{"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\/nb\/product\/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> av <strong>ondansetron 4 mg \/ 8 mg<\/strong>, a selective serotonin <strong>5-HT3 receptor antagonist<\/strong>. It is the most-used antiemetic worldwide and works against the strong serotonergic emetic stimulus generated by chemotherapy, radiation, surgery, gastroenteritis, and migraine. Manufactured by Alkem under WHO-GMP standards. Onset within 30 minutes orally and 8&ndash;12 hour duration; usually given 30&ndash;60 minutes before chemo or as needed for breakthrough nausea.<\/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-sertifisert produsent<\/strong> \u2714 Diskret emballasje \u2714 Verdensomspennende frakt \u2714 <a href=\"https:\/\/medsbase.com\/nb\/reviews\/\">Verifiserte 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 dekket av v\u00e5r <a href=\"https:\/\/medsbase.com\/nb\/medsbase-re-shipment-assurance-policy\/\"><strong>Reshipment Assurance Policy<\/strong><\/a> \u2014 hvis pakken din ikke ankommer innen 20 virkedager, sender vi ny.<\/p>\n<h3>Hvorfor bestille fra MedsBase<\/h3>\n<p>V\u00e5re generiske legemidler kommer fra WHO-GMP-sertifiserte produsenter og sendes over hele verden i diskret, n\u00f8ytral emballasje \u2014 ingen legemiddelnavn p\u00e5 utsiden av pakken. Kortbetalinger h\u00e5ndteres av en regulert betalingsbehandler (kontoutskrifter viser en regulert kortbetalingsprosessor \u2014 aldri \u201cMedsBase\u201d eller noe legemiddelnavn). Krypto og SEPA bankoverf\u00f8rsel godtas ogs\u00e5. Hver ordre er dekket av v\u00e5r Reshipment Assurance Policy.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\"><strong>&#9888;&#65039; Ondansetron QT-prolongation FDA dose cap.<\/strong> A single IV dose &gt; 16 mg has been associated with QT prolongation and torsades-de-pointes. Maximum single dose is 16 mg IV (oral 24 mg single dose has a slightly different cap). Avoid in <strong>congenital long-QT<\/strong>, hypokalaemia, hypomagnesaemia, or with other QT-prolonging drugs (azithromycin, citalopram, methadone, hydroxychloroquine, amiodarone, fluoroquinolones, antipsychotics). Apomorphine is an absolute contraindication (severe hypotension).<\/div>\n<h2 class=\"wp-block-heading\">When ondansetron is the right antiemetic<\/h2>\n<p>Ondansetron is the <strong>first-line antiemetic for serotonin-driven nausea<\/strong> &mdash; chemotherapy-induced nausea and vomiting (CINV), post-operative nausea and vomiting (PONV), radiation-induced nausea, and severe gastroenteritis. It is <strong>less useful for motion sickness and vestibular nausea<\/strong> (where the dominant pathway is histaminergic and cholinergic &mdash; promethazine\/Avomine, cinnarizine, and meclozine work better) and <strong>not first-line for nausea-vomiting of pregnancy<\/strong> (NVP first-line is doxylamine + B6; ondansetron is reserved for refractory hyperemesis gravidarum after considering a small first-trimester cardiac\/cleft-palate signal in observational studies).<\/p>\n<h3 class=\"wp-block-heading\">Hvorfor bestille fra MedsBase<\/h3>\n<p>Ondem MD is supplied from a <strong>WHO-GMP-sertifisert produsent<\/strong>. Hver ordre sendes diskret over hele verden og er dekket av v\u00e5r <a href=\"https:\/\/medsbase.com\/nb\/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\">Mekanisme for virkning<\/h2>\n<p>Chemotherapy, radiation, and surgery damage gut enterochromaffin cells, which release massive amounts of <strong>serotonin (5-HT)<\/strong>. The serotonin binds 5-HT3 receptors on vagal afferents and on the chemoreceptor trigger zone (area postrema), which signal the medullary vomiting centre. Ondansetron is a highly selective antagonist at the 5-HT3 receptor &mdash; it blocks this signal at both peripheral and central sites without affecting D2, H1, muscarinic, or alpha-adrenergic receptors. That selectivity explains its clean side-effect profile: minimal sedation, no extrapyramidal reactions, no anticholinergic burden.<\/p>\n<h2 class=\"wp-block-heading\">Indikasjoner<\/h2>\n<ul>\n<li><strong>CINV:<\/strong> moderately or highly emetogenic chemotherapy (cisplatin, anthracyclines, cyclophosphamide regimens) &mdash; usually with dexamethasone &plusmn; aprepitant for highly emetogenic regimens.<\/li>\n<li><strong>Str\u00e5lingsindusert kvalme:<\/strong> total kroppsbestr\u00e5ling, h\u00f8ydosert abdominal bestr\u00e5ling.<\/li>\n<li><strong>Postoperativ kvalme og oppkast (PONV):<\/strong> single 4 mg dose at induction or end of surgery.<\/li>\n<li><strong>Severe gastroenteritis:<\/strong> dehydration risk in children\/adults.<\/li>\n<li><strong>Migraine-associated nausea:<\/strong> often with sumatriptan or other triptans.<\/li>\n<li><strong>Refractory hyperemesis gravidarum:<\/strong> after first-line doxylamine+B6 (Doxinate, Pregnidoxin NU) and metoclopramide have failed; specialist supervision recommended.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Dose<\/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;\">Indikasjon<\/th>\n<th style=\"padding:8px;text-align:left;\">Dose<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:8px;border-bottom:1px solid #ddd;\">CINV (adult)<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #ddd;\">8 mg 30 min before chemo, then 8 mg every 8&ndash;12 h for up to 5 days<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border-bottom:1px solid #ddd;\">PONV (adult)<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #ddd;\">4 mg single dose, IV at induction or oral 1 h pre-op<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;border-bottom:1px solid #ddd;\">Severe gastroenteritis (adult)<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #ddd;\">4&ndash;8 mg every 8 h as needed (max 24 mg\/day)<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border-bottom:1px solid #ddd;\">Paediatric (4&ndash;11 y, gastro)<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #ddd;\">4 mg every 8 h (8&ndash;15 kg: 2 mg; 15&ndash;30 kg: 4 mg; &gt;30 kg: 4&ndash;8 mg)<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;border-bottom:1px solid #ddd;\">Alvorlig leversvikt<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #ddd;\">Maximum 8 mg\/day (Child-Pugh C)<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border-bottom:1px solid #ddd;\">Single-dose maximum<\/td>\n<td style=\"padding:8px;\">16 mg IV; 24 mg oral &mdash; do not exceed<\/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>Vanlige (&gt; 10%):<\/strong> headache, constipation (the most clinically meaningful side effect &mdash; pre-empt with hydration and stool softener if multi-day course)<\/li>\n<li><strong>Vanlige (1\u201310%):<\/strong> mild flushing, fatigue, transient AST\/ALT rise, dizziness, hot flushes after IV<\/li>\n<li><strong>Mindre vanlige:<\/strong> bradycardia, hypotension, myalgia<\/li>\n<li><strong>Sjeldne, men alvorlige:<\/strong> QT prolongation\/torsades, serotonin syndrome (with SSRIs\/SNRIs\/triptans\/MAOIs), severe hypersensitivity, transient blindness (very rare, with rapid IV)<\/li>\n<li><strong>Mindre vanlig:<\/strong> extrapyramidal reactions (rare with ondansetron unlike older antiemetics)<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Legemiddelinteraksjoner<\/h2>\n<ul>\n<li><strong>Apomorphine:<\/strong> ABSOLUTE contraindication &mdash; severe hypotension and loss of consciousness reported.<\/li>\n<li><strong>Andre QT-forlengende legemidler<\/strong> (azithromycin, clarithromycin, citalopram, escitalopram, methadone, amiodarone, sotalol, fluoroquinolones, hydroxychloroquine, antipsychotics): avoid combination or monitor ECG.<\/li>\n<li><strong>Serotonerge legemidler<\/strong> (SSRIs, SNRIs, MAOIs, triptans, tramadol, fentanyl, linezolid, methylene blue): rare serotonin syndrome reported &mdash; counsel patients to recognise tremor\/agitation\/clonus\/hyperthermia.<\/li>\n<li><strong>Tramadol:<\/strong> ondansetron may reduce tramadol analgesic effect (5-HT3 blockade interferes with descending pain inhibition).<\/li>\n<li><strong>Sterke CYP3A4-indusere<\/strong> (rifampicin, phenytoin, carbamazepine): can lower ondansetron levels and reduce efficacy.<\/li>\n<\/ul>\n<h2 id=\"faqs\">Vanlige sp\u00f8rsm\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 is reserved for <strong>refractory hyperemesis gravidarum<\/strong> after doxylamine+B6 (Doxinate, Pregnidoxin NU), pyridoxine, and metoclopramide have failed. Some observational studies suggest a small first-trimester cardiac and cleft-palate signal; use should be discussed with a clinician.<\/p>\n<h3 class=\"wp-block-heading\">Can I take Ondem MD for motion sickness?<\/h3>\n<p>Ondansetron works on the serotonin pathway and is <strong>not effective for motion sickness<\/strong>, which is histaminergic\/cholinergic. Use promethazine (Avomine), cinnarizine, meclozine, or a hyoscine patch instead.<\/p>\n<h3 class=\"wp-block-heading\">How is Ondem MD different from metoclopramide or domperidone?<\/h3>\n<p>Metoclopramide and domperidone are <strong>D2 antagonists<\/strong> &mdash; they speed gastric emptying and treat dyspepsia\/regurgitation\/gastroparesis nausea. Ondansetron is a <strong>5-HT3 antagonist<\/strong> &mdash; better for chemo, radiation, surgery, severe gastroenteritis, and migraine nausea. Ondansetron is more expensive but cleaner (no extrapyramidal reactions, no hyperprolactinaemia).<\/p>\n<h3 class=\"wp-block-heading\">Does Ondem MD cause drowsiness?<\/h3>\n<p>No. Unlike promethazine, prochlorperazine, and metoclopramide, ondansetron does not cause sedation or confusion and is preferred for ambulatory or driving patients.<\/p>\n<h3 class=\"wp-block-heading\">What is the maximum dose?<\/h3>\n<p>Maximum single oral dose is 24 mg; maximum single IV dose is 16 mg (FDA cap). Total daily dose typically 24 mg\/day; in severe hepatic impairment cap at 8 mg\/day.<\/p>\n<h3 class=\"wp-block-heading\">Can I take it with my SSRI antidepressant?<\/h3>\n<p>Short-term combinations are usually safe but counsel patients to recognise serotonin syndrome (tremor, agitation, hyperreflexia, clonus, fever). Long-term concurrent use is generally avoided when an alternative antiemetic is available.<\/p>\n<h3 class=\"wp-block-heading\">Er forstoppelse et problem?<\/h3>\n<p>Yes &mdash; ondansetron causes constipation in up to 1 in 10 users (more on multi-day chemo courses). Maintain hydration, fibre, and a stimulant laxative (senna\/bisacodyl) prophylactically during chemo cycles.<\/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 kvalmebehandlinger<\/h3>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/nb\/ondem-injection\/\">Ondem Injection (ondansetron 2 mg\/ml IV\/IM)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nb\/granicip\/\">Granicip (granisetron &mdash; longer-acting 5-HT3)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nb\/dompewal-tablet\/\">Dompewal (domperidone &mdash; D2 antagonist for regurgitation)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nb\/stemetil-md\/\">Stemetil MD (prochlorperazine ODT &mdash; vestibular nausea)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nb\/avomine\/\">Avomine (promethazine &mdash; motion sickness)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nb\/nausea-treatment\/\"><strong>Se alle kvalmebehandlinger<\/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 Medisinsk ansvarsfraskrivelse.<\/strong> Denne siden er kun til informasjonsform\u00e5l og erstatter ikke medisinsk r\u00e5dgivning fra en kvalifisert helsepersonell. Vedvarende oppkast, blod i oppkastet, alvorlig magesmerter, tegn p\u00e5 dehydrering, mistenkte svangerskapskomplikasjoner eller kjemoterapirelaterte symptomer b\u00f8r vurderes av en lege.<\/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\/nb\/wp-json\/wp\/v2\/product\/59919","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/nb\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/nb\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/nb\/wp-json\/wp\/v2\/comments?post=59919"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/nb\/wp-json\/wp\/v2\/media\/59920"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/nb\/wp-json\/wp\/v2\/media?parent=59919"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/nb\/wp-json\/wp\/v2\/product_brand?post=59919"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/nb\/wp-json\/wp\/v2\/product_cat?post=59919"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/nb\/wp-json\/wp\/v2\/product_tag?post=59919"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}