Europe — EMA
Ondansetron Kabi (Ondansetron Hydrochloride Dihydrate)
GNH USA supplies Ondansetron Kabi (Ondansetron), a 5‑HT3 receptor antagonist for chemotherapy‑induced, radiotherapy‑induced and postoperative nausea
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What is Ondansetron Hydrochloride Dihydrate?
Ondansetron, the active ingredient in Ondansetron Kabi, is a 5‑HT3 receptor antagonist presented as an injectable solution for intravenous use. It treats chemotherapy‑induced, radiotherapy‑induced and postoperative nausea and vomiting in adult patients.
GNH USA supplies Ondansetron Kabi as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, pharmacies and clinics worldwide.
What is Ondansetron Hydrochloride Dihydrate used for?
Ondansetron is used as an antiemetic to control nausea and vomiting associated with several treatment pathways.
- Chemotherapy‑induced nausea and vomiting: reduces frequency and severity of nausea and vomiting caused by cytotoxic chemotherapy. - Radiotherapy‑induced nausea and vomiting: alleviates nausea and vomiting that occur during or after radiation treatment. - Postoperative nausea and vomiting: prevents and treats nausea and vomiting following surgical procedures.
What are the side effects of Ondansetron Hydrochloride Dihydrate?
Common Side Effects: - Headache: mild to moderate intensity. - Constipation: reduced bowel movements. - Diarrhea: loose stools. - Fatigue: feeling of tiredness. - Dizziness: light‑headed sensation.
Serious or Rare Side Effects: - QT interval prolongation: cardiac rhythm disturbance. - Severe hypersensitivity: rash, itching, swelling. - Serotonin syndrome: agitation, hyperreflexia, fever. - Hepatic dysfunction: elevated liver enzymes. - Anaphylaxis: life‑threatening allergic reaction.
What precautions apply to Ondansetron Hydrochloride Dihydrate?
Before initiating therapy, consider the following precautions: - Cardiac monitoring: assess baseline ECG in patients with known QT prolongation. - Electrolyte balance: correct hypokalemia or hypomagnesemia to reduce cardiac risk. - Hepatic impairment: use with caution in patients with liver disease. - Concomitant serotonergic drugs: monitor for signs of serotonin syndrome. - Pregnancy and lactation: evaluate risk‑benefit as safety data are limited. - Store at 2‑8°C: keep refrigerated, protect from light, do not freeze or shake.
What does Ondansetron Hydrochloride Dihydrate interact with?
Ondansetron may interact with several drug classes.
Major Interactions (Avoid): - Apomorphine: may precipitate severe hypotension. - Certain antiarrhythmics (e.g., amiodarone): increase risk of QT prolongation.
Moderate Interactions (Monitor Closely): - CYP3A4 inhibitors (e.g., ketoconazole): may raise ondansetron plasma levels. - CYP2D6 substrates (e.g., tramadol): potential for altered metabolism. - Other serotonergic agents (e.g., SSRIs): monitor for serotonin syndrome.



