ONDANSETRON HYDROCHLORIDE

65/100 · Elevated

Manufactured by Aurobindo Pharma Limited

Moderate Safety Concerns with Ondansetron Hydrochloride

246,806 FDA adverse event reports analyzed

Last updated: 2026-05-12

About ONDANSETRON HYDROCHLORIDE

ONDANSETRON HYDROCHLORIDE is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Aurobindo Pharma Limited. Based on analysis of 246,806 FDA adverse event reports, ONDANSETRON HYDROCHLORIDE has a safety score of 65 out of 100. This moderate score indicates a notable volume of adverse event reports that patients and providers should be aware of. The most commonly reported adverse reactions for ONDANSETRON HYDROCHLORIDE include NAUSEA, FATIGUE, DIARRHOEA, VOMITING, OFF LABEL USE. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for ONDANSETRON HYDROCHLORIDE.

AI Safety Analysis

Ondansetron Hydrochloride has a safety concern score of 65 out of 100, placing it in the elevated concern category based on analysis of FDA adverse event data. The FDA has received approximately 246,806 adverse event reports for this medication, which is primarily manufactured by Aurobindo Pharma Limited.

The most commonly reported adverse events include Nausea, Fatigue, Diarrhoea. Of classified reports, 80.0% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. Nausea, fatigue, and diarrhea are the most common adverse reactions.

Serious reactions such as death, pneumonia, and renal failure are reported. Drug interactions and ineffective drug performance are notable concerns.

Patients taking Ondansetron Hydrochloride should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Onondansetron hydrochloride can interact with other drugs, leading to adverse effects. Warnings include drug ineffectiveness and potential for serious reactions. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 65/100

Ondansetron Hydrochloride received a safety concern score of 65/100 (elevated concern). This is based on a 80.0% serious event ratio across 114,971 classified reports. The score accounts for 246,806 total adverse event reports and 100 distinct reaction types. This elevated score indicates a notable proportion of serious adverse events and warrants careful monitoring.

Top Adverse Reactions

NAUSEA13,443 reports
FATIGUE9,377 reports
DIARRHOEA8,859 reports
VOMITING8,285 reports
OFF LABEL USE7,373 reports
DYSPNOEA5,566 reports
PYREXIA5,366 reports
DEATH5,330 reports
HEADACHE5,225 reports
PAIN5,179 reports
FEBRILE NEUTROPENIA4,664 reports
CONSTIPATION4,447 reports
ASTHENIA4,259 reports
DRUG INEFFECTIVE4,242 reports
PNEUMONIA3,950 reports
DECREASED APPETITE3,827 reports
RASH3,628 reports
ACUTE KIDNEY INJURY3,573 reports
ABDOMINAL PAIN3,519 reports
DIZZINESS3,493 reports
MALAISE3,325 reports
WEIGHT DECREASED3,146 reports
ANAEMIA3,026 reports
COUGH2,887 reports
HYPOTENSION2,801 reports
ANXIETY2,728 reports
BACK PAIN2,675 reports
THROMBOCYTOPENIA2,617 reports
NEUTROPENIA2,612 reports
DEHYDRATION2,600 reports
FALL2,527 reports
CHRONIC KIDNEY DISEASE2,415 reports
ARTHRALGIA2,414 reports
RENAL FAILURE2,289 reports
PRURITUS2,278 reports
HYPERTENSION2,265 reports
SEPSIS2,238 reports
URINARY TRACT INFECTION2,201 reports
PRODUCT USE IN UNAPPROVED INDICATION2,073 reports
PRODUCT DOSE OMISSION ISSUE2,011 reports
PAIN IN EXTREMITY1,939 reports
ABDOMINAL PAIN UPPER1,887 reports
WHITE BLOOD CELL COUNT DECREASED1,860 reports
CHEST PAIN1,857 reports
DISEASE PROGRESSION1,854 reports
CONDITION AGGRAVATED1,821 reports
ERYTHEMA1,809 reports
PLATELET COUNT DECREASED1,789 reports
ALOPECIA1,768 reports
NEUROPATHY PERIPHERAL1,749 reports
DRUG INTERACTION1,742 reports
HYPERHIDROSIS1,735 reports
CONFUSIONAL STATE1,659 reports
HYPERSENSITIVITY1,622 reports
INSOMNIA1,602 reports
DEPRESSION1,543 reports
BLOOD PRESSURE INCREASED1,526 reports
SOMNOLENCE1,523 reports
INFECTION1,509 reports
COVID 191,490 reports
MUSCLE SPASMS1,485 reports
TACHYCARDIA1,443 reports
GENERAL PHYSICAL HEALTH DETERIORATION1,416 reports
CHILLS1,414 reports
PRODUCT USE ISSUE1,377 reports
ABDOMINAL DISCOMFORT1,350 reports
HAEMOGLOBIN DECREASED1,349 reports
PERIPHERAL SWELLING1,334 reports
CARDIAC ARREST1,279 reports
INFUSION RELATED REACTION1,279 reports
TREMOR1,268 reports
HYPONATRAEMIA1,254 reports
PARAESTHESIA1,251 reports
DRUG HYPERSENSITIVITY1,240 reports
MALIGNANT NEOPLASM PROGRESSION1,236 reports
NASOPHARYNGITIS1,228 reports
ABDOMINAL DISTENSION1,219 reports
FEELING ABNORMAL1,212 reports
PULMONARY EMBOLISM1,195 reports
GAIT DISTURBANCE1,163 reports
ELECTROCARDIOGRAM QT PROLONGED1,149 reports
DYSPHAGIA1,143 reports
PLEURAL EFFUSION1,138 reports
WEIGHT INCREASED1,135 reports
MATERNAL EXPOSURE DURING PREGNANCY1,124 reports
PANCYTOPENIA1,114 reports
SINUSITIS1,106 reports
OEDEMA PERIPHERAL1,105 reports
EMOTIONAL DISTRESS1,094 reports
HYPOKALAEMIA1,094 reports
CHEST DISCOMFORT1,093 reports
MUSCULAR WEAKNESS1,073 reports
STOMATITIS1,067 reports
GASTROINTESTINAL DISORDER1,063 reports
FLUSHING1,059 reports
UPPER RESPIRATORY TRACT INFECTION1,053 reports
ILLNESS1,052 reports
HOSPITALISATION1,049 reports
MUCOSAL INFLAMMATION1,044 reports
HYPOAESTHESIA1,042 reports

Key Safety Signals

  • High frequency of serious reactions (80%)
  • Diverse range of reactions including neurological, gastrointestinal, and respiratory issues
  • Significant number of reports involving death and severe infections

Patient Demographics

Adverse event reports by sex: Female: 64,665, Male: 40,571, Unknown: 131. The most frequently reported age groups are age 66 (2,241 reports), age 65 (2,203 reports), age 69 (2,096 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 114,971 classified reports for ONDANSETRON HYDROCHLORIDE:

  • Serious: 92,005 reports (80.0%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 22,966 reports (20.0%)
Serious 80.0%Non-Serious 20.0%

The FDA classifies an adverse event as “serious” if it results in death, hospitalization, disability, congenital anomaly, or requires intervention to prevent permanent damage.

Demographics Breakdown

Reports by Sex

Female64,665 (61.4%)
Male40,571 (38.5%)
Unknown131 (0.1%)

Reports by Age

Age 662,241 reports
Age 652,203 reports
Age 692,096 reports
Age 672,091 reports
Age 612,051 reports
Age 682,045 reports
Age 622,032 reports
Age 642,014 reports
Age 632,005 reports
Age 701,973 reports
Age 721,945 reports
Age 711,923 reports
Age 601,873 reports
Age 591,847 reports
Age 571,786 reports
Age 581,758 reports
Age 731,736 reports
Age 741,731 reports
Age 751,591 reports
Age 561,563 reports

Demographics reflect voluntary FDA adverse event reporting patterns and may not represent the full patient population.

Drug Interactions & Warnings

Onondansetron hydrochloride can interact with other drugs, leading to adverse effects. Warnings include drug ineffectiveness and potential for serious reactions.

What You Should Know

If you are taking Ondansetron Hydrochloride, here are important things to know. The most commonly reported side effects include nausea, fatigue, diarrhoea, vomiting, off label use. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Monitor for signs of serious reactions such as respiratory issues, renal failure, and infections. Be aware of potential drug interactions and inform your healthcare provider of all medications you are taking. If you experience a serious adverse reaction, seek emergency medical attention immediately or call 911. You can report side effects to the FDA's MedWatch program at 1-800-FDA-1088.

Regulatory Context

The FDA closely monitors onondansetron hydrochloride due to its high rate of serious adverse events. Patients should report any unusual symptoms to their healthcare provider.

Frequently Asked Questions

How many adverse event reports has the FDA received for Ondansetron Hydrochloride?

The FDA has received approximately 246,806 adverse event reports associated with Ondansetron Hydrochloride. These reports come from healthcare professionals, consumers, and manufacturers through the FDA Adverse Event Reporting System (FAERS). Note that the number of reports does not directly indicate the frequency of side effects, as adverse events are voluntarily reported and may be underrepresented.

What are the most commonly reported side effects of Ondansetron Hydrochloride?

The most frequently reported adverse events for Ondansetron Hydrochloride include Nausea, Fatigue, Diarrhoea, Vomiting, Off Label Use. By volume, the top reported reactions are: Nausea (13,443 reports), Fatigue (9,377 reports), Diarrhoea (8,859 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Ondansetron Hydrochloride.

What percentage of Ondansetron Hydrochloride adverse event reports are serious?

Out of 114,971 classified reports, 92,005 (80.0%) were classified as serious and 22,966 as non-serious. The FDA classifies an event as "serious" if it results in death, hospitalization, disability, or other medically significant outcomes. A higher serious-event ratio warrants closer attention but does not necessarily mean the drug is unsafe.

Who reports adverse events for Ondansetron Hydrochloride (by sex)?

Adverse event reports for Ondansetron Hydrochloride break down by patient sex as follows: Female: 64,665, Male: 40,571, Unknown: 131. This distribution reflects reporting patterns rather than actual risk differences between groups. Reporting rates can be influenced by prescribing patterns, disease demographics, and reporting behavior.

What age groups report the most side effects for Ondansetron Hydrochloride?

The most frequently reported age groups for Ondansetron Hydrochloride adverse events are: age 66: 2,241 reports, age 65: 2,203 reports, age 69: 2,096 reports, age 67: 2,091 reports, age 61: 2,051 reports. Age-related reporting patterns can reflect both the demographics of the patient population and potential age-related susceptibility to certain side effects.

Who manufactures Ondansetron Hydrochloride?

The primary manufacturer associated with Ondansetron Hydrochloride adverse event reports is Aurobindo Pharma Limited. Multiple manufacturers may produce generic versions of this drug. The manufacturer listed reflects the most frequently reported brand in FDA adverse event data.

What other side effects have been reported for Ondansetron Hydrochloride?

Beyond the most common reactions, other reported adverse events for Ondansetron Hydrochloride include: Dyspnoea, Pyrexia, Death, Headache, Pain. Less common side effects can still be clinically significant. Patients should report any unusual symptoms to their healthcare provider.

How do I report a side effect from Ondansetron Hydrochloride?

You can report adverse events from Ondansetron Hydrochloride to the FDA through their MedWatch program at www.fda.gov/medwatch, by calling 1-800-FDA-1088, or by completing Form FDA 3500. Healthcare professionals, consumers, and manufacturers can all submit reports. Reporting helps the FDA monitor drug safety after approval.

What is Ondansetron Hydrochloride's safety score and what does it mean?

Ondansetron Hydrochloride has a safety concern score of 65 out of 100 (elevated concern). This score is calculated from the ratio of serious to non-serious adverse events, the diversity of reported reactions, and the overall volume of reports relative to usage. Nausea, fatigue, and diarrhea are the most common adverse reactions.

What are the key safety signals for Ondansetron Hydrochloride?

Key safety signals identified in Ondansetron Hydrochloride's adverse event data include: High frequency of serious reactions (80%). Diverse range of reactions including neurological, gastrointestinal, and respiratory issues. Significant number of reports involving death and severe infections. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Ondansetron Hydrochloride interact with other drugs?

Onondansetron hydrochloride can interact with other drugs, leading to adverse effects. Warnings include drug ineffectiveness and potential for serious reactions. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Ondansetron Hydrochloride.

What should patients know before taking Ondansetron Hydrochloride?

Monitor for signs of serious reactions such as respiratory issues, renal failure, and infections. Be aware of potential drug interactions and inform your healthcare provider of all medications you are taking.

Are Ondansetron Hydrochloride side effects well-documented?

Ondansetron Hydrochloride has 246,806 adverse event reports on file with the FDA. Serious reactions such as death, pneumonia, and renal failure are reported. The volume of reports for Ondansetron Hydrochloride reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Ondansetron Hydrochloride?

The FDA closely monitors onondansetron hydrochloride due to its high rate of serious adverse events. Patients should report any unusual symptoms to their healthcare provider. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

Drugs related to ONDANSETRON HYDROCHLORIDE based on therapeutic use, drug class, or shared indications:

PNEUMONIARENAL FAILUREINFUSION RELATED REACTION
Important Disclaimer: This content is generated by AI analysis of FDA adverse event reports and is provided for informational purposes only. It is not medical advice. Adverse event reports submitted to the FDA do not prove that a medication caused the reported side effect. Always consult your healthcare provider before starting, stopping, or changing any medication. If you experience a serious side effect, contact your doctor or call 911 immediately.