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Zuranolone Side Effects

Applies to zuranolone: oral capsule.

Important warnings This medicine can cause some serious health issues

Oral route (capsule)

Warning: Impaired Ability to Drive or Engage in Other Potentially Hazardous Activities. Zuranolone causes driving impairment due to central nervous system (CNS) depressant effects.Advise patients not to drive or engage in other potentially hazardous activities until at least 12 hours after zuranolone administration for the duration of the 14-day treatment course.

Inform patients that they may not be able to assess their own driving competence, or the degree of driving impairment caused by zuranolone.

Precautions

It is very important that your doctor check your progress closely while you are receiving this medicine to make sure that this medicine is working properly and to check for unwanted effects.

Using this medicine while you are pregnant can harm your unborn baby. Use an effective form of birth control during treatment and for at least 1 week after the last dose. If you think you have become pregnant while using this medicine, tell your doctor right away.

This medicine may cause some people to be agitated, irritable, or display other abnormal behaviors. It may also cause some people to have suicidal thoughts and tendencies or to become more depressed. Also tell your doctor if you have sudden or strong feelings, such as feeling nervous, angry, restless, violent, or scared. If you or your caregiver notice any of these side effects, tell your doctor right away.

This medicine may make you less alert and aware, which can affect your ability to drive and do other dangerous activities safely. Do not drive or do anything else that could be dangerous for at least 12 hours after taking each dose.

This medicine may cause confusion, dizziness, drowsiness, sleepiness, slow thinking, or trouble with walking, which may lead to falls.

This medicine will add to the effects of alcohol and other CNS depressants (medicines that can make you drowsy or less alert). Some examples of CNS depressants are antihistamines or medicine for allergies or colds, sedatives, tranquilizers, or sleeping medicine, other prescription pain medicine or narcotics, medicine for seizures or barbiturates, muscle relaxants, or anesthetics, including some dental anesthetics. Check with your doctor before taking any of these medicines while you are using this medicine.

Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.

Serious side effects of zuranolone

Along with its needed effects, zuranolone may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur while taking zuranolone:

More common side effects

  • body aches or pain
  • bladder pain
  • bloody or cloudy urine
  • cough
  • difficult, burning, or painful urination
  • dizziness
  • ear congestion
  • fever
  • frequent urge to urinate
  • headache
  • loss of voice
  • lower back or side pain
  • muscle aches
  • sleepiness or unusual drowsiness
  • sneezing
  • sore throat
  • stuffy or runny nose
  • trouble breathing
  • unusual tiredness or weakness

Less common side effects

  • being forgetful
  • chills
  • diarrhea
  • fear, nervousness
  • loss of taste or smell
  • muscle pain
  • nausea
  • shakiness in the legs, arms, hands, or feet
  • trembling or shaking of the hands or feet
  • vomiting

Incidence not known

  • changes in behavior
  • thoughts or attempts at killing oneself

Other side effects of zuranolone

Some side effects of zuranolone may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects.

Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common side effects

  • lack or loss of strength

Less common side effects

  • burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings
  • difficulty in moving
  • dry mouth
  • joint pain
  • muscle aches, cramps, or stiffness
  • stomach pain
  • swollen joints
  • toothache

For healthcare professionals

Applies to zuranolone: oral capsule.

General adverse events

The most common adverse reactions in patients treated with this drug were somnolence, dizziness, diarrhea, fatigue, and urinary tract infections.[Ref]

Dermatologic

Gastrointestinal

Abdominal pain includes upper abdominal pain[Ref]

Genitourinary

Musculoskeletal

Nervous system

Somnolence includes sedation and hypersomnia

Other

Fatigue includes asthenia and lethargy[Ref]

Psychiatric

Respiratory

Nasopharyngitis includes upper respiratory tract infection[Ref]

See also:

References

1. (2023) "Product Information. Zurzuvae (zuranolone)." Biogen Inc.

Further information

Zuranolone side effects can vary depending on the individual. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Note: Medication side effects may be underreported. If you are experiencing side effects that are not listed, submit a report to the FDA by following this guide.