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Ondansetron

Brand names

  • Zofran
  • Zofran ODT
  • Zofran Oral Solution

Usage

To prevent nausea and vomiting that may occur after surgery or after treatment with anticancer medicine or radiation.

How it works

Ondansetron interferes with the chemical receptor sites and nerve pathways involved in the mechanisms that stimulate feelings of nausea and that induce vomiting.

Side effects

Serious
Chest pain, shortness of breath, skin rash, itching or hives, troubled breathing, tightness in chest, wheezing. Get medical help immediately.
Common
Constipation or diarrhea, fever, headache.
Less common
Abdominal pain, stomach cramps, dizziness or lightheadedness, dry mouth, unusual fatigue or weakness.

Possible interactions

Other medicaments:

The following medicaments may increase the effects of ondansetron:

  • allopurinol (Zyloprim).
  • cimetidine (Tagamet).
  • disulfiram (Antabuse).
  • fluconazole (Diflucan).
  • isoniazid (Nydrazid).
  • macrolide antibiotics (erythromycin, azithromycin, clarithromycin, dirithromycin).
  • metronidazole (Flagyl).
  • monoamine oxidase (MAO) inhibitor antidepressants (Nardil).
  • ritonavir (Norvir) and perhaps other protease inhibitors.

The following medicaments may decrease the effects of ondansetron:

Herbal medicines or minerals:
Since St. John's wort may act to increase serotonin, the combination is not advised. Since part of the way ginseng works may be as a MAO inhibitor, do not combine ginseng with ondansetron.
Alcohol:
Additive sedation and potential additive urge to vomit if alcohol is taken in large doses. Alcohol abuse that has led to liver problems may limit the total dose that can be taken.
Marijuana smoking:
May induce additive sedation and provide additive antiemetic effects.
Discontinuation:
Ondansetron may be stopped after you've completed the prescribed course (usually 3 days) of therapy.
Special storage instructions:
Keep at room temperature. Avoid exposing this medicine to extreme humidity.

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