North East and North Cumbria
ICS Formulary
 
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4 Central nervous system
04-06 5HT3 antagonists

Ondansetron
First Choice
  • The cheapest available formulation should be used.
  • Ondansetron 4mg and 8mg oro-dispersible tablets/films are approved for the treatment of post-operative nausea and vomiting in patients who do not require IV access or are nil by mouth Red Traffic Light   

Link  MHRA Drug Safety Update (Jan 2020): Ondansetron: small increased risk of oral clefts following use in the first 12 weeks of pregnancy

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Palonosetron
Formulary
  • Only approved for the second line treatment of chemotherapy induced nausea vomiting only.

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Netupitant & Palonosetron Akynzeo®
Formulary

  • To be used in accordance with Northern England Strategic Clincial Cancer Network (NCCN) Guidelines


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