Ondansetron for nausea and vomiting
Setofilm, Zofran
Revisado por Sid DajaniÚltima actualización por Michael Stewart, MRPharmSÚltima actualización 9 Ene 2023
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Ondansetron is an anti-sickness medicine.
It will start to work within 1-2 hours.
The most common side-effects are a headache, constipation, and feeling flushed.
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About ondansetron
Tipo de medicamento | An anti-sickness medicine (antiemetic) - a serotonin (5HT3) receptor antagonist |
Utilizado para | Prevention or treatment of nausea and vomiting associated with chemotherapy, radiotherapy or surgery |
También llamado | Setofilm®; Zofran® |
Disponible como | Tablets, orodispersible (melt in the mouth) tablets and films, oral liquid medicine, suppositories, and injection |
Ondansetron is an anti-sickness medicine, also known as an antiemetic. It is a serotonin receptor antagonist. It is prescribed to stop you from feeling sick (nauseated). It works by blocking the effect of a naturally produced chemical in your body, called serotonin. Serotonin is also referred to as 5HT3.
Chemotherapy, radiotherapy and surgery can all cause the release of an increased amount of serotonin in your body. There are tiny areas in your small intestine and brain called 5HT3 receptors. Serotonin acts on these receptors and causes you to feel sick. Ondansetron works by blocking serotonin from acting on the receptors, and this stops you from feeling sick or being sick (vomiting).
Before taking ondansetron
Some medicines are not suitable for people with certain conditions, and sometimes a medicine can only be used if extra care is taken. For these reasons, before you start taking ondansetron it is important that your doctor knows:
Si está embarazada o en periodo de lactancia.
Si tiene algún problema con el funcionamiento de su hígado.
Si le han dicho que tiene un ritmo cardiaco irregular.
Si está tomando otros medicamentos. Esto incluye cualquier medicamento que esté tomando y que pueda adquirirse sin receta, así como medicamentos a base de plantas y complementarios.
Si alguna vez ha tenido una reacción alérgica a un medicamento.
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How to take ondansetron
Before you start the treatment, read the manufacturer's printed information leaflet from inside the pack. It will give you more information about ondansetron, and it will also provide you with a full list of the side-effects which you could experience from taking it.
Take ondansetron exactly as your doctor tells you to. The way you have been told to take it will depend upon the reason why you are taking it:
If you are due to have a chemotherapy or radiotherapy treatment that could cause you to feel sick, your doctor will prescribe you a dose of ondansetron to take an hour or so before the treatment. You will then be asked to continue to take ondansetron for up to five more days - tablets and liquid medicine are usually prescribed to take twice daily (every 12 hours), whereas suppositories are inserted just once daily.
If you are being prescribed ondansetron because you are due to have surgery, you will be given a dose to take shortly before the operation.
Ondansetron can also be given by injection. If this is the treatment prescribed for you, a doctor or nurse will administer the injections to you.
If you have been prescribed a melt-in-the-mouth (orodispersible) medicine, these are designed to dissolve very quickly in your mouth when you put them on the top of your tongue. It helps to have a few sips of water before taking your medicine so that your mouth is moist:
Zofran® Melt: take out a tablet from the packaging - the tablets are quite fragile so you need to peel off the foil rather than try to push the tablet through it. Place the tablet on the top of your tongue and allow it to dissolve there for a few moments before you swallow.
Setofilm®: slowly open the sachet at the tear tag, do not use scissors to cut it. Using dry fingers, remove the film from the sachet, taking care not to damage it. Place the film on your tongue where it should dissolve in a few seconds.
How to use ondansetron suppositories
Remove the suppository from the wrapping.
You may find that inserting the suppository is easier if you squat or bend forward.
Using a finger, gently push the suppository into your back passage (rectum).
Remove your finger and then remain still for a little while to help you hold the suppository in place.
Then, wash your hands.
Aproveche al máximo su tratamiento
Ondansetron should start to work within an hour or so. If you are taking tablets or liquid medicine and you are sick (vomiting) within one hour of taking a dose, you should take the same dose again. This does not apply, however, if you are using suppositories or if you have been given an injection, as being sick will not prevent these from being absorbed by your body.
Aunque no le apetezca comer ni beber, intente beber agua a sorbos con regularidad para evitar la falta de líquidos (deshidratación). Además, en lugar de intentar hacer tres comidas principales al día, intenta comer pequeños tentempiés, sencillos pero nutritivos, cada pocas horas.
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Can ondansetron cause problems?
Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the more common ones associated with ondansetron. The best place to find a full list of the side-effects which can be associated with your medicine, is from the manufacturer's printed information leaflet supplied with the medicine. Alternatively, you can find an example of a manufacturer's information leaflet in the reference section below. Speak with your doctor or pharmacist if any of the following continue or become troublesome.
Very common ondansetron side-effects (these affect more than 1 in 10 people) | ¿Qué puedo hacer si me ocurre esto? |
Dolor de cabeza | Beba mucha agua y pida a su médico que le recete/recomiende un analgésico adecuado. |
Common ondansetron side-effects (these affect fewer than 1 in 10 people) | ¿Qué puedo hacer si me ocurre esto? |
Estreñimiento | Intente seguir una dieta equilibrada y beba varios vasos de agua al día. Informe a su médico si esto continúa |
Feeling warm or flushed | Wear light, cool clothes |
Si experimenta cualquier otro síntoma que considere que puede deberse al medicamento, consulte a su médico o farmacéutico.
How to store ondansetron
Mantenga todos los medicamentos fuera del alcance y de la vista de los niños.
Almacenar en un lugar fresco y seco, lejos del calor y la luz directos.
Información importante sobre todos los medicamentos
Información importante sobre todos los medicamentos
No tome nunca más de la dosis prescrita. Si sospecha que usted u otra persona ha tomado una sobredosis de este medicamento, acuda al servicio de urgencias de su hospital. Llévese el envase, aunque esté vacío.
Este medicamento es para usted. Nunca se lo dé a otras personas aunque su enfermedad parezca ser la misma que la suya.
Si va a someterse a una operación o a un tratamiento dental, comunique a la persona que lleve a cabo el tratamiento qué medicamentos está tomando.
Si compra algún medicamento, compruebe con un farmacéutico que es adecuado para tomarlo con sus otros medicamentos.
No guarde medicamentos caducados o que no desee. Llévelos a su farmacia local, que se encargará de eliminarlos por usted.
Si tiene cualquier duda sobre este medicamento pregunte a su farmacéutico.
Informar de los efectos secundarios de un medicamento o vacuna
Si experimenta efectos secundarios, puede notificarlos en línea a través del sitio web de la Tarjeta Amarilla.
Lecturas complementarias y referencias
- Manufacturer's PIL, Zofran® Tablets 4 mg, 8 mg; Novartis Pharmaceuticals UK Ltd The electronic Medicines Compendium. Dated April 2021.
- Manufacturer's PIL, Zofran® Melt 4 mg, 8 mgNovartis Pharmaceuticals UK Ltd, Compendio electrónico de medicamentos. Con fecha de abril de 2021.
- Manufacturer's PIL, Ondansetron 4 mg/5 ml oral solution; Transdermal Ltd, The electronic Medicines Compendium. Dated February 2022.
- Medicamentos BNF completa 89ª edición; Asociación Médica Británica y Real Sociedad Farmacéutica de Gran Bretaña, Londres.
Historia del artículo
La información de esta página ha sido redactada y revisada por médicos cualificados.
Fecha de la próxima revisión: 8 de enero de 2026
9 Ene 2023 | Última versión

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