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Ondansetron Injection USP 8mg/4mL (2 mg/mL)
Composition:
Each 4mL ampoule contains:
- Ondansetron (as hydrochloride dihydrate) - 8 mg (2 mg/mL)
- Excipients: Sodium chloride, Citric acid monohydrate, Sodium citrate, Water for injection
Description:
Ondansetron is a selective 5-HT3 receptor antagonist that prevents nausea and vomiting caused by chemotherapy, radiation therapy, and surgery. It works by blocking serotonin in the central nervous system and gastrointestinal tract.
Indications:
Ondansetron Injection is indicated for:
- Prevention & treatment of chemotherapy-induced nausea and vomiting (CINV)
- Prevention of postoperative nausea and vomiting (PONV)
- Prevention of nausea & vomiting due to radiation therapy
Dosage & Administration:
Adults
- Chemotherapy-induced nausea & vomiting (CINV):
- High emetogenic chemotherapy: 8 mg IV over 15 minutes, 30 minutes before chemotherapy
- Moderate emetogenic chemotherapy: 8 mg IV over 15 minutes, followed by 8 mg every 8 hours for 1-2 days
- Postoperative nausea & vomiting (PONV):
- Prevention: 4 mg IV as a single dose before anesthesia
- Treatment: 4 mg IV as a single dose
Pediatrics (≥6 months old)
- CINV: 0.15 mg/kg IV every 4-8 hours (max 8 mg per dose)
- PONV: 0.1 mg/kg IV (max 4 mg per dose) before surgery
Administration:
- Slow IV injection over 2-5 minutes
- IV infusion: Dilute in 50 mL of 0.9% NaCl or 5% Dextrose and infuse over 15 minutes
Contraindications:
- Hypersensitivity to ondansetron or other 5-HT3 antagonists
- Congenital long QT syndrome
Precautions:
- QT prolongation risk: Caution in patients with cardiac disorders
- Electrolyte imbalances (hypokalemia, hypomagnesemia) may increase risk of arrhythmias
- Use with caution in liver impairment (max dose 8 mg/day in severe hepatic impairment)
- Monitor for serotonin syndrome if used with serotonergic drugs
Adverse Reactions:
- Common: Headache, dizziness, constipation, fatigue
- Serious: QT prolongation, arrhythmia, serotonin syndrome
Drug Interactions:
- Apomorphine: Increased risk of severe hypotension and loss of consciousness (contraindicated)
- Serotonergic drugs (SSRIs, SNRIs, tramadol): Increased risk of serotonin syndrome
- QT-prolonging drugs (Amiodarone, Haloperidol): Increased risk of arrhythmias
Overdose & Management:
- Symptoms: Visual disturbances, hypotension, arrhythmias
- Treatment: Symptomatic management, ECG monitoring
Storage Conditions:
- Store below 30°C
- Protect from light
- Do not freeze


