Drug Cards

Ondasetron

Zofran
Class:
Antiemetic.
Mechanism of Action:
Selective 5-HT receptor antagonist, blocking serotonin, both peripherally on vagal nerve terminals and centrally in the CNS chemoreceptor trigger zone.
Indications:
Treatment or prevention of nausea and vomiting.
Contraindications:
Hypersensitivity to Ondasetron, other selective 5-HT3 antagonists, or any component of the formulation.
Adverse reactions:
Headache, drowsiness, pruritus, prolonged QT, acute dystonic reactions.
Adult Dosage and Administration
4-8 mg IV or PO
🧸
Pediatric Dosage and Administration:
  • <30 kg: 1 mg IV.
  • >30 kg: 2 mg IV.
Duration of Action
  • Onset: ~30 minutes.
  • Half-life elimination:
    • Children <5 years: 2-3 hours.
    • Adults: 3-6 hours.
Special Considerations:
Pregnancy safety: Category B.