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)
Liver disorder09.01.08.001--Not Available
Liver function test abnormal13.03.04.030--Not Available
Local reaction08.01.03.012--Not Available
Loss of consciousness17.02.04.004--Not Available
Lymphoedema01.09.01.006; 24.09.01.0010.000021%
Malaise08.01.01.003--
Migraine24.03.05.003; 17.14.02.0010.000047%Not Available
Mitral valve incompetence02.07.01.0020.000043%Not Available
Movement disorder17.01.02.010--Not Available
Muscle spasms15.05.03.004--
Muscular weakness17.05.03.005; 15.05.06.0010.000043%
Musculoskeletal pain15.03.04.007--
Myocardial infarction24.04.04.009; 02.02.02.0070.000021%
Myocardial ischaemia24.04.04.010; 02.02.02.008--Not Available
Nasal congestion22.04.04.0010.000129%
Nausea07.01.07.0010.000161%
Neck pain15.03.04.0090.000047%
Neoplasm malignant16.16.01.001--Not Available
Nephrolithiasis20.04.01.0020.000032%
Nervous system disorder17.02.10.001--Not Available
Neutropenia01.02.03.0040.000032%Not Available
Obesity14.03.02.0090.000047%
Oculogyric crisis17.01.03.002; 06.05.02.002--Not Available
Oedema peripheral14.05.06.011; 08.01.07.007; 02.05.04.0070.000021%
Opisthotonus17.01.03.005--Not Available
Otorrhoea04.03.01.0120.000054%Not Available
Ovarian cyst21.11.01.002; 16.04.03.0010.000069%Not Available
Pain08.01.08.0040.001219%
Pain in extremity15.03.04.0100.000043%
Pallor23.03.03.031; 08.01.03.032; 24.03.04.0010.000021%Not Available
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