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Ondansetron-medication used to prevent nausea and vomiting caused by cancer chemotherapy, radiation therapy etc

Ondansetron is used to prevent nausea and vomiting that is caused by cancer medicines (chemotherapy) or radiation therapy. More

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Description

Ondansetron is used to prevent nausea and vomiting that is caused by cancer medicines (chemotherapy) or radiation therapy.

Generic Name

Ondansetron-medication used to prevent nausea and vomiting caused by cancer chemotherapy, radiation therapy etc

Chemical names

Ondansetron; Zofran; Zophren; Zudan

Brand names

A-Tron, Adom-O, Afon, Altitron, Ansecare, Anset, Astadon-MD, Back2Norm, Bludan, Bond, C-Tron, Chew-It, Danset, Dasin, Dentron, Divitron, Doin, Domi-Up, Donset, Donsetron, Doran-O, Doran-O INJ, Dotson, Dutron, E-On, Edeset, Eldon, Emecule, Emefilm, Emeran, Emeset, Emeset SYR, Emestal-O, Emestop, Emetron, Emigo, Emiof, Emitino, Emitron, Emitus, Emnil, Emsetron, Emstal, Emtron, Emtron-MD, Flatron, Flexi, Fodino, Gendem-Md, Glendan

IUPAC name

9-methyl-3-[(2-methyl-1H-imidazol-1-yl)methyl]-2,3,4,9-tetrahydro-1H-carbazol-4-one

Pharmacokinetics

Actions

Ondansetron is a selective serotonin 5-HT3 receptor antagonist. The antiemetic activity of the drug is due to the inhibition of 5-HT3 receptors present on both peripherally (GI tract) and centrally (medullary chemoreceptor zone). This inhibition of 5-HT3 receptors in turn inhibits the visceral afferent stimulation of the vomiting center, likely indirectly at the level of the area postrema, as well as through direct inhibition of serotonin activity within the the chemoreceptor trigger zone and area postrema.

Dosage/Dosage form

Therapeutic uses

Used as an antiemetic to treat nausea and vomiting following chemotherapy.

Adverse effects/Side effects

Headache, malaise/fatigue, constipation; drowsiness, fever, dizziness, anxiety, cold sensation; pruritus, rash; diarrhoea; gynaecological disorder, urinary retention; elevated transaminase; local inj site reaction (pain, redness, burning); paresthesia; hypoxia. Rarely: Anaphylaxis, angina, bronchospasm, ECG changes, extrapyramidal symptoms, grand mal seizure, hypokalaemia, tachycardia, vascular occlusive events.

Interaction

  • Avoid concurrent use. Concurrent use may increase the hypotensive effect of apomorphine
  • Rifampicin and other CYP3A4 inducers reduce levels/effects of ondansetron.

Contraindications

Concomitant use of apomorphine with ondansetron is contraindicated.

Storage

Store at 2-30°C

Information

Molecular weight

293.363

Molecular formula

C18H19N3O

CAS number

99614-02-5

Precautions

May cause QT prolongation; caution when used in cardiac diseases, patients who are on medications that can prolong QT or patients with electrolyte abnormalities. Severe hepatic impairment. May mask progressive ileus and/or gastric distension. Pregnancy, lactation.