Carbamazepine can cause a small to moderate reduction in the 
serum levels of 
zonisamide, and 
zonisamide has been reported to cause increases, decreases or no changes to 
carbamazepine serum levels. 
 The 
clinical importance of this interaction is unknown, but be aware of the possibility of changes in the levels of both drugs if they are given together. 
 Carbimazole