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rufinamide Side Effects

Also known as: Banzel

Analysis of 2,477 adverse event reports submitted to the FDA from 2007 to 2025.

Total Reports

2,477

Death-Related

142

5.7% of reports

Hospitalizations

675

27.3% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

SEIZURE
611
DRUG INEFFECTIVE
374
OFF LABEL USE
217
SOMNOLENCE
172
DIARRHOEA
114
CONDITION AGGRAVATED
113
VOMITING
102
FATIGUE
101
DRUG INTERACTION
99
MULTIPLE-DRUG RESISTANCE
91
PRODUCT USE IN UNAPPROVED INDICATION
83
FALL
82
DECREASED APPETITE
81
GENERALISED TONIC-CLONIC SEIZURE
80
PNEUMONIA
79
DRUG RESISTANCE
77
EPILEPSY
77
CONVULSION
76
WEIGHT DECREASED
76
AGGRESSION
73

Who Reports Side Effects

Gender Distribution

Female 833 (48%)
Male 886 (51%)
Unknown 6

Age Distribution

0-17 655 (56%)
18-44 450 (38%)
45-64 60 (5%)
65-74 7 (1%)
75+ 3 (0%)

Reporting Trend by Year

2007 2025

Reactions in Death Reports

Top reactions reported in 142 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 68
OFF LABEL USE 20
SEIZURE 20
RESPIRATORY FAILURE 17
SUDDEN UNEXPLAINED DEATH IN EPILEPSY 16
STATUS EPILEPTICUS 14
FATIGUE 9
AGGRESSION 8
ASTHENIA 8
BODY TEMPERATURE FLUCTUATION 8
DEPRESSED MOOD 8
HALLUCINATION, AUDITORY 8
PSYCHOTIC DISORDER 8
ANXIETY 7
ATONIC SEIZURES 7
CARDIAC ARREST 7
CRYING 7
EMOTIONAL DISORDER 7
FEAR 7
GENERALISED ONSET NON-MOTOR SEIZURE 7

Reactions in Hospitalization Reports

Top reactions in 675 reports where hospitalization was an outcome.

Reaction Reports
SEIZURE 178
DRUG INEFFECTIVE 80
OFF LABEL USE 70
PNEUMONIA 69
HOSPITALISATION 60
VOMITING 52
STATUS EPILEPTICUS 43
CONVULSION 35
SOMNOLENCE 35
PYREXIA 33
WEIGHT DECREASED 33
DRUG INTERACTION 31
FATIGUE 31
URINARY TRACT INFECTION 30
NAUSEA 29
PNEUMONIA ASPIRATION 28
AGGRESSION 27
RESPIRATORY FAILURE 25
CONDITION AGGRAVATED 24
DIARRHOEA 24

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What the FAERS Data Reveals About rufinamide Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 2,477 voluntary reports linked to rufinamide and its brand equivalents (Banzel), spanning 2007 through 2025. Of those, 142 (5.7%) listed death as an outcome and 675 (27.3%) involved hospitalization. The most common indication reported alongside adverse events was Product Used For Unknown Indication.

Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 48% were female and 51% male; age distribution skews toward 0-17, with 655 reports in that bracket. The single most reported reaction is seizure with 611 submissions, followed by drug ineffective and off label use.

FAERS is a signal-detection tool, not a scorecard. Reports are voluntary, and a single case may list multiple suspect drugs, so numbers above should not be read as incidence rates or per-patient risk. Widely prescribed drugs naturally accumulate more reports than niche therapies even when individual risk is low. These aggregates are useful for spotting patterns that merit further pharmacovigilance, not for choosing between medications. This page is for educational reference only and is not medical advice — speak with a licensed clinician about any side-effect concerns.