100mg Capsule contains Zonisamide as an active key ingredient.
If you suddenly stop taking Epigran 100mg Capsule, your seizures may become worse. If required, your doctor will probably decrease your dose gradually.
In patients taking Epigran 100mg Capsule, severe muscle pain and/or weakness develop either in the presence or absence of a fever. It is recommended that you consult your doctor; they will perform specific tests to evaluate muscle damage and treat it accordingly.
Although the Food and Drug Administration (FDA) has not officially approved Epigran 100mg Capsule for children, quite a few research studies have shown that it has been given to children of various ages (even infants) with generally good results. However, it should be provided under the supervision of a doctor.
Suicidal tendencies are not a common side effect with Epigran 100mg Capsule. However, consult your doctor immediately if you experience mood swings or suicidal tendencies.
Yes, Epigran 100mg Capsule may lead to weight loss. A side effect of Zonisamide is reduced appetite and subsequent weight loss.
No, it does not impact on birth control pills. No reported interactions have been established as of now.
Epigran 100mg Capsule is excreted by the kidneys; patients with renal impairment or renal disease should be treated cautiously.
In some cases, you may experience certain common side effects such as dizziness, irritability, loss of appetite, memory impairment, double vision, confusion, depression, constipation, nausea, headache, and uncontrolled movements. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.
Symptoms of overdose may include slow heartbeat, slowed breathing, dizziness, fainting and coma (loss of consciousness for a period of time).
Epigran 100mg Capsule may help control your condition but will not cure it. It may take two weeks or longer before you feel the full benefit of Epigran 100mg Capsule.
Before using this medication, you should inform your doctor about your medical history, including any ongoing medicines, to avoid potential interactions and minimize side effects.
Take the missed dose as soon as you remember unless it's almost time for your next dose. In this case, skip the missed dose and take your next dose at the regular time. Never take a double dose to make up for a missed one.
Taking more than the recommended dosage does not provide additional benefits and can increase the risk of adverse effects.
Avoid consuming alcohol along with Epigran 100mg Capsule as it could lead to increased dizziness and sleepiness.

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