Ondamax 4 mg/5 ml (Oral Solution)

50 ml bottle: ৳ 40.00

Medicine Details

Title

  • Ondamax Oral Soluble Film

Categories

  • Anti-emetic drugs

Description

  • Orally dissolving film
  • Serotonin subtype 3 (5-HT3) receptor antagonist
  • Active ingredient: Ondamax base (racemic form of Ondamax)
  • Empirical formula: C18H19N3O
  • Molecular weight: 293.3
  • Designed to dissolve on the tongue within 20 seconds
  • Does not require water for dissolution or swallowing

Indications

  • Prevention of nausea and vomiting associated with emetogenic cancer chemotherapy
  • Prevention and treatment of post-operative nausea and vomiting
  • Prevention of radiotherapy-induced nausea and vomiting

Pharmacology

  • Potent, highly selective 5HT3 receptor-antagonist
  • Mode of action not fully known
  • Blocks vomiting reflex by antagonizing 5HT3 receptors
  • May act on neurons in both peripheral and central nervous system

Dosage

  • Various dosage options based on the type of nausea and vomiting
  • Different dosing guidelines for adults, pediatric patients, and geriatric patients

Administration

  • Instructions for using the Oral Soluble Film
  • Step-by-step guide for administration

Interaction

  • Metabolism by hepatic cytochrome P-450 drug-metabolizing enzymes
  • Potential interaction with drugs that induce or inhibit these enzymes

Contraindications

  • Hypersensitivity to the drug or any of its components
  • Concomitant use of apomorphine

Side Effects

  • Common: headache, constipation, diarrhea
  • Occasional: rash, sensation of flushing or warmth, hiccups, liver enzyme abnormalities
  • Rare but severe: anaphylaxis, brochospasm, tachycardia, angina, hypokalemia, shortness of breath
  • No evidence of extrapyramidal reactions

Pregnancy & Lactation

  • No evidence of carcinogenic effects in animal studies
  • No mutagenicity observed
  • Caution in use during pregnancy and lactation due to excretion in breast milk

Precautions & Warnings

  • Reported hypersensitivity reactions in some patients
  • Not a drug that stimulates gastric or intestinal peristalsis
  • Should not be used as a substitute for nasogastric suction

Use in Special Populations

  • Dosage recommendations for patients with impaired renal function
  • Dosage adjustments for patients with impaired hepatic function
  • Limited information on dosage for pediatric patients 4 years of age or younger
  • No dosage adjustment needed for patients over the age of 65

Therapeutic Class

  • Anti-emetic drugs

Storage Conditions

  • Store at temperature not exceeding 30°C
  • Keep in a dry place
  • Protect from light and moisture

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