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Medically Verified MonographPrescriptionClass: 5-HT3 Receptor Antagonists

Ondansetron

Generic Name: Ondansetron

Common Brand Names: Zofran, Zuplenz
Dosage Form:Tablet, ODT, Oral Solution, Injection
Route:Oral, IV, IM
Pregnancy Category:B
Last Reviewed:9/21/2026

Seek Urgent Medical Attention If:

You experience severe allergic reaction symptoms (swelling of the face, lips, tongue, or throat causing difficulty breathing), severe rash with skin peeling, sudden intense chest pain, or symptoms of overdose. Call emergency medical services immediately.

Uses & Medical Indications

Prevention of nausea and vomiting associated with chemotherapy, radiation, or surgery

Medical Conditions Treated:

Chemotherapy-Induced Nausea/Vomiting (CINV), Postoperative Nausea/Vomiting (PONV)

Dosage & Administration Guidelines

Adult Dosage

8 mg twice daily or 8-16 mg 30 mins before chemotherapy

Pediatric Dosage

0.15 mg/kg IV or weight-based oral dosing

Elderly / Geriatric Considerations

Same as adult

Maximum Dose Limit

24 mg/day orally; 16 mg/dose IV

Renal Impairment:

No adjustment necessary

Hepatic Impairment:

Maximum 8 mg/day in severe hepatic impairment

Side Effects & Safety Warnings

Common Side Effects

Headache, constipation, diarrhea, dizziness, fatigue

Serious Adverse Reactions

QT prolongation, serotonin syndrome, severe hypersensitivity

Contraindications:

Use with apomorphine

Important Warnings & Precautions:

Dose-dependent QT prolongation; avoid in congenital long QT syndrome

Interactions (Drugs, Food & Alcohol)

Drug-Drug Interactions:

Apomorphine, QT-prolonging drugs (amiodarone, macrolides), serotonergic agents

Food & Dietary Interactions:

N/A

Alcohol Interaction Warning:

No specific interaction

Pregnancy & Breastfeeding Safety

Pregnancy Safety

Often used off-label for morning sickness; generally considered safe but consult OB/GYN

Breastfeeding / Lactation

Use caution; excretion in milk is likely

Patient Counseling & Practical Advice

How to Take:

Let ODT dissolve on tongue. Drink fluids if constipated.

What to Do if You Miss a Dose:

Take as soon as remembered if nauseous. Otherwise, skip.

Recommended Monitoring & Lab Tests:

ECG (in high-risk patients), potassium, magnesium

Trustworthy Sources & Medical Review

Content for Ondansetron was synthesized and fact-checked against standardized regulatory monographs, official pharmacopoeias, and national health authorities:

  • Central Drugs Standard Control Organization (CDSCO) — National List of Essential Medicines
  • World Health Organization (WHO) — Model List of Essential Medicines 23rd List
  • Indian Pharmacopoeia Commission (IPC) — Indian Pharmacopoeia Drug Monographs
  • National Health Service (NHS) — Medicines A to Z Clinical Guidelines
Reviewer Credentials: PharmD, Clinical PharmacologistLast Reviewed Date: 9/21/2026

The information provided on this website is for educational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a qualified healthcare provider with any questions you may have regarding a medical condition.