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BNF-C
BNF for Children
Printed from: Paediatric Formulary Committee. BNF for Children. 2006. London: BMJ Publishing Group, RPS Publishing, and RCPCH Publications; 2006.

ONDANSETRON

Cautions

Hepatic impairment

reduce dose; not more than 8 mg daily in severe liver disease

Pregnancy

no information available; manufacturer advises avoid unless potential benefit outweighs risk

Breast-feeding

manufacturer advises avoid—no information available

Side-effects

constipation; headache, sensation of warmth or flushing, hiccups; occasional alterations in liver enzymes; hypersensitivity reactions reported; occasional transient visual disturbances and dizziness following intravenous administration; involuntary movements, seizures, chest pain, arrhythmias, hypotension and bradycardia also reported; suppositories may cause rectal irritation

Licensed use

oral and parenteral preparations not licensed for use in children under 2 years; suppositories not licensed for use in children

Indications and dose

Prevention and treatment of chemotherapy- and radiotherapy-induced nausea and vomiting

By slow intravenous injection or by intravenous infusion

Child 1–12 years

5 mg/m2 immediately before chemotherapy (max. single dose 8 mg), then either repeat every 8–12 hours during chemotherapy and for at least 24 hours afterwards or give by mouth

Child 12–18 years

8 mg immediately before chemotherapy, then either repeated every 8–12 hours during chemotherapy and for at least 24 hours afterwards or give by mouth

By mouth following intravenous administration

Child 1–12 years

4 mg every 8–12 hours for up to 5 days

Child 12–18 years

8 mg every 8–12 hours for up to 5 days

Treatment and prevention of postoperative nausea and vomiting

By intramuscular injection or by slow intravenous injection

Child 2–12 years

100 micrograms/kg (max. 4 mg), as a single dose before, during, or after induction of anaesthesia

Child 12–18 years

4 mg, as a single dose at induction of anaesthesia

Administration

for slow intravenous injection, give over 2–5 minutes

For intravenous infusion, dilute to a concentration of 320–640 micrograms/mL with Glucose 5% or Sodium Chloride 0.9% or Ringer's Solution; give over at least 15 minutes

Sub-sections

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