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Ethosuximide for preventing seizures
Ethosuximide for preventing seizures
This leaflet is about the use of ethosuximide for preventing seizures. (Seizures may be also called convulsions or fits.)
This leaflet has been written specifically for parents and carers about the use of this medicine in children. The information may differ from that provided by the manufacturer. Please read this leaflet carefully. Keep it somewhere safe so that you can read it again.
Do not stop giving ethosuximide suddenly, as your child may have more seizures.
Name of drug
Brand names: Zarontin®, Emeside®
Why is it important for my child to take this medicine?
It is important that your child takes ethosuximide regularly so that they have fewer seizures.
What is ethosuximide available as?
- Capsules: 250mg
- Liquid medicine: 250 mg in 5 mL
When should I give ethosuximide?
Ethosuximide is usually given twice each day, once in the morning and once in the evening. Ideally, these times are 10–12 hours apart, for example some time between 7 and 8 am, and between 7 and 8 pm.
Very occasionally the medicine can be given three times a day (your doctor will tell you if it needs to be given like this). This should be in the morning, early afternoon and at bedtime. Ideally, these times are at least 6 hours apart, for example 8 am, 2 pm and 8 pm.
Give the medicine at about the same time(s) each day so that this becomes part of your child’s daily routine, which will help you to remember.
How much should I give?
Your doctor will work out the amount of ethosuximide (the dose) that is right for your child. The dose will be shown on the medicine label.
Your doctor will start your child on a low dose and then gradually increase it over a few days or weeks to help your child get used to the medicine. If you are not sure how much to give, check with your doctor, epilepsy nurse or pharmacist.
It is important that you follow your doctor’s instructions about how much to give.
How should I give it?
Capsules should be swallowed whole with a glass of water, milk or juice. Your child should not chew the capsule.
Liquid medicine: Measure out the right amount using an oral syringe or medicine spoon. You can get these from your pharmacist. Do not use a kitchen teaspoon as it will not give the right amount.
When should the medicine start working?
It may take a few weeks for ethosuximide to work properly, so your child may still have seizures during this time. This is because the amount of medicine has to be increased slowly. Continue to give the medicine in the way that you have been told to by your doctor or epilepsy nurse. Ethosuximide may not stop your child’s seizures completely. If you are worried about whether it is helping, contact your doctor but continue to give the medicine.
What if my child is sick (vomits)?
- If your child is sick less than 30 minutes after having a dose of ethosuximide, give them the same dose again.
- If your child is sick more than 30 minutes after having a dose of ethosuximide, you do not need to give them another dose. Wait until the next normal dose.
What if I forget to give it?
- If you usually give it twice a day: If you remember up to 4 hours after you should have given a dose, give your child the missed dose. For example, if you usually give a dose at about 7 am, you can give the missed dose at any time up to 11 am. If you remember after that time, do not give the missed dose. Just give the next dose as usual.
- If you usually give it three times a day: Do not give the missed dose. Just give the next dose as usual.
Never give a double dose of ethosuximide.
What if I give too much?
You are unlikely to do harm if you give an extra dose of ethosuximide by mistake. If you are concerned that you may have given too much, contact your doctor or NHS Direct (0845 4647 in England and Wales; 08454 24 24 24 in Scotland). Have the medicine or packaging with you if you telephone for advice.
Are there any possible side-effects?
We use medicines to make our children better, but sometimes they have other effects that we don’t want (side-effects).
Side-effects that you must do something about
If your child starts to have more fits than usual, contact your doctor or take them to hospital straight away.
If your child develops a fever (temperature above 38°C), sore throat, mouth ulcers, bruising or bleeding, contact your doctor or take them to hospital straight away.
Other side-effects you need to know about
- Ethosuximide usually causes only mild side-effects, which should get better as your child’s body gets used to the medicine. If they are still a problem after 2 weeks, or you are worried, contact your doctor, but continue to give ethosuximide.
- Your child may be feel sick (nausea) or be sick (vomit) or have stomach ache or diarrhoea, or go off their food.
- Your child may have a headache or feel dizzy or sleepy (drowsy), and they may have sleep disturbances such as difficulty getting to sleep.
- They may have hiccups.
- Your child may seem less alert than normal, and may say they cannot think clearly, or their coordination may be affected. They may also have changes in mood or become irritable more easily.
There may, sometimes, be other side-effects that are not listed above. If you notice anything unusual and are concerned, contact your doctor.
Can other medicines be given at the same time as ethosuximide?
- You can give your child medicines that contain paracetamol or ibuprofen, unless your doctor has told you not to.
- Check with your doctor or pharmacist before giving any other medicines to your child. This includes herbal or complementary medicines.
Epilepsy and pregnancy
- Pregnancy presents a risk to both the mother with epilepsy and her unborn baby. If your daughter has sex, it is essential that she uses adequate contraception to prevent an unplanned pregnancy.
- If your daughter thinks that she may be pregnant, it is important that she sees your family doctor as early as possible. Your daughter should keep taking her medication until she sees her doctor.
Ethosuximide and pregnancy
- The risk of ethosuximide causing harm to an unborn baby is low but your daughter must always speak to her doctor before trying to conceive.
- The oral contraceptive pill can be used safely by women or girls who are taking ethosuximide.
General advice about medicines for seizures
Do not suddenly stop giving any of these medicines to your child, as they may have a seizure. If you are worried, contact your doctor but carry on giving the medicine to your child as usual.
If your child seems to have more seizures than usual, contact your doctor or epilepsy nurse.
- If your doctor decides to stop a particular medicine, they will discuss this with you. You will usually reduce the dose bit by bit.
Do not change the dose of any drug without talking to your doctor first.
- It is best that your child always has the same brand of each medicine, as there may be differences between brands. Keep a record of which medicines your child has.
- Try to give medicines at about the same times every day, to help you remember.
- If you are not sure a medicine is working, contact your doctor but continue to give the medicine as usual in the meantime. Do not give extra doses, as you may do harm.
- Only give the medicine(s) to your child. Never give them to anyone else, even if their condition appears to be the same, as this could do harm.
If you think someone else may have taken the medicine by accident, contact your doctor straight away.
- Make sure that you always have enough medicine. Order a new prescription at least 2 weeks before you will run out.
- Make sure that the medicines you have at home have not reached the ‘best before’ or ‘use by’ date on the packaging. Give old medicines to your pharmacist to dispose of.
Where I should keep this medicine?
- Keep the medicine in a cupboard, away from heat and direct sunlight. It does not need to be kept in the fridge.
- Make sure that children cannot see or reach the medicine.
- Keep the medicine in the container it came in.
Who to contact for more information
Your doctor, pharmacist or nurse will be able to give you more information about ethosuximide and about other medicines used to treat epilepsy.
You can also get useful information from:
- NHS Direct (England)
- NHS 24 (Scotland)
08454 24 24 24
- NHS Direct (Wales/Galw Lechyd Cymru)
- NI Direct (Northern Ireland)
- Young Epilepsy Helpline
01342 831 342
- Epilepsy Society Helpline
01494 601 400
- Epilepsy Action Helpline
0808 800 5050
Version 1, November 2012. © NPPG, RCPCH and WellChild 2010, all rights reserved. Review date: November 2015.
The primary source for the information in this leaflet is the British National Formulary for Children. For details on any other sources used for this leaflet, please contact us through our website, www.medicinesforchildren.org.uk.
We take great care to make sure that the information in this leaflet is correct and up-to-date. However, medicines can be used in different ways for different patients. It is important that you ask the advice of your doctor or pharmacist if you are not sure about something. This leaflet is about the use of these medicines in the UK, and may not apply to other countries. The Royal College of Paediatrics and Child Health (RCPCH), the Neonatal and Paediatric Pharmacists Group (NPPG), WellChild and the contributors and editors cannot be held responsible for the accuracy of information, omissions of information, or any actions that may be taken as a consequence of reading this leaflet.