Ondansetron absorption in adults: effect of dosage form, food, and antacids

J Pharm Sci. 1994 Jul;83(7):1011-3. doi: 10.1002/jps.2600830717.

Abstract

Ondansetron is a competitive serotonin 5-HT3 receptor blocker that has proved useful in the prevention of emesis due to cisplatin and other cancer chemotherapeutic agents. In a randomized, open-label, crossover study in 24 healthy male subjects, the relative bioavailability of a single 8-mg tablet was compared with that of an 8-mg solution using the two one-sided t-tests. The tablet and solution formulations were bioequivalent, as confirmed by similarities in mean Cmax (26.3 vs 27.7 ng/mL), Tmax (1.79 vs 1.70 h), and AUC (166.0 vs 167.3 ng.h/mL) values. In another randomized, open-label, crossover study in 12 healthy male subjects, the bioavailability of an 8-mg ondansetron tablet administered 5 min after a standard meal was slightly but significantly greater than in fasted subjects, as indicated by comparative mean AUC values [201.4 ng.h/mL (fed) vs 172.5 ng.h/mL (fasted)]. Coadministration of a magnesium hydroxide/aluminum hydroxide antacid did not affect the bioavailability of the ondansetron tablet.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Absorption
  • Administration, Oral
  • Adult
  • Antacids / pharmacology*
  • Biological Availability
  • Chemistry, Pharmaceutical
  • Cross-Over Studies
  • Drug Interactions
  • Fasting
  • Food
  • Humans
  • Male
  • Ondansetron / administration & dosage*
  • Ondansetron / pharmacokinetics*
  • Ondansetron / pharmacology
  • Solutions
  • Tablets

Substances

  • Antacids
  • Solutions
  • Tablets
  • Ondansetron