Skip to main content
. 2021 Apr 10;397(10282):1363–1374. doi: 10.1016/S0140-6736(21)00247-6

Table 2.

Adverse reactions by MedDRA system organ classification

Number of events
Number of patients (%)
Lamotrigine Levetiracetam Zonisamide Lamotrigine (n=328) Levetiracetam (n=330) Zonisamide (n=324)
Psychiatric disorders 58 147 103 43 (13%) 98 (30%) 73 (23%)
Nervous system disorders 88 81 85 53 (16%) 55 (17%) 60 (19%)
General disorders and administration site conditions* 23 37 44 17 (5%) 32 (10%) 39 (12%)
Gastrointestinal disorders 30 29 35 25 (8%) 22 (7%) 26 (8%)
Skin and subcutaneous tissue disorders 29 14 28 24 (7%) 12 (4%) 21 (7%)
Investigations 6 11 16 6 (2%) 11 (3%) 16 (5%)
Metabolism and nutrition disorders 4 2 17 3 (1%) 2 (1%) 16 (5%)
Musculoskeletal and connective tissue disorders 5 1 8 5 (2%) 1 (<1%) 7 (2%)
Eye disorders 1 1 5 1 (<1%) 1 (<1%) 5 (2%)
Renal and urinary disorders 1 0 6 1 (<1%) 0 5 (2%)
Cardiac disorders 2 2 1 2 (<1%) 2 (1%) 1 (<1%)
Respiratory, thoracic, and mediastinal disorders 1 1 2 1 (<1%) 1 (<1%) 2 (1%)
Injury, poisoning, and procedural complications 2 0 0 2 (1%) 0 0
Ear and labyrinth disorders 0 1 0 0 1 (<1%) 0
Endocrine disorders 0 1 0 0 1 (<1%) 0
Pregnancy, puerperium, and perinatal conditions 0 0 1 0 0 1 (<1%)
Vascular disorders 1 0 0 1 (<1%) 0 0
Total events and patients with at least one adverse reaction 251 328 351 108 (33%) 144 (44%) 146 (45%)
*

88 (85%) of 104 adverse reactions in this category were fatigue.

42 events were rash: 22 events in the lamotrigine group, eight events in the levetiracetam group, and 12 events in the zonisamide group. Two of these were categorised as severe: one dermatitis allergic in the lamotrigine group and one Stevens Johnson syndrome in the levetiracetam group.