Zonisamide

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289 adverse event reports submitted to the FDA

Important: Adverse event reports do not establish that a drug caused or contributed to the event. Consult your veterinarian before making treatment decisions.
289
Total Reports
42
Deaths Reported
1450.0%
Death Rate

Active Ingredients

Zonisamide

Administration Routes

OralUnknown

Species Affected

Dog 280
Cat 8
Human 1

Most Affected Breeds

Retriever - Labrador 31
Dog (unknown) 21
Shih Tzu 14
Chihuahua 12
Shepherd Dog - Australian 12
Siberian Husky 10
Shepherd Dog - German 8
Crossbred Canine/dog 8
Maltese 7
Dachshund (unspecified) 6

Most Reported Reactions

Seizure NOS 107
Vomiting 40
Lethargy (see also Central nervous system depression in 'Neurological') 31
Death by euthanasia 26
Diarrhoea 24
Ataxia 22
Lethargy (see also Central nervous system depression in Neurological) 20
Lack of efficacy - NOS 18
Anorexia 15
Other abnormal test result NOS 15
Elevated alanine aminotransferase (ALT) 15
Not eating 15

Outcome Breakdown

Ongoing
89 (31.2%)
Recovered/Normal
85 (29.8%)
Outcome Unknown
66 (23.2%)
Euthanized
26 (9.1%)
Died
16 (5.6%)
Recovered with Sequela
3 (1.1%)

Data Summary

Metric Value
Total adverse event reports 289
Reports involving death 42
Case-fatality rate (reported events) 1450.0%
Distinct species in reports 3
Distinct breeds in reports 20
Distinct reactions reported 20
Active ingredients on file 1

Source: FDA Center for Veterinary Medicine — Adverse Event Reporting (CVM AER). Counts reflect voluntary reports only.

Zonisamide Adverse Event Insights

The FDA Center for Veterinary Medicine database currently holds 289 adverse event reports referencing Zonisamide, including 42 reports in which the animal died — a 1450.0% case-fatality figure among reported events only, not a population-level mortality rate. Active ingredient on file: Zonisamide. Reported administration routes include Oral, Unknown. These numbers reflect voluntary submissions from pet owners, veterinarians, and manufacturers and therefore under-represent mild events and over-represent severe ones — a pattern the FDA has documented repeatedly for pharmacovigilance datasets.

The species most frequently named in Zonisamide reports are Dog (280 reports), Cat (8 reports), Human (1 reports), with Dog accounting for the largest share. Within those species, Retriever - Labrador (31), Dog (unknown) (21), Shih Tzu (14) appear most often — though breed popularity and ownership density shape these counts as much as any drug-specific sensitivity. This distribution matters because the same active ingredient can behave very differently across body sizes, ages, and species physiology.

The most commonly reported clinical signs associated with Zonisamide are Seizure NOS (107), Vomiting (40), Lethargy (see also Central nervous system depression in 'Neurological') (31), Death by euthanasia (26). Of the 285 reports with a coded outcome, Ongoing is the leading category at 31.2%. Because FDA adverse event data describes correlation rather than causation, these figures are best used to frame informed questions with a veterinarian and to compare reporting patterns across related products — not as a standalone safety verdict on Zonisamide.

Source: FDA Center for Veterinary Medicine — Adverse Event Reports FDA Center for Veterinary Medicine — Adverse Event Reports Data reflects voluntary submissions and may not represent actual incidence rates

Related

Data sourced from official AKC, AVMA, ACVO, and breed-club veterinary references. See our methodology for details. Retrieved and formatted by PlainBreed Editorial