{"id":59919,"date":"2024-02-28T06:23:55","date_gmt":"2024-02-28T06:23:55","guid":{"rendered":"https:\/\/medsname.com\/ondem-md\/"},"modified":"2026-04-30T10:23:53","modified_gmt":"2026-04-30T10:23:53","slug":"ondem-md","status":"publish","type":"product","link":"https:\/\/medsbase.com\/da\/ondem-md\/","title":{"rendered":"Ondem MD"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:0 0 24px 0;border-radius:4px;\">\n<h3 class=\"wp-block-heading\" style=\"margin:0 0 8px 0;font-size:16px;font-weight:700;\">&#9889; Quick Answer &mdash; What is Ondem MD?<\/h3>\n<p style=\"margin:0;\"><strong>Ondem MD<\/strong> er en <strong>orally disintegrating tablet (ODT\/MD)<\/strong> af <strong>ondansetron 4 mg \/ 8 mg<\/strong>, en selektiv serotonin <strong>5-HT3-receptorantagonist<\/strong>. Det er det mest anvendte antiemetikum i verden og virker mod den st\u00e6rke serotoninergiske emetiske stimulus, der opst\u00e5r ved kemoterapi, str\u00e5lebehandling, kirurgi, gastroenteritis og migr\u00e6ne. Fremstillet af Alkem under WHO-GMP-standarder. Virker inden for 30 minutter ved oral indtagelse og varer 8\u201312 timer; gives normalt 30\u201360 minutter f\u00f8r kemoterapi eller efter behov for gennembrudskvalme.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f5f6f8;border:1px solid #e1e4e8;border-radius:6px;padding:14px 18px;margin:24px 0;font-size:14px;\"><strong>Hvorfor bestille fra MedsBase:<\/strong> \u2714 <strong>WHO-GMP certificeret producent<\/strong> \u2714 Diskret forsendelse \u2714 Verdensomsp\u00e6ndende forsendelse \u2714 <a href=\"https:\/\/medsbase.com\/da\/reviews\/\">Verificerede kundeanmeldelser (1.400+ kunder)<\/a><\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Hver ordre er d\u00e6kket af vores <a href=\"https:\/\/medsbase.com\/da\/medsbase-re-shipment-assurance-policy\/\"><strong>Reshipment Assurance Policy<\/strong><\/a> \u2014 hvis din pakke ikke ankommer inden for 20 hverdage, sender vi en erstatning.<\/p>\n<h3>Hvorfor bestille fra MedsBase<\/h3>\n<p>Vores generiske medicin kommer fra WHO-GMP certificerede producenter og sendes verdensomsp\u00e6ndende i diskret, neutral emballage \u2014 ingen medicinnavn p\u00e5 pakkens ydre. Kortbetalinger h\u00e5ndteres af en reguleret processor (kontoudtogsbeskrivelser inkluderer en reguleret betalingsprocessor \u2014 aldrig \u201cMedsBase\u201d eller medicinnavn). Crypto og SEPA bankoverf\u00f8rsel accepteres ogs\u00e5. Hver ordre er d\u00e6kket af vores Reshipment Assurance Policy.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\"><strong>\u26a0\ufe0f Ondansetron QT-forl\u00e6ngelse FDA dosisbegr\u00e6nsning.<\/strong> En enkelt IV dosis &gt; 16 mg er forbundet med QT-forl\u00e6ngelse og torsades-de-pointes. Maksimal enkeltdosis er 16 mg IV (oral 24 mg enkeltdosis har en lidt anderledes begr\u00e6nsning). Undg\u00e5 ved <strong>medf\u00f8dt lang-QT<\/strong>, hypokali\u00e6mi, hypomagnesi\u00e6mi eller sammen med andre QT-forl\u00e6ngende l\u00e6gemidler (azithromycin, citalopram, methadon, hydroxychloroquin, amiodaron, fluorokinoloner, antipsykotika). Apomorfin er en absolut kontraindikation (alvorlig hypotension).<\/div>\n<h2 class=\"wp-block-heading\">N\u00e5r ondansetron er det rigtige antiemetikum<\/h2>\n<p>Ondansetron er <strong>f\u00f8rstevalgets antiemetikum ved serotonin-drevet kvalme<\/strong> \u2014 kemoterapi-induceret kvalme og opkastning (CINV), postoperativ kvalme og opkastning (PONV), str\u00e5lingsinduceret kvalme og alvorlig gastroenteritis. Det er <strong>mindre effektivt ved transportsyge og vestibular kvalme<\/strong> (hvor den dominerende pathway er histaminerg og kolinerg \u2014 promethazin\/Avomine, cinnarizin og meclozin virker bedre) og <strong>ikke f\u00f8rstevalg ved kvalme og opkastning under graviditet<\/strong> (F\u00f8rstevalg ved NVP er doxylamin + B6; ondansetron er forbeholdt refrakt\u00e6r hyperemesis gravidarum efter at have overvejet et lille signal for hjerte-\/ganespalteanomalier i f\u00f8rste trimester i observationsstudier).<\/p>\n<h3 class=\"wp-block-heading\">Hvorfor bestille fra MedsBase<\/h3>\n<p>Ondem MD is supplied from a <strong>WHO-GMP certificeret producent<\/strong>. Hver ordre sendes diskret over hele verden og er d\u00e6kket af vores <a href=\"https:\/\/medsbase.com\/da\/medsbase-re-shipment-assurance-policy\/\">Reshipment Assurance Policy<\/a> &mdash; if it does not arrive within 20 business days, we reship at no cost. Ondansetron is the global standard for serotonin-driven emesis with millions of doses delivered safely each year. Orally disintegrating tablet (ODT\/MD) formulation is convenient when active vomiting prevents reliable swallowing.<\/p>\n<h2 class=\"wp-block-heading\">Virkningsmekanisme<\/h2>\n<p>Kemoterapi, str\u00e5lebehandling og kirurgi skader tarmens enterochromaffine celler, som frigiver store m\u00e6ngder <strong>serotonin (5-HT)<\/strong>. Serotoninen binder til 5-HT3-receptorer p\u00e5 vagale afferenter og p\u00e5 det kemoreceptor-triggerede zone (area postrema), som signalerer til det medull\u00e6re opkastningscenter. Ondansetron er en h\u00f8jselektiv antagonist ved 5-HT3-receptoren \u2014 den blokerer dette signal b\u00e5de perifert og centralt uden at p\u00e5virke D2, H1, muskarinerge eller alfa-adrenerge receptorer. Den selektivitet forklarer dens rene bivirkningsprofil: minimal sedation, ingen ekstrapyramidale reaktioner, ingen antikolinerg belastning.<\/p>\n<h2 class=\"wp-block-heading\">Indikationer<\/h2>\n<ul>\n<li><strong>CINV:<\/strong> moderat eller h\u00f8jt emetogen kemoterapi (cisplatin, antracykliner, cyclophosphamid-regimer) \u2014 typisk med dexamethason \u00b1 aprepitant ved h\u00f8jt emetogene regimer.<\/li>\n<li><strong>Str\u00e5lingsinduceret kvalme:<\/strong> total kropsbestr\u00e5ling, h\u00f8jdosis abdominal bestr\u00e5ling.<\/li>\n<li><strong>Postoperativ kvalme og opkastning (PONV):<\/strong> enkeltdosis p\u00e5 4 mg ved induktion eller afslutning af kirurgi.<\/li>\n<li><strong>Alvorlig gastroenteritis:<\/strong> dehydreringsrisiko hos b\u00f8rn\/voksne.<\/li>\n<li><strong>Migr\u00e6ne-relateret kvalme:<\/strong> ofte med sumatriptan eller andre triptaner.<\/li>\n<li><strong>Refrakt\u00e6r hyperemesis gravidarum:<\/strong> n\u00e5r f\u00f8rstevalget doxylamin+B6 (Doxinate, Pregnidoxin NU) og metoclopramid har fejlet; specialistvejledning anbefales.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Dosis<\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:14px 0;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:8px;text-align:left;\">Indikation<\/th>\n<th style=\"padding:8px;text-align:left;\">Dosis<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:8px;border-bottom:1px solid #ddd;\">CINV (voksen)<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #ddd;\">8 mg 30 min f\u00f8r kemoterapi, derefter 8 mg hver 8.\u201312. time i op til 5 dage<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border-bottom:1px solid #ddd;\">PONV (voksen)<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #ddd;\">4 mg enkeltdosis, intraven\u00f8st ved induktion eller oralt 1 time f\u00f8r operation<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;border-bottom:1px solid #ddd;\">Sv\u00e6r gastroenteritis (voksen)<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #ddd;\">4\u20138 mg hver 8. time efter behov (maks. 24 mg\/dag)<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border-bottom:1px solid #ddd;\">P\u00e6diatrisk (4\u201311 \u00e5r, mave-tarm)<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #ddd;\">4 mg hver 8. time (8\u201315 kg: 2 mg; 15\u201330 kg: 4 mg; &gt;30 kg: 4\u20138 mg)<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;border-bottom:1px solid #ddd;\">Sv\u00e6r leversvigt<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #ddd;\">Maksimum 8 mg\/dag (Child-Pugh C)<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border-bottom:1px solid #ddd;\">Maksimal enkeltdosis<\/td>\n<td style=\"padding:8px;\">16 mg intraven\u00f8st; 24 mg oral \u2014 m\u00e5 ikke overskrides<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Place the ODT on a dry tongue; it dissolves in 10&ndash;30 seconds with saliva. Do not push through the foil &mdash; peel back. No water needed, useful for active vomiting.<\/p>\n<h2 class=\"wp-block-heading\">Bivirkninger<\/h2>\n<ul>\n<li><strong>Almindelige (&gt; 10%):<\/strong> hovedpine, forstoppelse (den mest klinisk relevante bivirkning \u2014 forebygg med hydrering og aff\u00f8ringsmiddel ved behandling over flere dage)<\/li>\n<li><strong>Almindelige (1\u201310%):<\/strong> let r\u00f8dmen, tr\u00e6thed, midlertidig stigning i AST\/ALT, svimmelhed, varmeanfald efter intraven\u00f8s indgivelse<\/li>\n<li><strong>Mindre almindelige:<\/strong> bradykardi, hypotension, myalgi<\/li>\n<li><strong>Sj\u00e6ldne men alvorlige:<\/strong> QT-forl\u00e6ngelse\/torsades de pointes, serotonin-syndrom (med SSRIs\/SNRIs\/triptaner\/MAO-h\u00e6mmere), sv\u00e6r overf\u00f8lsomhed, midlertidig blindhed (meget sj\u00e6ldent ved hurtig intraven\u00f8s injektion)<\/li>\n<li><strong>Mindre almindelige:<\/strong> ekstrapyramidale reaktioner (sj\u00e6ldne med ondansetron i mods\u00e6tning til \u00e6ldre antiemetika)<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">L\u00e6gemiddelinteraktioner<\/h2>\n<ul>\n<li><strong>Apomorfin:<\/strong> ABSOLUT kontraindikation \u2014 sv\u00e6r hypotension og bevidsthedstab er rapporteret.<\/li>\n<li><strong>Andre QT-forl\u00e6ngende l\u00e6gemidler<\/strong> (azithromycin, clarithromycin, citalopram, escitalopram, methadon, amiodaron, sotalol, fluorokinoloner, hydroxychloroquin, antipsykotika): undg\u00e5 kombination eller overv\u00e5g EKG.<\/li>\n<li><strong>Serotonerge l\u00e6gemidler<\/strong> (SSRI, SNRI, MAO-h\u00e6mmere, triptaner, tramadol, fentanyl, linezolid, methylenbl\u00e5t): sj\u00e6ldne tilf\u00e6lde af serotonin-syndrom rapporteret \u2014 vejled patienter i at genkende tremor\/agitration\/klonus\/hypertermi.<\/li>\n<li><strong>Tramadol:<\/strong> ondansetron kan reducere tramadols smertestillende effekt (5-HT3-blokade interfererer med den nedadg\u00e5ende smertesh\u00e6mmelse).<\/li>\n<li><strong>St\u00e6rke CYP3A4-inducerende midler<\/strong> (rifampicin, phenytoin, carbamazepin): kan reducere ondansetron-niveauer og virkningsgrad.<\/li>\n<\/ul>\n<h2 id=\"faqs\">Ofte stillede sp\u00f8rgsm\u00e5l<\/h2>\n<h3 class=\"wp-block-heading\">How quickly does Ondem MD work?<\/h3>\n<p>Ondansetron ODTs reach therapeutic plasma levels in about 30 minutes after dissolution. Onset of antiemetic effect is similar to swallowed tablets; the ODT advantage is reliability when vomiting is active.<\/p>\n<h3 class=\"wp-block-heading\">Is Ondem MD safe in pregnancy?<\/h3>\n<p>Ondansetron er forbeholdt <strong>refrakt\u00e6r hyperemesis gravidarum<\/strong> efter at doxylamin+B6 (Doxinate, Pregnidoxin NU), pyridoxin og metoclopramid har fejlet. Nogle observationsstudier antyder en lille risiko for hjerte- og ganespalteproblemer i f\u00f8rste trimester; brug b\u00f8r diskuteres med en l\u00e6ge.<\/p>\n<h3 class=\"wp-block-heading\">Can I take Ondem MD for motion sickness?<\/h3>\n<p>Ondansetron virker p\u00e5 serotoninvejen og er <strong>ikke effektiv mod transportsyge<\/strong>, som er histaminerg\/cholinerg. Brug promethazin (Avomine), cinnarizin, meclozin eller en hyoscinplaster i stedet.<\/p>\n<h3 class=\"wp-block-heading\">How is Ondem MD different from metoclopramide or domperidone?<\/h3>\n<p>Metoclopramid og domperidon er <strong>D2-antagonister<\/strong> \u2013 de fremskynder mavet\u00f8mning og behandler dyspepsi\/regurgitation\/gastroparesis-kvalme. Ondansetron er en <strong>5-HT3-antagonist<\/strong> \u2014 bedre til kemoterapi, str\u00e5lebehandling, operation, alvorlig gastroenteritis og migr\u00e6nekvalme. Ondansetron er dyrere, men renere (ingen ekstrapyramidale reaktioner, ingen hyperprolaktin\u00e6mi).<\/p>\n<h3 class=\"wp-block-heading\">Does Ondem MD cause drowsiness?<\/h3>\n<p>Nej. I mods\u00e6tning til promethazin, prochlorperazin og metoclopramid for\u00e5rsager ondansetron ikke d\u00f8sighed eller forvirring og foretr\u00e6kkes til ambulante patienter eller patienter, der skal k\u00f8re bil.<\/p>\n<h3 class=\"wp-block-heading\">Hvad er den maksimale dosis?<\/h3>\n<p>Maksimal enkeltdosis oral er 24 mg; maksimal enkeltdosis intraven\u00f8st er 16 mg (FDA-gr\u00e6nse). Samlet d\u00f8gnsdosis typisk 24 mg\/dag; ved alvorlig leversvigt maksimalt 8 mg\/dag.<\/p>\n<h3 class=\"wp-block-heading\">Kan jeg tage det sammen med mit SSRI-antidepressiv?<\/h3>\n<p>Kortvarige kombinationer er normalt sikre, men patienter b\u00f8r r\u00e5dgives om at genkende serotoninsyndrom (sk\u00e6lven, uro, hyperrefleksi, klonus, feber). Langvarig samtidig anvendning undg\u00e5s normalt, n\u00e5r der findes alternativer.<\/p>\n<h3 class=\"wp-block-heading\">Er forstoppelse et problem?<\/h3>\n<p>Ja \u2014 ondansetron for\u00e5rsager forstoppelse hos op til 1 ud af 10 brugere (hyppigere ved flerdages kemoterapi). Oprethold hydrering, fiber og brug forebyggende et stimulerende aff\u00f8ringsmiddel (senna\/bisacodyl) under kemoterapi.<\/p>\n<h3 class=\"wp-block-heading\">Can Ondem MD be used in children?<\/h3>\n<p>Yes &mdash; weight-based dosing is well established for paediatric gastroenteritis (8&ndash;15 kg = 2 mg, 15&ndash;30 kg = 4 mg, &gt;30 kg = 4&ndash;8 mg every 8 h). The ODT formulation is particularly useful for children who cannot swallow tablets.<\/p>\n<h3 class=\"wp-block-heading\">How is Ondem MD stored?<\/h3>\n<p>Store at room temperature (below 30&deg;C), protect from light and moisture, keep out of reach of children. Keep ODT blisters sealed until use; do not refrigerate.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Andre behandlinger mod kvalme<\/h3>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/da\/ondem-injection\/\">Ondem Injektion (ondansetron 2 mg\/ml IV\/IM)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/da\/granicip\/\">Granicip (granisetron \u2014 l\u00e6ngerevirkende 5-HT3)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/da\/dompewal-tablet\/\">Dompewal (domperidon \u2014 D2-antagonist til regurgitation)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/da\/stemetil-md\/\">Stemetil MD (prochlorperazine ODT \u2014 vestibular kvalme)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/da\/avomine\/\">Avomine (promethazine \u2014 transportsyge)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/da\/nausea-treatment\/\"><strong>Se alle behandlinger mod kvalme<\/strong><\/a><\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:16px 20px;margin:24px 0;border-radius:4px;\"><strong>\u2695 Medicinsk ansvarsfraskrivelse.<\/strong> Denne side er kun til informationsform\u00e5l og erstatter ikke l\u00e6gefaglig r\u00e5dgivning fra en kvalificeret sundhedsfaglig person. Vedvarende opkastning, blod i opkast, kraftig mavesmerte, tegn p\u00e5 dehydrering, mistanke om graviditetskomplikationer eller kemoterapirelaterede symptomer kr\u00e6ver vurdering af en l\u00e6ge.<\/div>","protected":false},"excerpt":{"rendered":"<p>Ondem MD (Ondansetron 4 mg \/ 8 mg orally disintegrating) \u2014 selective 5-HT3 antagonist for chemo, radiation, and PONV. Dissolves on the tongue without water.<\/p>","protected":false},"featured_media":59920,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3342,3543],"product_tag":[3613,4767],"class_list":{"0":"post-59919","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-general-health","8":"product_cat-nausea-treatment","9":"product_tag-ondansetron","10":"product_tag-ondem-md","12":"first","13":"instock","14":"shipping-taxable","15":"purchasable","16":"product-type-variable","17":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/product\/59919","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/comments?post=59919"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/media\/59920"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/media?parent=59919"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/product_brand?post=59919"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/product_cat?post=59919"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/product_tag?post=59919"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}