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Ondansetron was patented in 1984 and approved for medical use in 1990. [12] It is on the World Health Organization's List of Essential Medicines. [13] It is available as a generic medication. [8] In 2022, it was the 61st most commonly prescribed medication in the United States, with more than 10 million prescriptions. [14] [15]
Ondansetron was approved by the U.S. Food and Drug Administration in 1991, and has since become available in several other countries, including the UK, Ireland, Australia, Canada, France and Brazil. As of 2008, ondansetron and granisetron are the only 5-HT 3 antagonists available as a generic drug in the United States. Ondansetron may be given ...
Midazolam (Versed) is given at the onset of anesthesia and has been shown in recent trials to be as effective as ondansetron, but most effective when used in combination with ondansetron. [16] Lorazepam (Ativan) is said to be very good as an adjunct treatment for nausea along with first line medications such as Compazine. [citation needed]
Medications include ondansetron, granisetron, and dolasetron. Anticholinergics can be used as a long-acting patch placed behind the patient's ear. Adverse effects include dry mouth and blurry vision. Care must be taken when handling the patch, as transfer of medication to the eye can induce pupillary dilation. Avoid use in elderly patients.
At the time of the initial approval U.S. Food and Drug Administration (FDA) reviewers found that alosetron improved symptoms in 10% to 20% of patients. [10] Shipment to pharmacies started in March, 2000. On July 17, a health professional filed a report with the FDA on the death of a 50-year-old woman who suffered mesenteric ischemia. The report ...
Ondansetron; Palonosetron; Tropisetron; Other 5-HT 3 antagonists have been considered for use in the treatment of irritable bowel syndrome: Alosetron; Cilansetron; Also, the antidepressant mirtazapine acts as a 5-HT 3 antagonist.
Women experiencing hyperemesis gravidarum often are dehydrated and lose weight despite efforts to eat. [ 34 ] [ 35 ] Similar to the onset of standard bouts of morning sickness , the nausea and vomiting with hyperemesis typically starts between 5 and 6 weeks into pregnancy.
Ondansetron has some utility, with a single dose being associated with less need for intravenous fluids, fewer hospitalizations, and decreased vomiting. [55] [66] [67] [68] Metoclopramide might also be helpful. [68] However, the use of ondansetron might possibly be linked to an increased rate of return to hospital in children. [69]
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