Indications 

Zofran Injection is indicated for the prevention of nausea and vomiting linked to initial and subsequent rounds of emetogenic cancer chemotherapy, as well as for the prevention and management of post-surgical nausea and vomiting. 

As a serotonin 5-HT3 receptor antagonist, Zofran Injection works by inhibiting the activity of serotonin, a naturally occurring compound that can trigger nausea and vomiting. 

Uses and Dosage 

Zofran Injection is administered intravenously (IV) by a healthcare professional, typically before or within 2 hours after surgery. 

For the prevention of chemotherapy-induced nausea and vomiting, Zofran Injection is administered 30 minutes before chemotherapy initiation. Additional doses may be administered 4 and 8 hours after the initial dose. 

The dosage of this medication is determined by considering the patient’s weight, age, underlying medical conditions, and response to the treatment. 

If you are self-administering Zofran Injection at home, ensure you receive comprehensive guidance on preparation and usage from your healthcare provider. 

Before administering this medication, carefully examine it for any particles or changes in color and dispose of it if such issues are observed. 

Notify your doctor if there is no progress in your condition or if it worsens. 

Side Effects 

Listed below are the potential adverse effects of Zofran Injection. Promptly inform your doctor if any of these symptoms persist or worsen. 

Common Side Effects 

• Diarrhea or constipation 
• Drowsiness 
• Fever 
• Headache 

Serious Side Effects 

• Headache accompanied by chest pain, severe dizziness, fainting, or rapid and strong heartbeats 
• Blurred vision or temporary vision loss (lasting from a few minutes to several hours) 
• Severe constipation, stomach pain, or bloating 
• Feeling lightheaded with a risk of fainting 
• Minimal or no urination 
• Elevated serotonin levels in the body, manifesting as: 
  • Agitation 
  • Hallucinations 
  • Fever 
  • Rapid heart rate 
  • Heightened reflexes 
  • Nausea 
  • Vomiting 
  • Diarrhea 
  • Lack of coordination 
  • Fainting 

Contact your doctor immediately if any of the above-listed serious side effects are experienced. 

Allergic Reactions 

In rare cases, Zofran Injection may trigger a serious allergic response. Immediate medical attention must be sought if you observe any indications of an allergic reaction, such as: 

• Rash 
• Hives 
• Fever 
• Chills 
• Difficulty in breathing 
• Mouth, face, lips, tongue, or throat swelling 

This list does not encompass all potential side effects of Zofran Injection. Tell your doctor if any unlisted side effects appear. 

Cautions 

Before starting treatment with Zofran Injection, inform your doctor if you have any known allergies, particularly ondansetron or other serotonin blockers (e.g., granisetron). 

Ask your pharmacist for more details about this Zofran Injection, as it may contain inactive ingredients that may cause allergic reactions or other complications. 

To ensure Zofran Injection is safe for you, disclose to your doctor your medical background, particularly if you have:  

• Abnormal heart rhythm 
• Liver disease 
• Gastrointestinal issues (e.g., recent abdominal surgery, ileus, or swelling) 

Some products may interact with Zofran Injection, including apomorphine and tramadol. To minimize the risk of such drug interactions, inform all your healthcare providers of any current or recently started or stopped medications, including prescription and over-the-counter drugs, vitamins, and herbal supplements. 

Concurrent use of Zofran Injection and apomorphine (Apokyn) is not recommended. 

Exercise caution when operating a vehicle or engaging in activities that demand alertness and clear vision, as Zofran Injection can potentially result in blurred vision and impaired cognitive function. 

The use of Zofran Injection can lead to a heart rhythm condition known as QT prolongation. This rarely results in severe and potentially fatal symptoms like rapid or irregular heartbeat and other issues such as profound dizziness and fainting, necessitating immediate medical attention. 

Serotonin syndrome risk increases when Zofran Injection is used with drugs that raise serotonin levels, such as MDMA, St. John’s wort, and antidepressants. Starting or increasing the dose of these drugs raises the risk. 

During pregnancy, the use of Zofran Injection should only occur when deemed essential, as it can potentially harm a developing fetus. Discuss thoroughly with your healthcare provider the associated risks and benefits. 

Inform your doctor if you are breastfeeding, as the potential transfer of ondansetron into breast milk and its impact on a nursing infant’s well-being are uncertain.