Zofran (Ondansetron)

By Lorenzo Norris, MD
Medically Reviewed by Jaime E. Anderson, PharmD, BCOP, CMQ
Last Updated: February 12, 2025

What is Zofran (Ondansetron)?

Zofran (Ondansetron)Zofran (ondansetron) is a prescription medication that helps prevent nausea and vomiting caused by chemotherapy, radiation, or surgery. It works by blocking serotonin, a natural chemical in the brain that triggers nausea. Doctors often recommend it for cancer patients and those recovering from medical procedures. This motion sickness aid is available in tablet form, making it easy to take at home or on the go.

This medication has helped millions of people feel better by reducing nausea within 30 minutes to 2 hours after taking it. Studies show it works for 80-90% of patients, improving their comfort and daily life. Many people find it especially useful for maintaining normal eating habits and hydration, which speeds up recovery. With its proven effectiveness, this upset stomach remedy allows patients to focus on healing without the discomfort of nausea.

Where to buy Zofran (Ondansetron)?

Need this anti-nausea pill? Skip the trip to the pharmacy and order it online from a trusted source. It’s fast, simple, and saves you time. Many online pharmacies offer affordable prices, secure payments, and quick shipping, so you don’t have to wait when you need it most.

  • Drug Name: Zofran
  • Active Ingredient: Ondansetron
  • Tablet Strength: 4 mg, 8 mg
  • Available Options: Bulk discounts, auto-refill, express shipping
  • Where to Buy: Canadian Online Pharmacy

Shopping online lets you compare prices, read reviews, and reorder easily. With fast shipping and reliable service, getting Zofran is simple—just order and have it delivered straight to your door.

Is Zofran available over the counter?

Zofran is not available over the counter, and you’ll need a doctor’s prescription to get it. The FDA classifies it as a prescription-only drug because it affects serotonin levels and heart function, which means it needs to be used carefully and correctly. While it’s highly effective—helping 80-90% of patients with nausea—taking it without proper medical guidance could lead to problems like dizziness or irregular heartbeat.

There’s a good reason why you can’t just grab ondansetron medication off the pharmacy shelf. A 2012 study in the New England Journal of Medicine found that higher doses (32 mg) increased heart risks, prompting the FDA to lower the maximum dose. Doctors decide the right strength for you based on your health, weight, and other medications. Without that expert guidance, the risk of complications goes up, which is why this chemo relief tablet remains a prescription-only medication.

FAQ

What is Zofran commonly used for?

This drug is commonly used to prevent nausea and vomiting caused by chemotherapy, radiation, and surgery. It helps patients feel better by blocking serotonin, a chemical that triggers nausea in the brain. Doctors often prescribe this digestion support pill for cancer patients undergoing chemotherapy or radiation therapy. It is also used after surgery to stop nausea before it starts. Many patients take it to keep food down, stay hydrated, and recover faster.

What else can it be used for?

Ondansetron is used for more than just chemotherapy and surgery-related nausea. It helps in many other situations, including:

  • Severe morning sickness – Often prescribed for pregnant women with extreme nausea (hyperemesis gravidarum).
  • Stomach viruses and food poisoning – Reduces nausea from infections and digestive issues.
  • Migraine-related nausea – Helps people with migraines feel better faster.
  • Motion sickness – Sometimes used when traditional motion sickness medications don’t work.
  • Medication side effects – Eases nausea caused by strong painkillers or other treatments.

This tablet helps people keep food down, stay hydrated, and recover faster, improving overall well-being.

Can I take this drug if I feel like throwing up?

Yes, you can take Zofran if you feel like throwing up. It works by blocking serotonin, the chemical that causes nausea, making it effective for stomach bugs, food poisoning, morning sickness, migraines, and motion sickness. Many people take it to stop nausea before vomiting starts, helping them keep food down and stay hydrated. This tablet starts working within 30 minutes to 2 hours, providing relief that can last up to 8 hours. It is available in tablet form, making it easy to take when needed.

Why does it make me feel so good?

This sickness relief tablet makes you feel good because it blocks serotonin, the chemical that triggers nausea and discomfort. When nausea stops, you feel relaxed, comfortable, and able to eat and drink without worry. This relief helps your body recover faster and improves overall well-being. Many people notice it working within 30 minutes to 2 hours, with effects lasting up to 8 hours. Feeling better quickly allows you to focus on daily activities instead of sickness.

Can ondansetron make you sleepy?

Ondansetron can make some people feel sleepy or tired, but this is not very common. Studies show that around 9-13% of users experience drowsiness or fatigue after taking it. This usually happens within 30 minutes to 2 hours and can last a few hours. Most people feel normal and alert because this anti-nausea pill mainly blocks nausea without affecting brain activity. If you feel sleepy after taking it, avoid driving or tasks that need focus until the feeling passes.

Is Zofran good for anxiety?

This medication is not a treatment for anxiety, but it may help if nausea and vomiting make you feel anxious. Since it blocks serotonin, a chemical linked to both nausea and mood, some people feel calmer after taking it. Research suggests this sickness blocker may have potential for anxiety disorders, but it is not officially approved for this use. If anxiety causes stomach issues, Zofran can help by reducing nausea, making you feel more at ease. However, it does not replace anxiety medications or therapy for managing long-term anxiety symptoms.

Does ondansetron kick in fast?

The tablet works fast, usually kicking in within 30 minutes to 2 hours, with most people feeling relief within 1 hour. Studies show it helps 80-90% of patients by blocking serotonin, the chemical that causes nausea. Its effects last up to 8 hours, providing long-lasting relief.

For best results, take it 30 minutes before chemotherapy, surgery, or travel, or 1 to 2 hours before meals if nausea is expected. It works best on an empty stomach with a full glass of water. Avoid alcohol or heavy meals, as they can slow absorption. If nausea is severe, lying down for 10-15 minutes after taking the tablet may help it work faster.

What is the generic name?

The generic name for Zofran is ondansetron, approved by the FDA in 1991 for preventing nausea and vomiting. It works by blocking serotonin, the chemical that triggers nausea in the brain.

Studies show this agent is 80-90% effective for chemotherapy, surgery, and radiation-induced nausea. It is available in 4 mg and 8 mg tablets and is just as safe and effective as brand-name nausea easing medication but usually more affordable. Many doctors and hospitals trust the generic version as a first-choice treatment for nausea relief.

What are the side effects of Zofran?

This vomiting prevention pill is safe for most people, but it can cause some side effects. Studies show that less than 20% experience mild symptoms. Below is a detailed table for your convenience:

Side Effect Frequency How to Avoid How to Get Rid of It
Headache Common (24%) Stay hydrated, take with food Use a mild pain reliever, drink water
Fatigue Common (13%) Rest well, avoid heavy activities Take short naps, avoid caffeine
Constipation Common (9%) Drink more water, eat fiber-rich foods Use stool softeners or fiber supplements
Dizziness Common (8%) Stand up slowly, avoid sudden movements Sit or lie down, breathe slowly
Diarrhea Common (6%) Eat light meals, stay hydrated Drink clear fluids, take probiotics
Allergic Reaction Rare (<1%) Check for allergies before use Stop medication and seek medical help
Heart Rhythm Changes Rare (<1%) Avoid with certain heart medications Consult a doctor, monitor heart rate
Blurred Vision Very Rare (<0.1%) Limit screen time, rest eyes Rest in a dark room, avoid bright lights
Seizures Very Rare (<0.1%) Report severe reactions to a doctor immediately Seek emergency medical attention

These side effects can vary from person to person, but most are mild and temporary. Staying hydrated, eating light meals, and resting can help reduce discomfort. Serious side effects are very rare, but if they occur, seeking medical advice is important.

What should you not mix with ondansetron?

This vomiting stopper can interact with certain medications, alcohol, and supplements, which may cause serious side effects. Some combinations increase the risk of heart problems or serotonin syndrome.

Do not mix ondansetron with:

  • SSRIs and SNRIs (e.g., Prozac, Zoloft, Effexor) – Increases serotonin syndrome risk (less than 0.1% but serious).
  • Tramadol – May raise seizure risk (about 1% of users experience this).
  • Heart medications (e.g., Amiodarone, Quinidine) – Can cause irregular heart rhythms (rare but serious).
  • Antipsychotics (e.g., Haloperidol, Chlorpromazine) – Increases risk of QT prolongation, affecting heart rhythm (<1% of cases).
  • Diuretics (water pills) – Can lead to electrolyte imbalance, worsening heart risks (affects about 5% of users).
  • Alcohol – May cause dizziness, drowsiness, and slow reaction times (common in over 10% of users).
  • St. John’s Wort – Can reduce the drug’s effectiveness (by up to 50%).

To stay safe, always check for drug interactions before taking the chemo relief tablet with other medications or supplements.

Will this tablet stop the stomach bug?

Ondansetron will not cure a stomach bug, but it can stop nausea and vomiting caused by viral infections. It helps people feel better faster by blocking serotonin, the chemical that triggers nausea.

A 2014 study in JAMA found this medication reduced vomiting in over 70% of children with stomach flu, helping them stay hydrated. The CDC recommends it for severe nausea from viral gastroenteritis but warns it does not kill the virus. For full recovery, drink fluids, rest, and eat light foods while your body fights the infection.

What are the contraindications for Zofran?

  • Allergy to ondansetron – Can cause severe allergic reactions like swelling, rash, or breathing problems (less than 1% of users).
  • Long QT syndrome – Increases risk of dangerous heart rhythm problems (affects <0.1% but can be life-threatening).
  • Severe liver disease – The liver processes the medication, and damage can lead to toxicity (affects around 5% of liver patients).
  • Taking certain heart medications – Drugs like Amiodarone or Quinidine can interact, increasing irregular heartbeat risks (rare but serious).
  • Using serotonin-affecting drugs – SSRIs, SNRIs, or tramadol can raise the risk of serotonin syndrome (reported in <0.1% of cases).

If you have any of these conditions, this anti-upset stomach may not be safe. Always check for medication interactions before using it.

Will it make you sleepy?

This nausea-reducing formula does not usually cause drowsiness, but around 9-13% of users report feeling sleepy or tired after taking it.

A study in the British Journal of Pharmacology found most people stay alert, as ondansetron mainly blocks nausea without sedating the brain. If drowsiness happens, it usually starts within 30 minutes to 2 hours and lasts a few hours. Avoid driving if you feel too tired after taking it.

Can I use Zofran in pregnancy?

This tablet is sometimes used in pregnancy to treat severe nausea (hyperemesis gravidarum), but its safety is debated. Studies show mixed results on risks.

A 2018 study in JAMA found no major birth defects in 97.7% of cases, but a small (less than 1%) risk exists. The FDA classifies ondansetron as Category B, meaning no proven harm, but not fully risk-free. Some doctors recommend it after the first trimester if other treatments fail. Always follow medical guidance before using it in pregnancy.

Does this drug help with gas and bloating?

Zofran does not directly relieve gas or bloating, but it can help if nausea and vomiting come with these symptoms. It works by blocking serotonin, the chemical that triggers nausea, making you feel less sick. However, it does not reduce gas buildup or ease stomach bloating. If bloating is the main issue, remedies like simethicone, probiotics, fiber adjustments, and hydration work better. People with digestive issues, IBS, or indigestion may need a different treatment for long-term relief.


About the Author

Dr Lorenzo Norris, MDDr. Lorenzo Norris, psychiatrist and academic leader, is Associate Professor of Psychiatry at George Washington University and Interim Senior Associate Dean for M.D. Programs. As Director of Consult Liaison Psychiatry and the GW Cancer Survivorship Center, he leads multidisciplinary care for medically ill patients, integrating psychiatry, palliative care, nutrition, and exercise science. His work emphasizes the mental health impact of serious illness and the role of relationships in patient well-being. With extensive experience in hospital-based psychiatry, he specializes in treating complex cases at the intersection of medicine and mental health.


Disclaimer: This article is for informational purposes only and should not be considered medical advice, diagnosis, or treatment. Consult a licensed healthcare provider before making any decisions about your medication, treatment, or health. If you have any medical symptoms or concerns, seek immediate medical attention.