Ondansetron Injection (1 box and 1 ampoule)
Ondansetron Injection (1 ampoule)
Ondansetron Injection (box of 5 ampoules)
Ondansetron Injection (1 box and 1 ampoule)
Ondansetron Injection (1 ampoule)
Ondansetron Injection (box of 5 ampoules)
*Packaging color may differ according to distribution region.

Ondansetron Injection

OndaCare™
Ondansetron Injection is a parenteral antiemetic medicine used to prevent nausea and vomiting due to surgery, radiation, or chemotherapy. AdvaCare Pharma manufactures this anti-cancer drug in its ISO and GMP-certified facilities.

Dosage

Packaging

What is Ondansetron?

Active Ingredients: Ondansetron HCl

Ondansetron HCl Injection is an antiemetic drug used to treat or prevent nausea and vomiting caused by surgery, radiation, or chemotherapy. This drug is not usually used for preventing nausea or vomiting caused by factors other than cancer treatment or surgery. It is sometimes used to treat gastroenteritis in children.

Ondansetron is also used off-label to treat morning sickness and hyperemesis gravidarum in pregnant women.

Ondansetron HCl's efficacy as an antiemetic is primarily due to its action on serotonin receptors, specifically the 5HT3 receptors located in both the central nervous system and the gastrointestinal tract. By blocking these receptors, it effectively reduces the activity of the vagus nerve, which is a key pathway for mediating vomiting reflexes. This makes it particularly effective in controlling nausea and vomiting associated with chemotherapy and radiation therapy.

In the context of surgery, this drug is often used in the postoperative phase to counteract nausea and vomiting induced by general anesthesia and other medications used during surgical procedures. Its rapid onset of action and effectiveness make it an excellent choice for preventing both early and delayed postoperative nausea and vomiting.

AdvaCare Pharma is a GMP-certified manufacturer and exporter of Ondansetron HCl Injections. We offer a wide range of high-quality and cost-effective medications that are available for distribution. These medications are produced in our facilities in China, India, and the USA.

Why are we a trusted Ondansetron manufacturer?

AdvaCare Pharma manufactures Ondansetron Injection, one of 40+ oncology treatments, according to rigorous GMP protocols at our state-of-the-art production facility. We are committed to producing quality-assured, cost-effective cancer treatments that meet the highest industry standards and are readily available to cancer patients worldwide. As an established Ondansetron manufacturer, we supply pharmaceutical distributors, hospitals and government institutions with reliable cancer drugs.

Uses

What is Ondansetron used for?

It is used to treat nausea and vomiting associated with surgeries or emetogenic cancer chemotherapy, including therapy with high-dose cisplatin.

How are Ondansetron Injections used?

This medication is manufactured as a solution to be given by injection into the muscle or vein. It should be administered by a healthcare professional in a hospital or clinic setting.

What dose should be given?

Recommended dosage guidelines may vary depending on medical condition:

  • For chemotherapy-induced nausea or vomiting, the usual dose for adults is 0.15mg/kg IV in 3 doses, given every 4 hours.
  • For postoperative nausea and vomiting, the usual dose for adults is 4mg IV/IM before anesthesia or after surgery.

Refer to a doctor or pharmacist for guidelines on dosage. The dosage is based on medical condition, response to the treatment, age, and weight.

There is not enough data for dosage recommendations for pediatric use.

What is the mechanism of action of Ondansetron HCl?

The mechanism of action involves its role as a selective serotonin (5HT3) receptor antagonist. It functions by inhibiting these receptors in both the brain and the gastrointestinal tract, disrupting the signaling pathways responsible for inducing nausea and vomiting.

What is the onset of action for Ondansetron HCl?

Ondansetron HCl typically begins to work within 30 minutes to 2 hours after administration, depending on the specific formulation used.

What are the benefits of Ondansetron Injection?

Ondansetron HCl Injection is highly effective in preventing and alleviating nausea and vomiting associated with various situations, such as surgical procedures, chemotherapy, and radiation therapy. This medication not only helps improve patients' quality of life by minimizing distressing symptoms but also enhances their overall comfort during treatment and recovery.

Who should avoid Ondansetron?

Individuals with certain conditions should avoid using injection, including those with a history of heart problems (such as QT prolongation), liver disease, or an allergy to ondansetron or any other components of the medication.

How long does the effect of Ondansetron last?

The duration of action can vary depending on several factors, including the individual's metabolism, the dosage, and the specific condition it is being used to treat. The effects of a single dose typically last for 4 to 8 hours.

How long should Ondansetron Injection be used?

The duration use depends on the specific medical context. In cases of chemotherapy-induced nausea and vomiting, the treatment typically aligns with the chemotherapy schedule, meaning it is administered before and sometimes after chemotherapy sessions. For postoperative nausea and vomiting, Ondansetron is used in the immediate perioperative period, either before or after surgery.

Is Ondansetron considered safe for pregnant women?

While Ondansetron HCl is occasionally prescribed off-label for pregnancy-related conditions like morning sickness and hyperemesis gravidarum, it should only be used under the guidance of a doctor.

Can Ondansetron be used in elderly patients?

Yes, it may be used in geriatric patients, but with caution. Elderly individuals may be more sensitive to the drug's effects, especially those related to cardiac health. Lower doses or close monitoring may be necessary to avoid negative effects.

Does Ondansetron have the potential for dependence or addiction?

No, it is not known to be habit-forming, and patients do not typically develop dependence.

Is Ondansetron indicated for use in individuals with liver or kidney conditions?

This injection can be prescribed with caution in patients with liver or kidney conditions, but the dosing may need to be adjusted depending on the physician's advice.

Can Ondansetron interact with other medications?

Yes, it does, and this can affect how it works or increase the risk of serious side effects. Some drugs that may interact with Ondansetron HCl include tramadol, apomorphine, and certain drugs used to treat depression. Always inform the healthcare provider about all the medications being taken concurrently.

Can Ondansetron be used for motion sickness?

While this drug is primarily used to treat nausea and vomiting related to chemotherapy, surgery, or radiation therapy, it may also be used off-label to manage symptoms of motion sickness. Only use Ondasentron HCl under the guidance of a doctor as other alternative treatments might be available that do not require injection.

How long does it take for Ondansetron to leave the system?

The half-life of this drug is approximately 3 to 6 hours. This means that half of the drug will be eliminated from the body within this time frame. It typically takes around five half-lives for a drug to be completely eliminated from the system. This may vary depending on individual factors such as metabolism, age, and overall health.

What should be done in case of an overdose of Ondansetron?

In the event of an overdose, seek immediate medical attention. Symptoms of an overdose may include severe dizziness, fainting, or a severe allergic reaction. There is no specific antidote for ondansetron overdose, and treatment is symptomatic and supportive. Carefully monitor the patient's cardiovascular status and observe for any signs of serotonin syndrome.

Are there any dietary restrictions or lifestyle modifications recommended when using Ondansetron?

There are no specific restrictions but patients are advised to maintain adequate hydration, especially if experiencing vomiting. Alcohol and other central nervous system depressants should be used with caution, as they can enhance potential side effects like drowsiness.

How should Ondansetron be stored?

It should be stored at room temperature, away from light and moisture. It should not be kept in the bathroom. The medication should be kept out of reach of children and pets.

Side Effects

As with all pharmaceuticals, some unwanted effects can occur from the use of Ondansetron Injection.

Common side effects include, but may not be limited to:

  • dizziness
  • constipation
  • diarrhea
  • fever
  • headache
  • swelling near the injection site.

Serious side effects may include:

  • signs of an allergic reaction
  • severe constipation or bloating
  • serotonin syndrome
  • changes in heart rate

If any signs of an allergic reaction to Ondansetron HCl are experienced, such as hives, difficulty breathing, or swelling of your face, lips, tongue, or throat, seek emergency medical attention right away.

For a comprehensive understanding of all potential side effects, consult a medical professional.

If any symptoms persist or worsen, or you notice any other symptoms, please call your doctor.

Precautions

Do NOT use Ondansetron Injection if:

  • You are allergic to ondansetron or any other ingredient.
  • You are being treated with apomorphine.

Before treatment, consult your doctor regarding any medications you are taking to address potential drug interactions.

This medication may not be suitable for people with certain conditions, so it is important to consult with a doctor if you have any health conditions.

Patients should also be cautious about engaging in activities requiring mental alertness, such as driving or operating heavy machinery, as Ondansetron HCl Injection may cause dizziness and impair cognitive function. If these effects are experienced, avoid such activities until the individual's ability to perform them safely is restored.

Exercise caution with Ondansetron HCl Injection in individuals with a history of cardiac conditions, particularly those involving arrhythmias, as this medication can potentially affect the heart's rhythm. Preexisting electrolyte imbalances, such as low levels of potassium or magnesium in the blood, can increase the risk of such cardiac effects.

As Ondansetron is predominantly metabolized in the liver, having impaired liver function could lead to increased drug levels and heightened risk of side effects.

In all cases, a thorough evaluation of the patient's medical history and current health status is essential before administering this drug.

References

A comparison of ondansetron with metoclopramide in the prophylaxis of chemotherapy-induced nausea and vomiting: A randomized, double-blind study

This study compared the efficacy of ondansetron and metoclopramide in preventing nausea and vomiting induced by cyclophosphamide ≥ 500mg/m² in combination with doxorubicin ≥ 40mg/m² or epirubicin ≥ 40mg/m².

Among patients treated with ondansetron, 65% (26 out of 40) experienced complete protection against nausea and vomiting within 24 hours following chemotherapy, while 41% (17 out of 42) treated with metoclopramide.

Severe nausea occurred in 3% of patients receiving ondansetron, compared to 31% in the metoclopramide group.

Analysis of the most severe day for emesis and nausea control on days 2 and 3 post-chemotherapy further indicated the superior efficacy of ondansetron over metoclopramide. Both treatments were well tolerated.

In conclusion, ondansetron has a superior anti-emetic efficacy to metoclopramide in this cytostatic therapy regimen.

*Regulatory compliance may vary according to production standard, import requirements and/or manufacturing origin.
Dolores Carrillo Profile
Medically reviewed by Dolores Carrillo, Pharm.D., MDB
October 14, 2024

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