GASTROINTESTINAL Antiemetics 5HT3 antagonists

AMH 2022 section 12.3.2

Active ingredients (generic names)

ONDANSETRON (on-dan-set-ron)

 

medicine - injection IV.jpg

Tablets

Mixture.

Suppositories.

Wafers.

Other 5HT3 antagonists

Not included in this monograph — see AMH for information:

  • Granisetron
  • Palonosetron
  • Tropisetron
What it is used for

Doses

How it works
  • Stops nausea and vomiting by blocking central and peripheral 5HT3 receptors (a type of serotonin receptor) 
Side effects

Constipation

Headache

Dizzy

Warnings

Breastfeeding
(OK for 1–2 doses)

Children under 2 years

Liver trouble — use lower dose

 

Interactions — Do not use together without medical consult

ONDANSETRON with

  • Apomorphine
  • Rifampicin
  • Tramadol — reduces analgesic effect of tramadol
Tell the patient
  • If too nauseous to swallow tablets or medicine mixture — dissolve wafer on the tongue
Check
  • For cause of nausea