<?xml version="1.0" encoding="UTF-8"?>
<compound>
  <id type="integer">2967</id>
  <title>T3D2925</title>
  <common-name>Ondansetron</common-name>
  <description>Ondansetron is a well tolerated drug with few side effects. Headache, constipation, and dizziness are the most commonly reported side effects associated with its use. There have been no significant drug interactions reported with this drugs use. It is broken down by the hepatic cytochrome P450 system and it has little effect on the metabolism of other drugs broken down by this system; Ondansetron is a serotonin 5-HT3 receptor antagonist used mainly to treat nausea and vomiting following chemotherapy. Its effects are thought to be on both peripheral and central nerves. One part is to reduce the activity of the vagus nerve, which is a nerve that activates the vomiting center in the medulla oblongata, the other is a blockage of serotonin receptors in the chemoreceptor trigger zone. It does not have much effect on vomiting due to motion sickness. This drug does not have any effect on dopamine receptors or muscarinic receptors; A competitive serotonin type 3 receptor antagonist. It is effective in the treatment of nausea and vomiting caused by cytotoxic chemotherapy drugs, including cisplatin, and has reported anxiolytic and neuroleptic properties; Ondansetron (INN) is a serotonin 5-HT3 receptor antagonist used mainly to treat nausea and vomiting following chemotherapy. Its effects are thought to be on both peripheral and central nerves. One part is to reduce the activity of the vagus nerve, which is a nerve that activates the vomiting center in the medulla oblongata, the other is a blockage of serotonin receptors in the chemoreceptor trigger zone. It does not have much effect on vomiting due to motion sickness. This drug does not have any effect on dopamine receptors or muscarinic receptors.</description>
  <cas>99614-02-5</cas>
  <pubchem-id>4595</pubchem-id>
  <chemical-formula>C18H19N3O</chemical-formula>
  <weight>293.152810</weight>
  <appearance>White powder.</appearance>
  <melting-point>231 - 232°C</melting-point>
  <boiling-point nil="true"/>
  <density nil="true"/>
  <solubility></solubility>
  <specific-gravity nil="true"/>
  <flash-point nil="true"/>
  <vapour-pressure nil="true"/>
  <route-of-exposure>Ondansetron is well absorbed after oral administration and undergoes limited first-pass metabolism.</route-of-exposure>
  <target nil="true"/>
  <mechanism-of-toxicity>Ondansetron is a selective serotonin 5-HT&lt;sub&gt;3&lt;/sub&gt; receptor antagonist. The antiemetic activity of the drug is brought about through the inhibition of 5-HT&lt;sub&gt;3&lt;/sub&gt; receptors present both centrally (medullary chemoreceptor zone) and peripherally (GI tract). This inhibition of 5-HT&lt;sub&gt;3&lt;/sub&gt; receptors in turn inhibits the visceral afferent stimulation of the vomiting center, likely indirectly at the level of the area postrema, as well as through direct inhibition of serotonin activity within the area postrema and the chemoreceptor trigger zone.</mechanism-of-toxicity>
  <metabolism>HepaticHalf Life: 5.7 hours</metabolism>
  <toxicity nil="true"/>
  <lethaldose nil="true"/>
  <carcinogenicity>No indication of carcinogenicity to humans (not listed by IARC).</carcinogenicity>
  <use-source>For the prevention of nausea and vomiting associated with emetogenic cancer chemotherapy, postoperation, and radiation. Also used for the treatment of postoperative nausea and vomiting.</use-source>
  <min-risk-level nil="true"/>
  <health-effects nil="true"/>
  <symptoms>Low blood pressure and fainting, sudden blindness, severe constipation</symptoms>
  <treatment>There is no specific antidote for ondansetron overdose. Patients should be managed with appropriate supportive therapy. (L1712)</treatment>
  <created-at type="dateTime">2009-07-21T20:27:55Z</created-at>
  <updated-at type="dateTime">2026-05-14T16:52:24Z</updated-at>
  <interacting-proteins nil="true"/>
  <wikipedia>Ondansetron</wikipedia>
  <uniprot-id></uniprot-id>
  <kegg-compound-id>C07325</kegg-compound-id>
  <omim-id></omim-id>
  <chebi-id>103183</chebi-id>
  <biocyc-id></biocyc-id>
  <ctd-id nil="true"/>
  <stitch-id>Ondansetron</stitch-id>
  <drugbank-id>DB00904</drugbank-id>
  <pdb-id></pdb-id>
  <actor-id nil="true"/>
  <organism nil="true"/>
  <export type="boolean">true</export>
  <metabolizing-proteins nil="true"/>
  <transporting-proteins nil="true"/>
  <moldb-smiles>CN1C2=C(C3=CC=CC=C13)C(=O)C(CN1C=CN=C1C)CC2</moldb-smiles>
  <moldb-formula>C18H19N3O</moldb-formula>
  <moldb-inchi>InChI=1S/C18H19N3O/c1-12-19-9-10-21(12)11-13-7-8-16-17(18(13)22)14-5-3-4-6-15(14)20(16)2/h3-6,9-10,13H,7-8,11H2,1-2H3</moldb-inchi>
  <moldb-inchikey>FELGMEQIXOGIFQ-UHFFFAOYSA-N</moldb-inchikey>
  <moldb-average-mass type="decimal">293.363</moldb-average-mass>
  <moldb-mono-mass type="decimal">293.152812245</moldb-mono-mass>
  <origin>Exogenous</origin>
  <state>Solid</state>
  <logp>2.4</logp>
  <hmdb-id>HMDB05035</hmdb-id>
  <chembl-id>CHEMBL46</chembl-id>
  <chemspider-id>4434</chemspider-id>
  <structure-image-file-name nil="true"/>
  <structure-image-content-type nil="true"/>
  <structure-image-file-size type="integer" nil="true"/>
  <structure-image-updated-at type="dateTime" nil="true"/>
  <biodb-id nil="true"/>
  <synthesis-reference>&lt;p&gt;Peter Bod, Kalman Harsanyi, Ferenc Trischler, Eva Fekecs, Attila Csehi, Bela Hegedus, Eva Mersich nee Donat, Gyorgyi Szabo nee Komlosi, Erika Horvath nee Sziki, &amp;#8220;Process for preparing ondansetron.&amp;#8221; U.S. Patent US5478949, issued September, 1990.&lt;/p&gt;</synthesis-reference>
  <structure-image-caption nil="true"/>
  <chemdb-id>CHEM002297</chemdb-id>
  <dsstox-id>DTXSID8023393</dsstox-id>
  <toxcast-id nil="true"/>
  <stoff-ident-origin nil="true"/>
  <stoff-ident-id nil="true"/>
  <susdat-id>NS00010141</susdat-id>
  <iupac>9-methyl-3-[(2-methyl-1H-imidazol-1-yl)methyl]-2,3,4,9-tetrahydro-1H-carbazol-4-one</iupac>
  <moldb-polar-surface-area>39.82</moldb-polar-surface-area>
  <moldb-refractivity>86.77950000000001</moldb-refractivity>
  <moldb-polarizability>33.16037978817858</moldb-polarizability>
  <moldb-rotatable-bond-count>2</moldb-rotatable-bond-count>
  <moldb-acceptor-count>2</moldb-acceptor-count>
  <moldb-donor-count>0</moldb-donor-count>
  <moldb-pka-strongest-acidic>15.385697836647786</moldb-pka-strongest-acidic>
  <moldb-pka-strongest-basic>7.344313880827463</moldb-pka-strongest-basic>
  <moldb-physiological-charge>1</moldb-physiological-charge>
  <moldb-number-of-rings>4</moldb-number-of-rings>
  <moldb-alogps-logp>2.56</moldb-alogps-logp>
  <moldb-alogps-logs>-3.07</moldb-alogps-logs>
  <moldb-alogps-solubility>2.48e-01 g/l</moldb-alogps-solubility>
</compound>
