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Ondansetron

Common Brand Names: Zofran

Drug Information

Medically reviewed by Jessica Swirble, PharmD
Last updated on April 18, 2025

Drug Information | Side Effects | Use & Dosage | Request an Online Prescription

Quick facts:

  • Brand Name: Zofran
  • Generic Name: Ondansetron
  • Uses: Treatment for nausea and vomiting caused by chemotherapy, radiation therapy, and surgery
  • Drug Class: Serotonin 5-HT3 receptor antagonist
  • Availability: Prescription only
  • Generic Status: Yes
  • Controlled Substance: No

What is ondansetron?

Ondansetron is a prescription medication used to treat nausea and vomiting caused by surgery, chemotherapy, and radiation treatment.

What is ondansetron used to treat?

Ondansetron is used to treat nausea and vomiting caused by surgery, cancer chemotherapy, and radiation treatment.

Ondansetron does not treat underlying causes of nausea and vomiting but reduces these symptoms.

How does ondansetron work?

Ondansetron blocks the action of serotonin, a natural chemical in the body that can cause nausea and vomiting. By blocking serotonin receptors in the brain and gut, ondansetron prevents the transmission of nausea signals.

How do I take ondansetron?

Ondansetron is available in the following forms:

  • Oral tablets
  • Orally disintegrating tablets (ODTs)
  • Oral solution
  • Injectable forms

The dosage and frequency of use depend on the condition being treated, its severity, and how you respond to the medication.

Follow your healthcare provider's instructions regarding dosage and schedule. Do not exceed the prescribed dose or frequency of use without consulting your provider.

How long until I feel better?

You may start feeling better within a few hours of taking ondansetron. It is typically used before, during, and after medical procedures to manage symptoms.

Continue using ondansetron as prescribed, even if you start feeling better. Regular use according to your prescription is crucial for the effective prevention of nausea and vomiting.

Are there any other uses for ondansetron?

While ondansetron is primarily used for preventing nausea and vomiting caused by medical treatments, healthcare providers may prescribe it off-label for other types of nausea and vomiting, such as that associated with gastroenteritis.

Discuss any alternative uses of ondansetron with your healthcare provider.

Dosage forms of ondansetron

Ondansetron is available in the following dosage forms:

  • Oral tablets
  • Orally disintegrating tablets (ODTs)
  • Oral solution
  • Injectable forms

Ondansetron is a prescription medication. You will need a valid prescription from a licensed healthcare provider to obtain this medication.

Side Effects and Precautions for Ondansetron


Drug Information | Side Effects | Use & Dosage | Request an Online Prescription

What are the side effects of ondansetron?

The use of ondansetron can lead to various side effects in some individuals.

Common mild side effects of ondansetron use include:

  • Headaches
  • Constipation
  • Diarrhea
  • Drowsiness
  • Fatigue
  • Anxiety or agitation

More severe side effects of ondansetron use can include:

  • Fast, slow, or irregular heartbeats
  • Blurred vision or vision loss
  • Chest pain
  • Dizziness or lightheadedness
  • Allergic reactions like skin rash, difficulty breathing, itching, or swelling
  • Jaundice symptoms like the yellowing of skin or eyes
  • Agitation, hallucinations, fever, loss of coordination from excessive levels of serotonin in the body
  • Seizures
  • Loss of consciousness

If you experience any severe or concerning side effects while taking ondansetron, contact your healthcare provider right away.

What should I tell my healthcare provider before using ondansetron?

Inform your healthcare provider about any existing medical conditions, allergies, or other medications you are taking before starting treatment with ondansetron. This includes prescription drugs, over-the-counter medications, and dietary supplements, as they may interact with ondansetron.

Tell your provider if you are taking these medications or supplements:

  • Anticonvulsant medication
  • Anticoagulant medications
  • Antiplatelet medications
  • Antibiotics
  • Analgesics (pain relievers)
  • Heart rhythm medications
  • Opioids
  • Other medications for nausea
  • Lithium
  • Antidepressants (including SSRIs, SNRIs, and MAOIs)
  • Mood stabilizing medications
  • Migraine medication

You should also mention medical conditions such as:

  • A history of electrolyte imbalances
  • A history of heart conditions like heart failure or irregular heartbeats
  • A family history of long QT syndrome
  • Liver disease
  • Intestinal disorders

If you are pregnant, planning to become pregnant, or breastfeeding, discuss the potential risks and benefits of using ondansetron with your healthcare provider.

Are there any other special instructions I should follow?

Take ondansetron exactly as prescribed by your healthcare provider. Do not exceed the recommended dose or length of treatment.

Ondansetron can be taken with or without food. It's important to complete the full course of treatment, especially if it's part of a scheduled regimen around chemotherapy or surgery, to ensure the medication's effectiveness in managing nausea and vomiting.

What should I do in case of an overdose?

In case of an ondansetron overdose, seek medical attention immediately. Symptoms of overdose may include severe constipation, vision changes, fainting, or severe dizziness. If you suspect an overdose, contact the poison control helpline at 1-800-222-1222 or call emergency services.

Proper Use & Dosage Information for Ondansetron


Drug Information | Side Effects | Use & Dosage | Request an Online Prescription

What is the typical starting dose for ondansetron?

Ondansetron is available in the following forms:

  • Oral tablets
  • Orally disintegrating tablets (ODTs)
  • Oral solution

The typical starting dose of ondansetron varies depending on the condition being treated, the severity of symptoms, and individual patient factors. It is crucial to follow your healthcare provider's instructions regarding dosage and administration.

For prevention of nausea and vomiting caused by chemotherapy:

  • Adults: Typically, 8-24 mg is given 30 minutes before chemotherapy, followed by another dose a few hours later.
  • Children: Dosage is based on body weight and must be determined by your doctor.

For nausea and vomiting after surgery:

  • Adults: 16 mg given 1 hour before anesthesia.
  • Children: Dosage is based on body weight and must be determined by your doctor.

The dosage may be adjusted based on the response and tolerance to the medication. Your healthcare provider will determine the most appropriate dose based on your medical history and your response to the medication.

Ondansetron should be taken as prescribed by your healthcare provider. Do not exceed the recommended dose or duration of treatment without consulting your provider.

If you have any questions about your dosage or need adjustments, contact your healthcare provider for guidance. If you want to talk to a provider right away, consider scheduling an online doctor appointment through a telehealth platform like Sesame.

What should I do if I miss a dose of ondansetron?

If you miss a dose of ondansetron, take it as soon as you remember unless it is close to the time for your next scheduled dose. In that case, skip the missed dose and continue your regular dosing schedule. Do not double the dose to make up for a missed one.

Take ondansetron around the same time every day to maintain an even level of medication in your body.

What should I do if I'm feeling better while taking ondansetron?

Continue taking ondansetron as prescribed by your healthcare provider, even if you start feeling better. It's important to keep taking the medication as directed to manage your condition effectively.

If you have any concerns or questions about your medication, discuss them with your healthcare provider for medical advice and recommendations.

How should I store ondansetron?

Store ondansetron according to the instructions provided by your healthcare provider or pharmacist. Keep it at room temperature, away from light and moisture. Ensure the container is tightly closed and out of reach of children.

Do not use expired medication or medications that appear damaged or discolored. If you have any questions about storage, consult your healthcare provider or pharmacist for guidance.

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