ONDANSETRON TABLETS

65/100 · Elevated

Manufactured by Natco Pharma Limited

Moderate Safety Concerns with Ondansetron Tablets

215,481 FDA adverse event reports analyzed

Last updated: 2026-05-12

About ONDANSETRON TABLETS

ONDANSETRON TABLETS is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Natco Pharma Limited. Based on analysis of 215,481 FDA adverse event reports, ONDANSETRON TABLETS 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 TABLETS 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 TABLETS.

AI Safety Analysis

Ondansetron Tablets 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 215,481 adverse event reports for this medication, which is primarily manufactured by Natco Pharma Limited.

The most commonly reported adverse events include Nausea, Fatigue, Diarrhoea. Of classified reports, 81.0% 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 adverse events, including death and pneumonia, are reported. Drug interactions and decreased white blood cell count are significant concerns.

Patients taking Ondansetron Tablets should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Ondansetron can interact with other drugs, and patients should be monitored for decreased white blood cell count and thrombocytopenia. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 65/100

Ondansetron Tablets received a safety concern score of 65/100 (elevated concern). This is based on a 81.0% serious event ratio across 103,297 classified reports. The score accounts for 215,481 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

NAUSEA11,557 reports
FATIGUE8,199 reports
DIARRHOEA7,791 reports
VOMITING7,326 reports
OFF LABEL USE6,386 reports
DEATH4,873 reports
PYREXIA4,788 reports
DYSPNOEA4,707 reports
FEBRILE NEUTROPENIA4,495 reports
PAIN4,367 reports
HEADACHE4,223 reports
CONSTIPATION3,885 reports
ASTHENIA3,663 reports
DRUG INEFFECTIVE3,594 reports
PNEUMONIA3,446 reports
DECREASED APPETITE3,372 reports
ACUTE KIDNEY INJURY3,369 reports
RASH3,213 reports
ABDOMINAL PAIN3,138 reports
DIZZINESS2,929 reports
MALAISE2,860 reports
ANAEMIA2,714 reports
WEIGHT DECREASED2,664 reports
HYPOTENSION2,447 reports
NEUTROPENIA2,403 reports
THROMBOCYTOPENIA2,373 reports
DEHYDRATION2,336 reports
CHRONIC KIDNEY DISEASE2,322 reports
COUGH2,313 reports
ANXIETY2,307 reports
BACK PAIN2,306 reports
FALL2,159 reports
RENAL FAILURE2,129 reports
ARTHRALGIA2,074 reports
SEPSIS2,040 reports
HYPERTENSION1,965 reports
PRURITUS1,936 reports
URINARY TRACT INFECTION1,918 reports
DISEASE PROGRESSION1,741 reports
PRODUCT USE IN UNAPPROVED INDICATION1,673 reports
DRUG INTERACTION1,644 reports
WHITE BLOOD CELL COUNT DECREASED1,633 reports
CONDITION AGGRAVATED1,614 reports
PAIN IN EXTREMITY1,613 reports
CHEST PAIN1,603 reports
ALOPECIA1,598 reports
ABDOMINAL PAIN UPPER1,596 reports
NEUROPATHY PERIPHERAL1,592 reports
ERYTHEMA1,579 reports
PLATELET COUNT DECREASED1,567 reports
PRODUCT DOSE OMISSION ISSUE1,486 reports
CONFUSIONAL STATE1,470 reports
HYPERSENSITIVITY1,431 reports
DEPRESSION1,382 reports
INSOMNIA1,363 reports
HYPERHIDROSIS1,362 reports
SOMNOLENCE1,340 reports
TACHYCARDIA1,324 reports
BLOOD PRESSURE INCREASED1,306 reports
GENERAL PHYSICAL HEALTH DETERIORATION1,296 reports
MUSCLE SPASMS1,291 reports
CHILLS1,285 reports
INFECTION1,277 reports
HAEMOGLOBIN DECREASED1,239 reports
COVID 191,195 reports
CARDIAC ARREST1,170 reports
HYPONATRAEMIA1,160 reports
MALIGNANT NEOPLASM PROGRESSION1,126 reports
INFUSION RELATED REACTION1,120 reports
TREMOR1,118 reports
PERIPHERAL SWELLING1,108 reports
ABDOMINAL DISCOMFORT1,101 reports
PRODUCT USE ISSUE1,101 reports
PARAESTHESIA1,094 reports
PULMONARY EMBOLISM1,091 reports
ELECTROCARDIOGRAM QT PROLONGED1,078 reports
GAIT DISTURBANCE1,053 reports
ABDOMINAL DISTENSION1,048 reports
PANCYTOPENIA1,037 reports
DRUG HYPERSENSITIVITY1,031 reports
DYSPHAGIA1,019 reports
PLEURAL EFFUSION1,008 reports
HYPOKALAEMIA1,005 reports
MUCOSAL INFLAMMATION995 reports
FEELING ABNORMAL993 reports
STOMATITIS979 reports
MATERNAL EXPOSURE DURING PREGNANCY964 reports
NASOPHARYNGITIS957 reports
ATRIAL FIBRILLATION940 reports
SEIZURE939 reports
OEDEMA PERIPHERAL938 reports
MUSCULAR WEAKNESS937 reports
WEIGHT INCREASED935 reports
EMOTIONAL DISTRESS929 reports
HYPOAESTHESIA927 reports
HYPOXIA923 reports
CHEST DISCOMFORT910 reports
FLUSHING889 reports
SEROTONIN SYNDROME887 reports
HOSPITALISATION884 reports

Key Safety Signals

  • Death is a serious adverse event reported in 2.2% of cases.
  • Pneumonia and other respiratory issues are notable.
  • Decreased white blood cell count and thrombocytopenia are key safety signals.

Patient Demographics

Adverse event reports by sex: Female: 57,269, Male: 37,165, Unknown: 118. The most frequently reported age groups are age 66 (2,041 reports), age 65 (1,988 reports), age 69 (1,946 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 103,297 classified reports for ONDANSETRON TABLETS:

  • Serious: 83,720 reports (81.0%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 19,577 reports (19.0%)
Serious 81.0%Non-Serious 19.0%

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

Female57,269 (60.6%)
Male37,165 (39.3%)
Unknown118 (0.1%)

Reports by Age

Age 662,041 reports
Age 651,988 reports
Age 691,946 reports
Age 671,879 reports
Age 611,865 reports
Age 621,856 reports
Age 681,845 reports
Age 641,836 reports
Age 631,824 reports
Age 701,803 reports
Age 721,765 reports
Age 711,734 reports
Age 601,713 reports
Age 591,686 reports
Age 571,617 reports
Age 741,575 reports
Age 731,566 reports
Age 581,560 reports
Age 751,465 reports
Age 561,429 reports

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

Drug Interactions & Warnings

Ondansetron can interact with other drugs, and patients should be monitored for decreased white blood cell count and thrombocytopenia.

What You Should Know

If you are taking Ondansetron Tablets, 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. Patients should report any new or worsening symptoms to their healthcare provider. Follow prescribed dosages and do not alter the medication without consulting a healthcare professional. 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 continues to monitor the safety of ondansetron and has not issued any new warnings based on this data.

Frequently Asked Questions

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

The FDA has received approximately 215,481 adverse event reports associated with Ondansetron Tablets. 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 Tablets?

The most frequently reported adverse events for Ondansetron Tablets include Nausea, Fatigue, Diarrhoea, Vomiting, Off Label Use. By volume, the top reported reactions are: Nausea (11,557 reports), Fatigue (8,199 reports), Diarrhoea (7,791 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 Tablets.

What percentage of Ondansetron Tablets adverse event reports are serious?

Out of 103,297 classified reports, 83,720 (81.0%) were classified as serious and 19,577 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 Tablets (by sex)?

Adverse event reports for Ondansetron Tablets break down by patient sex as follows: Female: 57,269, Male: 37,165, Unknown: 118. 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 Tablets?

The most frequently reported age groups for Ondansetron Tablets adverse events are: age 66: 2,041 reports, age 65: 1,988 reports, age 69: 1,946 reports, age 67: 1,879 reports, age 61: 1,865 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 Tablets?

The primary manufacturer associated with Ondansetron Tablets adverse event reports is Natco 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 Tablets?

Beyond the most common reactions, other reported adverse events for Ondansetron Tablets include: Death, Pyrexia, Dyspnoea, Febrile Neutropenia, 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 Tablets?

You can report adverse events from Ondansetron Tablets 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 Tablets's safety score and what does it mean?

Ondansetron Tablets 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 Tablets?

Key safety signals identified in Ondansetron Tablets's adverse event data include: Death is a serious adverse event reported in 2.2% of cases.. Pneumonia and other respiratory issues are notable.. Decreased white blood cell count and thrombocytopenia are key safety signals.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Ondansetron Tablets interact with other drugs?

Ondansetron can interact with other drugs, and patients should be monitored for decreased white blood cell count and thrombocytopenia. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Ondansetron Tablets.

What should patients know before taking Ondansetron Tablets?

Patients should report any new or worsening symptoms to their healthcare provider. Follow prescribed dosages and do not alter the medication without consulting a healthcare professional.

Are Ondansetron Tablets side effects well-documented?

Ondansetron Tablets has 215,481 adverse event reports on file with the FDA. Serious adverse events, including death and pneumonia, are reported. The volume of reports for Ondansetron Tablets reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Ondansetron Tablets?

The FDA continues to monitor the safety of ondansetron and has not issued any new warnings based on this data. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

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

OndansetronPemetrexedCisplatinDocetaxelPaclitaxel
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.