Sustol Side Effects

Generic name: granisetron

Medically reviewed by Drugs.com. Last updated on Feb 5, 2025.

Note: This document provides detailed information about Sustol Side Effects associated with granisetron. Some dosage forms listed on this page may not apply specifically to the brand name Sustol.

Applies to granisetron: intravenous solution.

Other dosage forms:

• transdermal patch extended release

Precautions

Check with your doctor if severe nausea and vomiting continue after leaving the hospital or cancer treatment center.

This medicine may cause serious allergic reactions, including anaphylaxis. Anaphylaxis can be life-threatening and requires immediate medical attention. Call your doctor right away if you or your child have a rash; itching; dizziness or lightheadedness; trouble breathing; trouble swallowing; or any swelling of your hands, face, or mouth after receiving this medicine.

Check with your doctor right away if you or your child start to have pain or swelling in your stomach area. These may be signs of a serious stomach or bowel problem.

This medicine can cause changes in heart rhythms, such as a condition called QT prolongation. It may change the way your heart beats and cause fainting or serious side effects in some patients. Contact your doctor right away if you or your child have any symptoms of heart rhythm problems, such as fast, pounding, or uneven heartbeats.

This medicine contains benzyl alcohol which may cause serious reactions to newborn, premature, or low-birthweight infants. Check with your doctor if you are concerned.

Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.

Common side effects of Sustol

Some side effects of granisetron may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects.

Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

Serious side effects of Sustol

Along with its needed effects, granisetron (the active ingredient contained in Sustol) may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor or nurse immediately if any of the following side effects occur while taking granisetron:

For healthcare professionals

Applies to granisetron: intravenous solution, oral solution, oral tablet, subcutaneous suspension extended release, transdermal film extended release.

General adverse events

ORAL: The most commonly reported side effects included headache, constipation, and asthenia.

PARENTERAL: The most commonly reported side effects included injection site reactions, constipation, headache, and diarrhea.

TRANSDERMAL: The most commonly reported side effects included constipation, QT prolongation, and headache.^[Ref]

Local

PARENTERAL:

• Very common (10% or more): Any injection site reactions (up to 62%), bruising/hematoma (up to 45%), tenderness (up to 27%), pain (up to 20%), mass/nodule (up to 18%), erythema/redness (up to 17%)
• Common (1% to 10%): Bleeding, induration/swelling, infection at injection site, other
• Frequency not reported: Discoloration, irritation, lipoma, paresthesia, pruritus, rash, reaction, scab, scar, vesicles, warmth

TRANSDERMAL:

• Uncommon (0.1% to 1%): Application site irritation
• Frequency not reported: Application site erythema, application site pain, application site pruritus, application site rash, application site reactions
• Postmarketing reports: Application site burn, application site discoloration, application site urticaria, application site vesicles, patch non-adhesion^[Ref]

Gastrointestinal

ORAL:

• Very common (10% or more): Nausea (up to 20%), constipation (up to 18%), vomiting (up to 12%)
• Common (1% to 10%): Abdominal pain, diarrhea, dyspepsia

PARENTERAL:

• Very common (10% or more): Constipation (up to 22%)
• Common (1% to 10%): Abdominal pain, diarrhea, dyspepsia, gastroesophageal reflux
• Frequency not reported: Pancreatitis

TRANSDERMAL:

• Common (1% to 10%): Constipation
• Uncommon (0.1% to 1%): Dry mouth, nausea, retching
• Frequency not reported: Abdominal pain, diarrhea, vomiting^[Ref]

Nervous system

ORAL:

• Very common (10% or more): Headache (up to 21%)
• Common (1% to 10%): Central nervous system (CNS) stimulation, dizziness, somnolence, taste disorder
• Uncommon (0.1% to 1%): Serotonin syndrome
• Rare (0.01% to 0.1%): Extrapyramidal syndrome, syncope
• Frequency not reported: Autonomic dysfunction, extrapyramidal symptoms, neuromuscular abnormalities

PARENTERAL:

• Very common (10% or more): Headache (up to 14%)
• Common (1% to 10%): CNS stimulation, dizziness, somnolence, taste disorder
• Uncommon (0.1% to 1%): Extrapyramidal reactions, serotonin syndrome
• Rare (0.01% to 0.1%): Extrapyramidal syndrome, syncope

TRANSDERMAL:

• Uncommon (0.1% to 1%): Headache, vertigo
• Rare (0.01% to 0.1%): Dyskinesia, dystonia
• Frequency not reported: Dizziness, extrapyramidal reactions, somnolence, syncope^[Ref]

Drug-induced headache is generally mild. In clinical trials, headache typically resolved spontaneously or was relieved by analgesics.^[Ref]

Other

ORAL:

• Very common (10% or more): Asthenia (up to 18%)
• Common (1% to 10%): Fever

PARENTERAL:

• Very common (10% or more): Fatigue (up to 21%)
• Common (1% to 10%): Asthenia, fever

TRANSDERMAL:

• Frequency not reported: Asthenia, fever^[Ref]

Hepatic

ORAL:

• Common (1% to 10%): ALT elevation, AST elevation, elevated hepatic transaminases, transient ALT increases, transient AST increases

PARENTERAL:

• Common (1% to 10%): ALT elevation, AST elevation, transaminases increased, transient ALT increases, transient AST increases
• Frequency not reported: Elevation of serum transaminase levels

TRANSDERMAL:

• Uncommon (0.1% to 1%): ALT increased, AST increased, GGT increased
• Frequency not reported: Elevated hepatic transaminases^[Ref]

Psychiatric

ORAL:

• Common (1% to 10%): Agitation, anxiety, insomnia
• Frequency not reported: Altered mental status

PARENTERAL:

• Common (1% to 10%): Agitation, anxiety, insomnia

TRANSDERMAL:

• Frequency not reported: Anxiety, insomnia^[Ref]

Hematologic

ORAL:

• Common (1% to 10%): Anemia, leukopenia, thrombocytopenia

PARENTERAL:

• Common (1% to 10%): Anemia, leukopenia, thrombocytopenia

TRANSDERMAL:

• Frequency not reported: Anemia, leukopenia, thrombocytopenia^[Ref]

Dermatologic

ORAL:

• Common (1% to 10%): Alopecia
• Uncommon (0.1% to 1%): Rash/skin rashes, urticaria

PARENTERAL:

• Common (1% to 10%): Alopecia, rash/skin rashes
• Uncommon (0.1% to 1%): Urticaria

TRANSDERMAL:

• Frequency not reported: Alopecia, rash, urticaria^[Ref]

Cardiovascular

ORAL:

• Common (1% to 10%): Hypertension
• Uncommon (0.1% to 1%): QT prolongation
• Rare (0.01% to 0.1%): Angina pectoris, arrhythmias, atrial fibrillation, ECG abnormalities, hypotension, non-sustained tachycardia, sinus bradycardia, varying degrees of atrioventricular (AV) block, ventricular ectopy

PARENTERAL:

• Common (1% to 10%): Hypertension
• Uncommon (0.1% to 1%): QT prolongation
• Rare (0.01% to 0.1%): Angina pectoris, arrhythmias, atrial fibrillation, ECG abnormalities, hypotension, non-sustained tachycardia, sinus bradycardia, varying degrees of AV block, ventricular ectopy
• Frequency not reported: Flushing
• Postmarketing reports: Bradycardia, chest pain, palpitations, sick sinus syndrome

TRANSDERMAL:

• Common (1% to 10%): QT prolongation
• Uncommon (0.1% to 1%): Flushing, generalized edema
• Rare (0.01% to 0.1%): Angina pectoris, atrial fibrillation, hypertension, hypotension
• Postmarketing reports: Bradycardia, chest pain, palpitations, sick sinus syndrome^[Ref]

Metabolic

ORAL:

• Common (1% to 10%): Decreased appetite

PARENTERAL:

• Common (1% to 10%): Decreased appetite

TRANSDERMAL:

• Uncommon (0.1% to 1%): Decreased appetite^[Ref]

Hypersensitivity

ORAL:

• Uncommon (0.1% to 1%): Anaphylaxis, hypersensitivity reactions
• Rare (0.01% to 0.1%): Severe hypersensitivity reactions

PARENTERAL:

• Uncommon (0.1% to 1%): Anaphylaxis, hypersensitivity reactions

TRANSDERMAL:

• Frequency not reported: Anaphylaxis, hypersensitivity reactions/severe hypersensitivity reactions^[Ref]

Respiratory

ORAL:

• Uncommon (0.1% to 1%): Shortness of breath

PARENTERAL:

• Rare (0.01% to 0.1%): Shortness of breath

TRANSDERMAL:

• Rare (0.01% to 0.1%): Shortness of breath^[Ref]

Musculoskeletal

TRANSDERMAL:

• Uncommon (0.1% to 1%): Arthralgia^[Ref]

See also:

Frequently asked questions

• How long does Sustol work to prevent chemotherapy nausea?

Further information

Sustol side effects can vary depending on the individual. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Note: Medication side effects may be underreported. If you are experiencing side effects that are not listed, submit a report to the FDA by following this guide.

Medical Disclaimer