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Active substance(s): ONDANSETRON

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Orodispersible Films


Read all of this leaflet carefully before you start using this
medicine because it contains important information for you.
• Keep this leaflet. You may need to read it again.
• If you have any further questions, ask your doctor, nurse or
• This medicine has been prescribed for you. Do not pass it on to
others. It may harm them, even if their symptoms are the same as
• If you get any side effects, talk to your doctor, nurse or pharmacist.
This includes any possible side effects not listed in this leaflet. See
section 4.
What is in this leaflet:
1. What SETOFILM is and what it is used for
2. What you need to know before you use SETOFILM
3. How to use SETOFILM
4. Possible side effects
5. How to store SETOFILM
6. Contents of the pack and other information



Setofilm contains a medicine called ondansetron. This belongs to a group
of drugs called antiemetics.
Setofilm is used to treat and prevent nausea (feeling sick) and vomiting
(being sick) caused by chemotherapy or radiotherapy. It can also be used
after an operation to prevent and treat nausea and vomiting.



Do not use SETOFILM
• if you are allergic (hypersensitive) to ondansetron or any of the other
ingredients of Setofilm listed in section 6,
• if you are allergic (hypersensitive) to other drugs belonging to the group
of selective serotonin (5-HT3)-receptor antagonists (eg. granisetron,
• If you are taking apomorphine (used to treat Parkinson’s disease).
Warnings and precautions
Talk to your doctor, nurse or pharmacist before taking Setofilm if:
• you have ever had heart problems
• you have an irregular or uneven heart beat (arrhythmia)
• you have liver problems
• you have a blockage in your gut or bowel or if you suffer from severe
• you have problems with the levels of salts in your blood, such as
potassium, sodium and magnesium
• you are going to have or have recently had your tonsils or adenoids
removed, because treatment with Setofilm may hide symptoms of
internal bleeding
• this medicine is prescribed for a child below the age of 2 years or with
a body surface of less than 0.6m2 and / or weighing 10kg and below.
If you need to have a blood or urine test, you should tell the person
performing the test that you are taking Setofilm.
If you are not sure if any of the above apply to you, talk to your doctor,
nurse or pharmacist before taking Setofilm.
Other medicines and SETOFILM
Please tell your doctor, nurse or pharmacist if you are taking or have
recently taken or might take other medicines. This includes medicines
that you buy without a prescription and herbal medicines. This is
because Setofilm can affect the way some medicines work. Also some
other medicines can affect the way Setofilm works.
In particular, tell your doctor, nurse or pharmacist if you are taking any of
the following medicines:
• phenytoin, carbamazepine (medicines used to treat epilepsy)
• rifampicin (for treating serious bacterial infections, like TB)
• antibiotics such as erythromycin
• antifungal agents such as ketoconazole
• tramadol (for managing pain)
• anti-arrhythmics (used to treat irregular or fast heart beat)
• beta-blockers (used to treat certain heart or eye problems, anxiety or
prevent migraines)
• medicines that can affect the heart (such as haloperidol or methadone)
• cancer medicines (especially anthracyclines and trastuzumab)
• SSRIs (selective serotonin reuptake inhibitors) used to treat depression
and/or anxiety including fluoxetine, paroxetine, sertraline, fluvoxamine,
citalopram, escitalopram
• SNRIs (serotonin noradrenaline reuptake inhibitors) used to treat
depression and/or anxiety including venlafaxine, duloxetine.
If you are not sure if any of the above applies to you, talk to your doctor,
nurse or pharmacist before having Setofilm.
SETOFILM with food and drink
You may take Setofilm with food and drink.
Pregnancy and breast-feeding
If you are pregnant or breast feeding, think you may be pregnant or are
planning to have a baby, ask your doctor or pharmacist for advice before
taking this medicine.
It is not known if Setofilm is safe during pregnancy. You should only use
Setofilm if your doctor has told you to.
You should not breast-feed whilst using Setofilm as it can pass into your
breast milk.
Driving and using machines
Setofilm has little or no effect on your ability to drive or use machines.



Always use Setofilm exactly as your doctor or pharmacist has told you.
Check with your doctor or pharmacist if you are not sure.
Setofilm is for oral use only. It may be recommended for patients who
may have problems with taking or swallowing tablets; for example
children or elderly.
• Remove Setofilm orodispersible film from each individual sachet taking
care not to damage the film as follows: Open the sachet only at the
tear tag and tear this off slowly. Do not cut the sachet.
• Before use check the film for damage as you should only use
undamaged films.
• Ensure the mouth is empty (and your fingers are dry) before placing
Setofilm orodispersible film on to the tongue.
• The film should disintegrate on your tongue without water in a few
seconds (in saliva which can be subsequently swallowed).
Treatment and prevention of sickness (nausea and vomiting) in
patients receiving chemotherapy or radiotherapy
Setofilm is well tolerated by elderly patients. They may take the same
dosage as adults (see below).
8 mg 1-2 hours before chemotherapy or radiotherapy, followed by 8 mg
every 12 hours for up to 5 days. Your doctor may recommend that your
first dose is given by injection.
Children (aged 6 months and over) and adolescents (<18 years):
Your doctor will recommend what dose of ondansetron should be given.
The individualised dose will depend on the weight or body surface area
of the child.
Prevention and Treatment of post-operative sickness (nausea and
Ondansetron is well tolerated by elderly patients. They may take the
same dosage as adults; see below.

Take 16 mg of Setofilm 1 hour before your operation or 8 mg
administered one hour before your operation, followed by two further
doses of 8 mg 8 hours apart as directed by your doctor.
Children aged over 4 years and adolescents:
In children weighing 40kg and above, take 4mg of Setofilm 1 hour before
your operation, followed by one further dose of 4mg after 12 hours.
Liver dysfunction:
Do not take more than 8 mg of ondansetron daily if your liver does not
work properly (moderate to severe liver problems).
If you take more SETOFILM than you should
Contact your doctor, or go to the hospital immediately if you have taken
more Setofilm than recommended in this package leaflet or than
prescribed by your doctor .Take the medicine pack with you.
If you forget to take SETOFILM
If you forget to take Setofilm and feel sick or vomit
• Take a dose of Setofilm as soon as possible
• Take your next dose of Setofilm at the usual time
• Do not take a double dose to make up for a forgotten dose.
If you miss a dose but do not feel sick or vomit
• Take the next dose
• Do not take a double dose to make up for the forgotten dose
If you stop taking SETOFILM
If you feel unwell and stop taking Setofilm tell your doctor or nurse as
soon as possible.
If you have any further questions on the use of this medicine, ask your
doctor, pharmacist or nurse.

Like all medicines, Setofilm can cause side effects, although not
everybody gets them.
Allergic reactions:
If you have an allergic reaction, stop taking Setofilm and immediately
contact your doctor or go to the nearest hospital. The signs of an allergic
reaction may include:
• Sudden wheezing and chest pain or chest tightness
• Severe itching of the skin
• Skin rash - red spots or lumps under your skin (hives) anywhere on
your body
• Swelling of the eyelids, throat, face, lips, tongue or mouth
• Difficulty in breathing or swallowing
• Collapse.
Other side effects include:
Very common side effects (affects more than 1 in 10 people):
• Headache.
Common side effects (affects less than 1 in 10 people):
• Sensation of warmth or flushing
• Constipation; tell your doctor, if you have crampy abdominal pain or
difficulty in passing stools. They will need to monitor you carefully to
see how the treatment is affecting you.
Uncommon side effects (affects less than 1 in 100 people):
• Hiccups
• Low blood pressure, which may make you feel faint or dizzy
• Palpitations (conscious awareness of heart beat) or irregular or slow
heart beat
• Chest pain
• Fits (convulsions)
• Unusual unintentional eye or body movements or shaking
• Changes to liver function test results (changes are more common if
you take ondansetron with a medicine called Cisplatin).
Rare (affects less than 1 in 1,000 people):
• Allergic reactions, sometimes severe, including anaphylaxis
• Feeling dizzy or lightheaded [when ondansetron is given intravenously
(i.e. through a tube in your vein)]
• Blurred vision or temporary loss of eyesight, (predominantly when
ondansetron is given intravenously ) which normally comes back within
20 minutes
• Disturbance in heart rhythm and ECG changes, including a special
form of heart rhythm disorder called Torsade de Pointes, (sometimes
causing sudden loss of consciousness).
Very rare (affects less than 1 in 10,000 people):
• Temporary visual disturbances e.g. blurred vision (predominantly when
ondansetron is given intravenously).
Reporting of side effects
If you get any side effects, talk to your doctor, nurse or pharmacist.
This includes any possible side effects not listed in this leaflet. You can
also report side effects directly via Yellow Card Scheme:
By reporting side effects you can help provide more information on the
safety of this medicine.

Keep this medicine out of the sight and reach of children.
Keep the sachet tightly closed in order to protect from moisture.
Do not use Setofilm after the expiry date (EXP) which is stated on the
carton. The expiry date refers to the last day of that month.
Do not use Setofilm if you notice that it is damaged.
Do not throw away any medicines via wastewater or household waste.
Ask your pharmacist how to throw away medicines you no longer use.
These measures will help protect the environment.

What SETOFILM contains
The active substance is ondansetron. Each film contains 4 mg or 8 mg
of ondansetron.
The other ingredients are: poly (vinyl alcohol), Macrogol 1000, acesulfame
potassium E950, glycerol E422, titanium dioxide E171, rice starch,
levomenthol and polysorbate 80 E433.
What SETOFILM looks like and contents of the pack
Setofilm 4 mg are white and rectangular (size 3 cm2) orodispersible films.
Setofilm 8 mg are white and rectangular (size 6 cm2) orodispersible films.
Setofilm 4 mg Orodispersible Film is placed into sachets. Each carton
contains 2, 4, 6, 10, 30 or 50 sachets.
Setofilm 8 mg Orodispersible Film is placed into sachets. Each carton
contains 2, 4, 6, 10, 30 or 50 sachets.
Not all pack sizes may be marketed.
Marketing Authorisation Holder and Manufacturer:
Marketing Authorisation Holder:
Norgine BV
Hogehilweg 7
1101 CA Amsterdam ZO
LTS Lohmann Therapie-Systeme AG
Lohmannstrasse 2
D-56626 Andernach
This medical product is authorised in the Member States of the
EEA under the following names:
Setofilm: France, Ireland, UK, Belgium, Luxemburg, Portugal, Spain,
Sweden, Finland, Denmark, Netherlands, Italy, Germany
Setofim: Norway
Product under licence of APR Applied Pharma Research S.A.
SETOFILM and SETOFIM are trademarks of APR Applied Pharma
Research S.A., exclusively licensed to the Norgine group of companies
in the EU and Norway.
This leaflet was last revised in January 2014.

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Source: Medicines and Healthcare Products Regulatory Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.