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Medically Approved

How long does ondansetron (Zofran) last?

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How long does it last?Side effectsHow quickly does it work?What affects if efficacy?AlternativesSummary
Doctors often prescribe Zofran to help treat nausea and vomiting caused by cancer treatment or surgery. How long its effects last can vary. However, the standard oral tablet may last up to 6 hours.
Medically reviewed by Alisha D. Sellers, BS Pharmacy, PharmD
Written by Rashida Ruwa, RN
Updated on

Medical professionals commonly prescribe Zofran, also known by its generic name ondansetron, to prevent nausea and vomiting due to surgery, chemotherapy, or radiation treatment.

The dosages of Zofran can vary depending on the specific condition it is treating as well as your individual needs. Common adult dosages typically range from 8–16 milligrams, which you may take as a single-dose oral tablet or divide into smaller doses throughout the day.

How long will Zofran’s therapeutic effects last?

Close up of someone's hands holding a pill bottle with a small pill emptied into one hand as they may be wondering how long does Zofran last
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The therapeutic effects of ondansetron (Zofran) can last up to 6 hours when you take it in oral tablet form. However, the timing may vary depending on:

  • your metabolism
  • formulation type
  • your overall health
  • any other medications you may be taking   

Different forms of ondansetron (Zofran), such as oral dissolving tablets or oral solutions, may have different onsets and durations of action. To help get the best symptom relief, follow the dosage and timings provided by a healthcare professional.

However, If you continue to experience symptoms after taking ondansetron (Zofran), consider speaking with a healthcare team for further assessment and possible changes to your treatment plan. 

Side effects of Zofran

Like any medication, ondansetron (Zofran) may cause side effects in some people. These may include:

  • Headaches: There are common reports of headaches as a side effect. They occur within a few hours of taking the medication and may last for a short time.
  • Constipation: This is usually temporary, and you can help manage it with dietary changes, drinking more water, and gentle exercise.
  • Fatigue: Some people may experience feelings of tiredness or fatigue. These symptoms are generally mild and temporary.
  • Dizziness: Ondanestron (Zofran) can cause dizziness, so it’s important to be aware of this when performing activities like driving or operating machinery.
  • Diarrhea: Although less common, ondansetron (Zofran) may cause diarrhea. This side effect is generally mild and short-lived, resolving on its own.
  • Flushing or warmth: Some people may experience a warm, flushed sensation while taking ondansetron (Zofran). This is temporary and usually subsides quickly.

Not everyone taking Zofran will experience these side effects, and the severity can vary from person to person.

If you experience persistent or severe side effects, like allergic reactions, irregular heartbeat, or any other concerning symptoms, seek immediate medical attention.

How quickly does Zofran work?

The standard tablet formulation of ondansetron (Zofran) typically reaches its peak effectiveness within 1.5 hours.

However, individual responses may vary — you may experience relief from nausea and vomiting sooner or later than this estimated timeframe.

If you have intense symptoms and need more immediate relief or have difficulty swallowing tablets, ondansetron (Zofran) is also available as an oral dissolvable tablet.

These tablets dissolve quickly and are absorbed through the membranes in the mouth, getting to work sooner.

The ondansetron (Zofran) oral dissolving tablet can relieve nausea and vomiting 30 minutes after taking it.

Which factors affect Zofran’s effectiveness?

Several things can affect how well ondansetron (Zofran) manages nausea and vomiting, including:

  • Timing: Taking the medication too early or late with the onset of nausea or vomiting may lessen its benefits.
  • Individual factors: Everyone is different, and how you respond to the medication can be unique, meaning that some people may experience greater effects than others.
  • Dosing: Taking too little or too much may not provide effective symptom relief. It’s important to follow the dosing instructions provided by a doctor or healthcare professional.
  • Other medications: Some medications may negatively interact with ondansetron (Zorfan). For example, doctors may use apomorphine to treat the movement effects of Parkinson’s disease, but apomorphine may lead to very low blood pressure (hypotension) and, in some cases, loss of consciousness when used with ondansetron (Zofran).
  • Underlying medical conditions: Specific medical conditions may affect how the drug works, including:
    • liver disease
    • long QT syndrome, which affects the electrical signals of the heart
    • phenylketonuria, a hereditary condition affecting the brain and nerves

Other medications for nausea and vomiting

Various medications — both over the counter (OTC) and prescription — can help with nausea and vomiting.

OTC medications

Common OTC medications include:

  • Bismuth subsalicylate (Pepto Bismol): This can help alleviate symptoms of nausea, heartburn, upset stomach, and indigestion.
  • Dimenhydrinate (Dramamine): Dimenhydrinate (Dramamine) can help prevent and treat motion sickness and nausea.
  • Meclizine (Bonine): Meclizine (Bonine) is another common medication to prevent and treat motion sickness and dizziness. 
  • Promethazine (Phenergan): Promethazine (Phenergan) can help manage various conditions, including allergies, motion sickness, and nausea and vomiting.

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Prescription medications

Healthcare professionals often prescribe:

Summary

Ondansetron (Zofran) can help treat nausea and vomiting caused by cancer treatment, surgery, radiation therapy, and some other medications.

A standard tablet lasts up to 6 hours, but this can vary.

Several things can affect its effectiveness, including timings, dosing, underlying medical conditions, and lifestyle factors.

Download the free Optum Perks Discount Card to save up to 80% on some prescription medications.

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