Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Ondansetron
Drug ID BADD_D01617
Description A competitive serotonin type 3 receptor antagonist. It is effective in the treatment of nausea and vomiting caused by cytotoxic chemotherapy drugs, including cisplatin, and has reported anxiolytic and neuroleptic properties. Having been developed in the 1980s by GlaxoSmithKline and approved by the US FDA since January 1991, ondansetron has demonstrated a long history of use and efficacy. Commonly formulated as oral tablets, orally disintegrating tablets (ODT), and injections, and available as generic products as well, ondansetron continues to see contemporary innovations in its formulation and use, including the development of orally soluble films that are both discreet in administration and less of a burden in comparison to having patients attempt to swallow pills during emesis [L5221].
Indications and Usage In the adult patient population: i) orally administered ondansetron tablets and orally disintegrating tablets (ODT) are indicated for: - the prevention of nausea and vomiting associated with emetogenic cancer chemotherapy, including high dose (ie. greater than or equal to 50 mg/m2) cisplatin therapy, and radiotherapy, and - the prevention and treatment of postoperative nausea and vomiting ii) intravenously administered ondansetron injection formulations are indicated for: - the prevention of nausea and vomiting associated with emetogenic cancer chemotherapy, including high dose (ie. greater than or equal to 50 mg/m2) cisplatin therapy, and - the prevention and treatment of postoperative nausea and vomiting In the pediatric (4-18 years of age) patient population: i) ondansetron was effective and well tolerated when given to children 4-12 years of age for the treatment of post-chemotherapy induced nausea and vomiting, ii) ondansetron tablets, ondansetron ODT, ondansetron injection are not indicated for the treatment of children 3 years of age or younger, iii) ondansetron tablets, ondansetron ODT, ondansetron injection are not indicated for use in any age group of the pediatric population for the treatment of post-radiotherapy induced nausea and vomiting, and iV) ondansetron tablets, ondansetron ODT, ondansetron injection are not indicated for use in any age group of the pediatric population for the treatment of postoperative nausea and vomiting In the geriatric (>65 years of age) patient population: i) efficacy and tolerance of ondansetron were similar to that observed in younger adults for the treatment of post-chemotherapy and radiotherapy-induced nausea and vomiting, and ii) clinical experience in the use of ondansetron in the prevention and treatment of postoperative nausea and vomiting is limited and is not indicated for use in the geriatric patient population
Marketing Status approved
ATC Code A04AA01
DrugBank ID DB00904
KEGG ID D00456
MeSH ID D017294
PubChem ID 4595
TTD Drug ID D0K7WK
NDC Product Code 82982-061; 16714-160; 45865-105; 50090-1201; 62135-350; 0404-9930; 68083-113; 68462-158; 70934-809; 71335-0657; 71930-017; 82982-059; 52482-019; 43063-273; 43063-870; 51655-913; 53002-0570; 54348-819; 57237-077; 60760-277; 60760-306; 60760-567; 63187-199; 63187-483; 63187-670; 63304-458; 68071-2763; 68083-114; 0409-4759; 71335-0650; 71335-9726; 76420-056; 83008-026; 51846-1033; 63850-2706; 23155-547; 23155-548; 50090-1200; 50090-5346; 51662-1245; 51662-1539; 55154-2876; 60760-305; 61919-087; 63187-379; 63629-4014; 65862-390; 68071-3268; 68462-157; 68788-7565; 68788-7644; 68788-9559; 70934-294; 71335-0132; 71335-1731; 71872-7068; 55700-952; 57237-078; 60687-252; 60760-313; 61919-545; 61919-565; 62756-356; 63187-236; 63187-693; 63629-4306; 0378-7732; 68071-2865; 68071-2909; 68071-5230; 69339-172; 72266-124; 72572-520; 0641-6078; 0641-6079; 0641-6080; 55111-050; 50090-1660; 53002-0582; 55154-2877; 60505-6130; 60760-654; 67296-1137; 67296-1294; 68071-2584; 68071-2652; 68071-4115; 0409-4755; 70518-1551; 71872-7107; 76420-251; 16729-297; 16729-298; 23155-550; 43063-770; 0143-9890; 51655-809; 51662-1246; 51662-1514; 53002-0590; 55700-672; 60687-636; 61919-986; 62135-122; 63187-266; 63304-459; 63629-5083; 63739-333; 0378-0374; 65862-391; 67296-1550; 68071-2901; 68462-106; 70518-3512; 70518-3716; 71872-7140; 80425-0227; 65129-2118; 16714-159; 16714-200; 51662-1377; 51662-1469; 60687-647; 62135-121; 63187-526; 76420-217; 80425-0228; 57451-1191; 66651-904; 45963-538; 50090-4632; 52584-069; 53002-0580; 0378-0315; 0378-0344; 0378-7734; 68001-246; 68001-247; 68071-2284; 69339-171; 70518-0829; 71205-713; 71335-0496; 71872-7162; 72266-123; 80425-0222; 23155-549; 43063-857; 45865-563; 51655-699; 51662-1366; 63187-065; 63629-7951; 67184-0507; 68071-2718; 68071-4834; 68071-4881; 68462-105; 70518-3075; 71335-1071; 71930-018; 0904-7073; 16714-201; 0143-9891; 45963-539; 50090-1658; 51655-008; 62135-351; 62756-240; 63187-002; 63187-256; 65162-691; 68071-1730; 68071-2969; 70518-0235; 70934-634; 71335-1314; 80425-0073; 35356-197; 50090-2343; 50090-4935; 51655-196; 53002-0591; 55154-3680; 55154-4567
UNII 4AF302ESOS
Synonyms Ondansetron | Ondansetron, (+,-)-Isomer | 4H-Carbazol-4-one, 1,2,3,9-tetrahydro-9-methyl-3-((2-methyl-1H-imidazol-1-yl)methyl)- | Ondansetron Hydrochloride | Hydrochloride, Ondansetron | Ondansetron Monohydrochloride | Monohydrochloride, Ondansetron | Ondansetron Monohydrochloride Dihydrate | Dihydrate, Ondansetron Monohydrochloride | Monohydrochloride Dihydrate, Ondansetron | GR38032F | GR-38032F | GR 38032F | Ondansetron, (S)-Isomer | SN-307 | SN 307 | SN307 | Zofran | Ondansetron, (R)-Isomer
Chemical Information
Molecular Formula C18H19N3O
CAS Registry Number 99614-02-5
SMILES CC1=NC=CN1CC2CCC3=C(C2=O)C4=CC=CC=C4N3C
Chemical Structure
ADRs Induced by Drug
*The priority for ADR severity classification is based on FAERS assessment, followed by the most severe level in CTCAE rating. If neither is available, it will be displayed as 'Not available'.
**The 'Not Available' level is hidden by default and can be restored by clicking on the legend twice..
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Neonatal tachypnoea22.11.01.003; 18.04.09.0030.000086%Not Available
Cognitive disorder19.21.02.001; 17.03.03.0030.000021%
Lymphocyte transformation test positive13.01.06.029--Not Available
Toxic skin eruption23.03.05.003; 10.01.01.008; 12.03.01.073--Not Available
Angiopathy24.03.02.007--Not Available
Cardiac disorder02.11.01.003--Not Available
Electrocardiogram change13.14.05.014--Not Available
Feeding disorder19.09.01.003; 14.03.02.0030.000064%Not Available
Gastrointestinal motility disorder07.02.03.0010.000021%Not Available
Malnutrition14.03.02.0040.000021%Not Available
Mediastinal disorder22.09.03.001--Not Available
Decreased appetite14.03.01.005; 08.01.09.0280.000129%
Eustachian tube disorder04.05.02.0020.000021%Not Available
Psychiatric symptom19.01.02.001--Not Available
Respiratory disorder neonatal18.04.09.002; 22.11.01.0020.000021%Not Available
Ill-defined disorder08.01.03.049--Not Available
Food intolerance14.02.01.0050.000032%Not Available
Hepatobiliary disease09.01.08.003--Not Available
Hyperlipidaemia14.08.03.0010.000032%
Large intestinal obstruction07.13.03.0030.000021%
Sinus disorder22.04.06.0020.000021%
Hepatic enzyme abnormal13.03.04.026--Not Available
Autism spectrum disorder17.03.05.003; 19.22.02.0020.000021%Not Available
Procedural pain12.02.05.007; 08.01.08.009--Not Available
Ventricular tachyarrhythmia02.03.04.0120.000075%Not Available
Bronchial hyperreactivity22.03.01.0160.000021%Not Available
Procedural nausea12.02.03.003; 07.01.07.005--Not Available
Anorectal discomfort07.03.03.003--Not Available
Oropharyngeal pain22.12.03.016; 07.05.05.0040.000144%
Acute kidney injury20.01.03.0160.000021%
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