Ondansetron

In New Zealand, ondansetron is available as tablets (4 mg and 8 mg) and can be given as an injection in the hospital.

• The dose of ondansetron will be different for different people, depending on its use.
• If you are due to have chemotherapy or radiotherapy treatment that could cause you to feel sick, your doctor will prescribe you a dose of ondansetron an hour or so before the treatment. You may then need to continue taking ondansetron for up to 5 days.
• If you are being prescribed ondansetron because you are due to have an operation, you will be given a dose shortly before the surgery, and then prescribed a few doses to take afterwards if you need it.
• Always take your ondansetron exactly as your doctor has told you. The pharmacy label on your medicine will tell you how much to take, how often to take it, and any special instructions.

You can take ondansetron with or without food. It should start to work within 30 minutes to an hour. Ondansetron tablets are available in 2 different forms – tablets or oral disintegrating tablets (also called ODT). 

• Tablets: Swallow the tablets with a glass of water. Don't halve or crush the tablets. 
• Oral disintegrating tablets: These tablets dissolve in your mouth very quickly. Place the tablet on your tongue, allow it to dissolve or melt, then swallow.  

Here are some things to know when you're taking ondansetron. Other things may be important as well, so ask your healthcare provider what you should know about.

• Ondansetron can interact with other medicines. Tell your doctor or pharmacist about all medicines you are taking including over the counter medicines, herbal and complementary medicines or recreational drugs. 
• Tell your doctor if you are pregnant, planning to become pregnant, or breastfeeding.

Like all medicines, ondansetron can cause side effects, although not everyone gets them. Often side effects improve as your body gets used to the new medicine.

Serotonin syndrome

Serotonin syndrome is a very rare but serious side effect of ondansetron. Serotonin syndrome occurs when the level of serotonin in your brain gets too high. You are at risk of serotonin syndrome if you just started taking or increased the dose of your ondansetron. You are also at risk if you take other medicines or herbal supplements that increase serotonin levels such as triptans for migraines or St John's Wort. Symptoms can range from mild (eg, shivering and diarrhoea/runny poo) to severe (eg, muscle rigidity, fever and seizures). Milder forms of serotonin syndrome may go away within a few days of stopping the medicines that caused your symptoms. Severe serotonin syndrome needs hospital admission and can be fatal if not treated. Read more about serotonin syndrome.

Other possible side effects