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Ondansetron 8mg tablets

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Ondansetron is a highly effective anti-nausea medication commonly prescribed to prevent and treat nausea and vomiting caused by various conditions, including chemotherapy, surgery, and certain medications. It works by blocking serotonin receptors in the brain and gut, which are responsible for triggering nausea.

For patients using GLP-1 receptor agonists like Mounjaro or Wegovy, ondansetron can be particularly beneficial in managing nausea, a common side effect of these treatments. By alleviating this discomfort, ondansetron helps improve tolerance and adherence to GLP-1 therapies, ensuring patients can continue their journey towards better health outcomes. Always consult a healthcare professional for personalised advice.

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Ondansetron 8mg Tablets: Can they help with nausea from GLP-1 injections?

If you’re taking GLP-1 medications like Wegovy or Mounjaro for weight loss or type 2 diabetes, you might notice nausea as a common side effect. While this can be frustrating, there are ways to manage it—and one option your doctor might suggest is Ondansetron.

Let’s break it down into simple terms so you can understand how it works and what to do if you’re feeling sick.

What are GLP-1 medications?

GLP-1 (glucagon-like peptide-1) medications help your body control blood sugar by increasing insulin (a hormone that lowers sugar levels) and reducing another hormone called glucagon (which raises sugar levels). They’re also popular for weight loss because they help you feel full, so you eat less.

But here’s the catch: nausea is a common side effect, especially when you first start taking them or when your dose increases.

How can Ondansetron help?

Ondansetron is a medication that stops nausea and vomiting. It’s typically used for people feeling sick after chemotherapy, surgery, or radiation therapy. However, it can also be helpful for nausea caused by other medications, like GLP-1 injections.

It works by blocking signals in your brain that trigger nausea, making it easier to stick with your treatment plan and feel more comfortable.

Why do GLP-1 medications cause nausea?

The nausea happens because GLP-1 medications activate certain areas in your brain that control how your stomach feels. This can make you feel queasy, especially during the first few weeks of treatment. The good news is that your body usually gets used to the medication over time, and the nausea often goes away.

Other options for managing nausea

If Ondansetron isn’t right for you, there are other medications and strategies that can help:

Other medications

  1. Metoclopramide or Prochlorperazine: These medicines work by blocking chemicals in the brain that cause nausea. However, they might make you feel sleepy or dizzy.
  2. Domperidone: This can help with nausea and bloating.

Non-Medication tips

  1. Start Slowly: If you’re starting GLP-1 injections, your doctor might suggest increasing the dose gradually to give your body time to adjust.
  2. Change When You Take It: Taking your injection with food or at a different time of day (like with your biggest meal or before bed) can help reduce nausea.
  3. Switch Medications: If one GLP-1 medication doesn’t work for you, your doctor might try a different one with fewer side effects.
  4. Stay Hydrated: Drink plenty of water and eat smaller, more frequent meals to avoid upsetting your stomach. Stay away from greasy or spicy foods, as they can make nausea worse.

What should I do if I feel sick?

If you’re experiencing nausea while taking GLP-1 medications, don’t just tough it out—talk to your doctor. They can help you find the best way to manage your symptoms, whether that’s adjusting your dose, changing your medication, or adding something like Ondansetron to your routine.

Quick recap

  • GLP-1 medications like Wegovy and Mounjaro can cause nausea, especially at the start.
  • Ondansetron can help reduce nausea by blocking signals in your brain that make you feel sick.
  • Other options include adjusting your dose, changing when you take the medication, or trying other anti-nausea medicines.
  • Always talk to your doctor if you’re struggling with side effects—they’re there to help you feel better and stay on track with your treatment.

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Overview

Active ingredients

What is it for?

How does it work?

How do you use it?

Warnings and precautions

Side effects

Drug interactions

FAQs

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Written By
Shazlee Ahsan
BSc Pharmacy, Independent Prescriber, PgDip Endocrinology, MSc Endocrinology, PgDip Infectious Diseases

Superintendant Pharmacist, Independent Prescriber


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What are Ondansteron tablets?

Ondansetron 8mg tablets, available at Courier Pharmacy, are a type of medication called antiemetics, specifically serotonin 5-HT3 receptor antagonists [1]. These tablets are widely used to prevent and manage nausea and vomiting caused by various factors.

Ondansetron works by blocking serotonin, a chemical in the body that can trigger feelings of nausea and vomiting. This makes it particularly helpful for patients starting or increasing their dose of GLP-1 treatments, such as weight-loss injections like Mounjaro (Tirzepatide), where nausea is a common side effect during the early stages of treatment [2].

If you’re experiencing these symptoms, Ondansetron can provide effective relief and help you stay on track with your weight-loss journey.

References:

  1. Simpson, K.H. and Hicks, F.M., 1996. Clinical pharmacokinetics of ondansetron. A review. Journal of pharmacy and pharmacology48(8), pp.774-781.
  2. Courier Pharmacy (n.d.) Mounjaro side effects: what to expect and when to seek help. Available at: https://courierpharmacy.co.uk/mounjaro-side-effects-2/ (Accessed: 7 May 2025).

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What is the active ingredient in Ondansetron?

The active ingredient in these tablets is Ondansetron (as hydrochloride dihydrate. Courierpharmacy.co.uk divider

What is Ondansetron used for?

Ondansetron is a medicine that helps stop nausea (feeling sick) and vomiting (being sick). It’s often used when people feel sick after chemotherapy, radiation therapy, or surgery because these treatments can trigger the body to release a chemical called serotonin [1].

Serotonin can activate certain parts of your brain and gut, making you feel sick. Ondansetron works by blocking serotonin from attaching to specific receptors, stopping the signals that cause nausea and vomiting [2]. This makes it really helpful for people undergoing tough treatments or dealing with sickness caused by other medical conditions .

Studies have shown that Ondansetron is highly effective in reducing these symptoms, making it easier for people to recover and feel better.

Ondansetron use for nausea caused by GLP-1 agonists

Ondansetron 8mg tablets are a trusted treatment for managing nausea and vomiting, including symptoms caused by medications like GLP-1 agonists such as Mounjaro and Wegovy. GLP-1 agonists are commonly prescribed for type 2 diabetes and weight management, and include medicines such as Wegovy and Mounjaro. Although, these GLP-1 agonists are incredibly effect at causing weight loss they can also cause nausea, especially when starting treatment or increasing the dose [3]. Ondansetron works by blocking serotonin, a chemical in the body that triggers nausea, making it an effective option for easing these side effects. Originally used to prevent nausea from chemotherapy, radiation, and surgery, Ondansetron has also been found to help with medication-related nausea, providing relief and making it easier to stay on track with your treatment plan. If you’re experiencing nausea while using GLP-1 medications, speak to your healthcare provider to see if Ondansetron is right for you. Learn more about how Ondansetron can support your journey at Courier Pharmacy.

References

  1. Milne, R.J. and Heel, R.C., 1991. Ondansetron: therapeutic use as an antiemetic. Drugs41, pp.574-595.
  2. Roila, F. and Del Favero, A., 1995. Ondansetron clinical pharmacokinetics. Clinical pharmacokinetics29(2), pp.95-109.
  3. Courier Pharmacy (n.d.) Mounjaro side effects: what to expect and when to seek help. Available at: https://courierpharmacy.co.uk/mounjaro-side-effects-2/ (Accessed: 7 May 2025).
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How Ondansetron works?

Ondansetron works by blocking serotonin (5-HT3) receptors, which are found in the brain and gastrointestinal tract. Serotonin is a neurotransmitter that plays a key role in triggering nausea and vomiting, particularly during chemotherapy, surgery, or other medical treatments. By preventing serotonin from binding to these receptors, ondansetron effectively reduces the signals sent to the brain’s vomiting center, thereby alleviating these symptoms. This mechanism makes ondansetron particularly effective for managing nausea and vomiting caused by chemotherapy, radiation therapy, and post-operative recovery. Studies have consistently supported its efficacy, showing significant reductions in nausea and vomiting in patients receiving chemotherapy when treated with ondansetron [1].

Nausea and vomiting and serotonin

Nausea and vomiting are the body’s way of protecting itself from harmful substances or irritants. This process is controlled by a part of the brain called the chemoreceptor trigger zone (CTZ), which acts like a sensor for toxins [2]. The CTZ is located outside the brain’s protective barrier, meaning it can easily detect chemicals or signals in the blood that might cause harm. When the CTZ senses something harmful, it sends a message to the brain’s vomiting center, triggering nausea and vomiting to get rid of the perceived threat.

Ondansetron blocks serotinin receptors

Ondansetron works by blocking serotonin 5-HT3 receptors, which are found in both the CTZ and the gut. Serotonin is a chemical that plays a big role in triggering nausea and vomiting, especially during chemotherapy, surgery, or other stressful events for the body. By preventing serotonin from binding to its receptors, ondansetron stops the CTZ from sending signals to the vomiting center [2]. This effectively reduces the feeling of nausea and prevents vomiting, helping people feel more comfortable and stay hydrated.

References

  1. Cubeddu, L.X., Hoffmann, I.S., Fuenmayor, N.T. and Finn, A.L., 1990. Efficacy of ondansetron (GR 38032F) and the role of serotonin in cisplatin-induced nausea and vomiting. New England Journal of Medicine322(12), pp.810-816.
  2. Becker, D.E., 2010. Nausea, vomiting, and hiccups: a review of mechanisms and treatment. Anesthesia progress57(4), p.150.
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How to take Ondansetron 8mg tablets

Ondansetron 8mg tablets are a trusted solution for managing nausea and vomiting, and the usual dose is 8mg taken twice a day. Simply swallow the tablet whole with a full glass of water—don’t crush, chew, or break it, as this could affect how the medicine works in your body. You can take Ondansetron with or without food, making it convenient to fit into your daily routine. Courierpharmacy.co.uk divider

Ondansetron 8mg tablets warnings

Ondansetron is a medicine that helps prevent and treat nausea and vomiting. It’s often used for people dealing with sickness caused by treatments like chemotherapy, surgery, or even medications for weight loss like GLP-1 receptor agonists (e.g., Wegovy or Mounjaro).

While it’s super helpful, there are a few important warnings and precautions you should bear in mind before using Ondansetron.

1. Serotonin Syndrome

Ondansetron can increase serotonin in your body. Serotonin is a chemical that helps with mood and feeling good, but too much of it can cause something called serotonin syndrome. This is rare but serious. It can happen if you’re also taking other medications that boost serotonin, like antidepressants (SSRIs or SNRIs).

Symptoms to watch out for include:

  • Feeling really restless or confused
  • Seeing or hearing things that aren’t there (hallucinations)
  • A super fast heartbeat
  • Sweating a lot, shaking, or feeling really hot
  • Muscle stiffness or jerking

If you notice these, get help right away!

2. Heart Risks (QT Prolongation)

Ondansetron can sometimes mess with your heartbeat, making it irregular. This is called QT prolongation. It’s pretty rare but more likely if:

  • You have heart problems or low levels of certain minerals (like potassium or magnesium).
  • You’re taking other medicines that affect your heart.

Always tell your doctor about any health issues or medicines you’re taking before starting Ondansetron.

3. Allergic Reactions

Some people might be allergic to Ondansetron. Signs of an allergic reaction include:

  • A rash or itchy skin
  • Swelling of your face, lips, or throat
  • Trouble breathing

If this happens, stop taking it and get medical help quickly.

4. If you have liver problems

Your liver helps process Ondansetron. If your liver isn’t working well, the medicine might build up in your body, which could cause issues. If you have liver problems, your doctor might adjust your dose to keep you safe.

If you are unsure if any of these apply, speak to your GP or contact us to speak to one of our prescribers.


Quick Recap

  • Ondansetron is great for stopping nausea but comes with a few risks.
  • Watch out for serotonin syndrome, heart issues, and allergic reactions.
  • Let your doctor know about any health problems or medicines you’re taking.
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Ondansetron 8mg tablets: Side effects

Ondansetron 8mg tablets are great for helping with nausea and vomiting, but like most medicines, they can sometimes cause side effects. Don’t worry—most people don’t experience these, and even if they do, the effects are usually mild. Here’s what you should know:

Possible side effects

  1. Feeling tired (Fatigue) Some people might feel more tired than usual after taking Ondansetron. It’s like that feeling you get when you’ve stayed up too late—it’s annoying but usually goes away as your body gets used to the medication.

  2. Constipation This means it might be harder to go to the toilet, or you might not go as often. If this happens, try drinking more water, eating fibre-rich foods (like fruits and veggies), and staying active.

  3. Headaches A headache is one of the most common side effects of Ondansetron. It’s like that dull, annoying ache you get after staring at a screen for too long. Usually, it’s not too bad and can be managed with rest or over-the-counter pain relief (just check with your pharmacist first).

What should you do if you notice these side effects?

  • Most of these side effects go away on their own as your body adjusts to the medicine.
  • If any side effect becomes too annoying or doesn’t go away, talk to your doctor or pharmacist. They can help you figure out what to do next.
  • If Ondansetron makes you feel unwell in any other way, stop taking it and let your doctor or pharmacist know right away.
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Ondansetron 8mg tablets and other medicines

Ondansetron is a medicine that helps stop nausea (feeling sick) and vomiting. It’s often used when people feel sick from treatments like chemotherapy, surgery, or certain medicines. But like all medicines, it’s important to know how it works with other drugs you might be taking. Let’s break it down simply:

1. Medicines that affect Serotonin

Ondansetron can increase serotonin, a chemical in your brain that helps you feel good. But if you take it with other medicines that also boost serotonin, it could cause something serious called serotonin syndrome.

This is rare but can happen if you’re on antidepressants (like SSRIs or SNRIs), migraine medicines, or even some older antidepressants called tricyclics.

Signs to watch out for include:

  • Feeling really restless or confused
  • Fast heartbeat
  • Sweating a lot, shaking, or feeling super hot
  • Feeling sick or having diarrhoea

If you notice these contact your GP or go to the Accident and Emergency department.

2. Heart medicines (Antiarrhythmics)

Ondansetron can sometimes affect your heartbeat, especially if you take it with medicines for heart rhythm problems like amiodarone or sotalol. This could lead to an irregular heartbeat, so it’s important to let your doctor know if you’re on any heart meds.

3. Medicines metabolised by the liver enzymes cytochrome P450

Your liver helps process Ondansetron. Some medicines can mess with how fast your liver breaks it down. Ondansetron is primarily metabolised by the liver enzyme cytochrome P450 3A4 (CYP3A4). This means that if other drugs which inhibit or induce CYP3A4 can then in turn affect the metabolism of Ondansetron, potentially altering its efficacy or increasing the risk of side effects. For example:

  • Ketoconazole (used for fungal infections) can slow it down, meaning more Ondansetron stays in your body.
  • Rifampicin (used for infections) can speed it up, making Ondansetron less effective.
  • Some epilepsy medicines can also have an effect.

This is why it’s super important to tell your doctor about any medicines, supplements, or herbal remedies you’re taking. They’ll make sure everything works together safely.

How to stay safe

  • Always tell your doctor about any medicines or supplements you’re taking before starting Ondansetron.
  • Read the packaging and the Patient Information Leaflet that comes with it.
  • If you’re unsure about anything, ask your doctor or pharmacist—they’re there to help you!
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Ondansetron FAQs

1. What is Ondansetron used for?

Ondansetron is used to prevent and treat nausea and vomiting caused by things like chemotherapy, surgery, or certain medications like the weight loss injections like Wegovy and Mounjaro.

2. How does Ondansetron work?

It blocks a chemical in your brain called serotonin that triggers nausea and vomiting.

3. How do I take Ondansetron?

Ondansetron usually comes as tablets, dissolvable tablets, or liquid. Take it as your doctor or pharmacist tells you, usually before feeling sick or vomiting.

4. Are there any common side effects?

Yes, some common side effects include feeling tired, headaches, and constipation. These are usually mild and go away as your body adjusts.

5. Can I take Ondansetron with other medicines?

It depends. Ondansetron can interact with some medicines, like antidepressants or heart medications. Always let your doctor or pharmacist know about anything else you’re taking.

6. Can I drive after taking Ondansetron?

Ondansetron can make some people feel tired or dizzy. If you feel this way, it’s best to avoid driving or using machines.

7. Is Ondansetron safe for everyone?

Ondansetron is usually safe, but it may not be suitable for people with certain health conditions, like heart problems or liver issues. Always check with your doctor first.

8. How long does it take for Ondansetron to work?

Ondansetron usually starts working within 30 minutes to 1 hour after you take it.

9. Can I take Ondansetron during pregnancy?

Only take Ondansetron during pregnancy if your doctor recommends it. They’ll weigh the benefits against any risks.

10. What should I do if I miss a dose?

If you miss a dose, take it as soon as you remember. If it’s nearly time for your next dose, skip the missed one—don’t double up.

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Download patient leaflet

https://www.medicines.org.uk/emc/files/pil.5216.pdf

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Written By
Shazlee Ahsan
BSc Pharmacy, Independent Prescriber, PgDip Endocrinology, MSc Endocrinology, PgDip Infectious Diseases

Superintendant Pharmacist, Independent Prescriber


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