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Active substance(s): ONDANSETRON

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Zofran 4mg Melt

Read all of this leaflet carefully before you start taking 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 about your illness or your medicine,
ask your doctor, nurse or pharmacist.
 This medicine has been prescribed for you only. Do not pass it on to
others. It may harm them, even if their symptoms are the same as yours.
 If any of the side effects get serious, or if you notice any side effects not
listed in this leaflet, please tell your doctor, nurse or pharmacist. This
includes any possible side effects not listed in this leaflet. See section
The name of your medicine is Zofran 8mg Melt but will be referred to as
Zofran Melt throughout this leaflet. Also available in other strength.
What is in this leaflet:
1. What Zofran Melt is and what it is used for
2. What you need to know before you take Zofran Melt
3. How to take Zofran Melt
4. Possible side effects
5. How to store Zofran Melt
6. Contents of the pack and other information
Zofran Melt contains a medicine called ondansetron. This belongs to a
group of medicines called anti-emetics. Zofran Melt is a special type of
Zofran tablet that dissolves very quickly when put on top of the tongue.
Zofran Melt is used for:
 preventing nausea and vomiting caused by chemotherapy (in adults
and children) or radiotherapy for cancer (adults only)
 preventing nausea and vomiting after surgery (adults only).
Ask your doctor, nurse or pharmacist if you would like any further
explanation about these uses.
Do not take Zofran Melt if:
 you are taking apomorphine (used to treat Parkinson’s disease)
 you are allergic (hypersensitive) to ondansetron or any of the other
ingredients in Zofran Melt (listed in Section 6).
If you are not sure, talk to your doctor, nurse or pharmacist before taking
Zofran Melt.
Warnings and precautions
Check with your doctor, nurse or pharmacist before taking Zofran Melt if:
 you have ever had heart problems (e.g. congestive heart failure which
causes shortness of breath and swollen ankles)
 you have an uneven heart beat (arrhythmias)
 you are allergic to medicines similar to ondansetron, such as
granisetron or palonosetron
 you have liver problems
 you have a blockage in your gut
 you have problems with the levels of salts in your blood, such as
potassium, sodium and magnesium.

If you are not sure if any of the above apply to you, talk to your doctor,
nurse or pharmacist before taking Zofran Melt.
Other medicines and Zofran
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
Zofran can affect the way some medicines work. Also some other
medicines can affect the way Zofran works.
In particular, tell your doctor, nurse or pharmacist if you are taking any of
the following medicines:
 carbamazepine or phenytoin used to treat epilepsy
 rifampicin used to treat infections such as tuberculosis (TB)
 antibiotics such as erythromycin or ketoconazole
 anti-arrhythmic medicines used to treat an uneven heart beat
 beta-blocker medicines used to treat certain heart or eye problems,
anxiety or prevent migraines
 tramadol, a pain killer.
 medicines that 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 Zofran Melt.

On the following days
 the usual adult dose is 8 mg twice a day
 this may be given for up to 5 days.
Children aged over 6 months and adolescents.
The doctor will decide the dose depending on the child’s size (body
surface area) or weight. Look at the label for more information.
 the usual dose for a child is up to 4 mg twice a day
 this can be given for up to 5 days.
To prevent nausea and vomiting after an operation
The usual adult dose is 16 mg before your operation
Children aged over 1 month and adolescents
It is recommended that Zofran is given as an injection.
Patients with moderate or severe liver problems
The total daily dose should not be more than 8 mg.
How to remove Zofran Melt from the blister and take the medicine
- Do not take a Zofran Melt tablet out from its blister until you are ready to
take it.
- Before you take the Zofran Melt make sure the foil packaging has not
been pierced.
- Important: Do not try to push Zofran Melt through the foil top like a
usual tablet. This is because Zofran Melt is fragile and will break.

Pregnancy and breast-feeding
It is not known if Zofran is safe during pregnancy. If you are pregnant,
think you are pregnant or are planning to have a baby, ask your doctor or
pharmacist for advice before taking Zofran Melt.
Do not breast-feed if you are taking Zofran. This is because small
amounts pass into the mother’s milk. Ask your doctor or midwife for
Important information about some of the ingredients of Zofran Melt
 This medicine contains aspartame (which is a source of phenylalanine).
If you have an inherited illness called phenylketonuria speak to your
doctor before taking this medicine.
 This medicine contains sodium methylparahydroxybenzoate and
sodium propylparahydroxybenzoate. This may cause allergic reactions
(which could be delayed).

1Tear off one

2 Peel back the foil, as

Zofran Melt in its

shown by the arrow.

Always take Zofran Melt exactly as your doctor has told you. You should
check with your doctor, nurse or pharmacist if you are not sure. The dose
you have been prescribed will depend on the treatment you are having.
To prevent nausea and vomiting from chemotherapy or radiotherapy
On the day of chemotherapy or radiotherapy
 the usual adult dose is 8 mg taken one or two hours before treatment
and another 8 mg twelve hours after.

3 Gently push out
the Zofran Melt

4 Place the Zofran Melt
on top of the tongue. It
will dissolve very
quickly. Then you can
swallow as normal.

Zofran Melt should start to work within one or two hours of taking a dose.
If you are sick (vomit) within one hour of taking a dose
 take the same dose again
 otherwise, do not take more Zofran Melt than the label says.
If you continue to feel sick, tell your doctor or nurse.
If you take more Zofran Melt than you should
If you or your child take more Zofran than you should, talk to a doctor or
go to a hospital straight away. Take the medicine pack with you.
If you forget to take Zofran Melt
If you miss a dose and feel sick or vomit:
 take a Zofran Melt as soon as possible, then
 take your next tablet at the usual time (as shown on the label)
 do not take a double dose to make up for a forgotten dose.
If you miss a dose but do not feel sick
 take the next dose as shown on the label
 do not take a double dose to make up for a forgotten dose.
Like all medicines, Zofran Melt can cause side effects, although not
everybody gets them.
Allergic reactions
If you have an allergic reaction, stop taking it and see a doctor straight
away. The signs may include:
 sudden wheezing and chest pain or chest tightness
 swelling of your eyelids, face, lips, mouth or tongue
 skin rash - red spots or lumps under your skin (hives) anywhere on your
 collapse.
Other side effects include:
Very common (may affect more than 1 in 10 people)
 headache.
Common (may affect up to 1 in 10 people)
 a feeling of warmth or flushing
 constipation
 changes to liver function test results (if you take Zofran Melt with a
medicine called cisplatin, otherwise this side effect is uncommon).
Uncommon (may affect up to 1 in 100 people)
 hiccups
 low blood pressure, which can make you feel faint or dizzy
 uneven heart beat
 chest pain
 fits
 unusual body movements or shaking.
Rare (may affect up to 1 in 1,000 people)
 feeling dizzy or light headed
 blurred vision.
 disturbance in heart rhythm (sometimes causing a sudden loss of

Very rare (may affect up to 1 in 10,000 people)
 poor vision or temporary loss of eyesight, which usually comes back
within 20 minutes.
Reporting of side effects
If you get any side effects, talk to your doctor, pharmacist or nurse. This
includes any possible side effects not listed in this leaflet. You can also
report side effects directly via the Yellow Card Scheme at:
By reporting side effects you can help provide more information on the
safety of this medicine.
Keep out of the sight and reach of children.
Do not store above 30oC.
Zofran melt should only be taken out of the blister immediately before
taking it.
Do not use the Zofran Melt after the expiry date shown on the foil or
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.
If your doctor tells you to stop taking Zofran Melt, it is important to return
any which are left over to your pharmacist.
If your Zofran Melt become discoloured or show any other signs of
deterioration, consult your pharmacist who will tell you what to do.
What Zofran Melt contains
Each oral lyophilisate contains 4mg ondansetron as the active ingredient.
Other ingredients: gelatin, mannitol, aspartame, sodium methyl parahydroxybenzoate (E219), sodium propyl para-hydroxybenzoate (E217)
and strawberry flavour.
What Zofran Melt looks like and contents of the pack
Zofran Melt is a white round oral lyophilisate.
Each pack contains 10 Zofran Melt units.
Manufactured by Novartis Norge AS, Postboks 4284 Nydalen, 0401 Oslo,
Norway. Procured from within the EU by Product Licence holder: Star
Pharmaceuticals Ltd, 5 Sandridge Close, Harrow, Middlesex, HA1 1XD.
Repackaged by Servipharm Ltd.

PL 20636/2953

Leaflet revision and issue date (Ref) 14.03.17[3]
Zofran is a trademark of Novartis AG.

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Further information

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