Ondansetron Fresenius Kabi

Ondansetron Fresenius Kabi is a medicine used to prevent and treat nausea and vomiting caused by cancer treatment (chemotherapy or radiotherapy) or surgery.

Form
infuusioneste, liuos
Strength
0.08 mg/ml
Active Ingredient
Ondansetron hydrochloride dihydrate
Manufacturer
Fresenius Kabi AB

How to Use

Dosage

For adults, the typical dose is 8-32 mg per day for cancer treatment, or 4 mg as a single dose for surgery. For children, your doctor will decide the right dose based on their weight or body surface area.

Method

This medicine is given as an infusion into a vein, usually by a doctor or nurse.

Important

The maximum daily dose for adults is usually 32 mg, but it can be lower (e.g., 8 mg) if you have liver problems or are over 75 years old.

Possible Side Effects

COMMON
  • Headache
  • Constipation
  • Feeling of warmth or flushing
  • Irritation or redness at the injection site
RARE
  • Chest pain, irregular heartbeat (arrhythmia that can be deadly), or slow heartbeat
  • Sudden chest pain or tightness in the chest (may be signs of reduced blood flow to the heart muscle)
  • Low blood pressure, making you feel weak or dizzy
  • Seizures
  • Unusual body movements or tremors
  • Hiccups
  • Changes in liver function tests
  • Sudden allergic reactions, including life-threatening reactions (anaphylaxis). Symptoms may include itchy rash, swelling of eyelids, face, lips, mouth, and tongue.
  • Feeling dizzy or faint
  • Blurred vision
  • Heart rhythm disorders, sometimes causing sudden loss of consciousness
  • Temporary blindness (usually resolves within 20 minutes)
  • Skin rash, e.g., red spots or bumps under the skin (hives) anywhere on the body, which can develop into large blisters.

Important Warnings

  • Do not use this medicine if you are allergic to ondansetron, similar medicines (like granisetron or dolasetron), or any other ingredients in it.
  • Do not use if you are taking apomorphine, a medicine for Parkinson's disease.
  • Tell your doctor if you have had an allergic reaction to other anti-nausea medicines.
  • Tell your doctor if you have a blocked bowel or severe constipation, as this medicine can slow down your bowel.
  • Tell your doctor if you have liver problems, as your dose may need to be adjusted.
Show 5 more warnings
  • Tell your doctor if you have recently had surgery to remove your tonsils.
  • Tell your doctor if you have heart problems, such as an irregular heartbeat, or if your ECG shows a prolonged QT interval, as this medicine can affect your heart rhythm.
  • Tell your doctor if you have problems with your blood salt levels, such as potassium, sodium, or magnesium.
  • Do not use this medicine during the first three months of pregnancy as it may slightly increase the risk of a baby being born with a cleft lip or palate.
  • Do not breastfeed while using this medicine, as ondansetron passes into breast milk.

Use in Elderly Patients

Category C

Suitable for older adults, with specific cautions. May prolong the QT interval especially with other preparations prolonging QT. Take interactions into account. (updated 20.5.2024)