Description and Brand Names

Drug information provided by: Micromedex

US Brand Name

  1. Anzemet

Descriptions


Dolasetron injection is used to prevent and treat nausea and vomiting that may happen after surgery.

This medicine is available only with your doctor's prescription.

This product is available in the following dosage forms:

  • Solution

Before Using

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of dolasetron injection in children 2 years of age and older. However, safety and efficacy have not been established in children younger than 2 years of age.

Geriatric

Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of dolasetron injection in the elderly. However, elderly patients are more likely to have heart rhythm problems (e.g., prolonged QT, PR, and QRS interval), which may require caution and an adjustment in the dose for patients receiving dolasetron injection.

Pregnancy

Information about this dolasetron-intravenous-route
Pregnancy Category Explanation
All Trimesters B Animal studies have revealed no evidence of harm to the fetus, however, there are no adequate studies in pregnant women OR animal studies have shown an adverse effect, but adequate studies in pregnant women have failed to demonstrate a risk to the fetus.

Breastfeeding

There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

Drug Interactions

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are receiving this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.

  • Amifampridine
  • Apomorphine
  • Bepridil
  • Cisapride
  • Dronedarone
  • Levomethadyl
  • Mesoridazine
  • Pimozide
  • Piperaquine
  • Sparfloxacin
  • Thioridazine
  • Ziprasidone

Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

  • Acecainide
  • Ajmaline
  • Alfuzosin
  • Amiodarone
  • Amisulpride
  • Amitriptyline
  • Amoxapine
  • Aprindine
  • Arsenic Trioxide
  • Asenapine
  • Astemizole
  • Azimilide
  • Azithromycin
  • Bretylium
  • Chloral Hydrate
  • Chloroquine
  • Chlorpromazine
  • Ciprofloxacin
  • Citalopram
  • Clarithromycin
  • Clomipramine
  • Clozapine
  • Crizotinib
  • Dasatinib
  • Desipramine
  • Dibenzepin
  • Disopyramide
  • Dofetilide
  • Domperidone
  • Doxepin
  • Droperidol
  • Enflurane
  • Erythromycin
  • Fingolimod
  • Flecainide
  • Fluconazole
  • Fluoxetine
  • Foscarnet
  • Gatifloxacin
  • Gemifloxacin
  • Granisetron
  • Halofantrine
  • Haloperidol
  • Halothane
  • Hydroquinidine
  • Ibutilide
  • Iloperidone
  • Imipramine
  • Isoflurane
  • Isradipine
  • Ivabradine
  • Lapatinib
  • Levofloxacin
  • Lidoflazine
  • Lopinavir
  • Lorcainide
  • Lumefantrine
  • Mefloquine
  • Methadone
  • Mifepristone
  • Moxifloxacin
  • Nilotinib
  • Norfloxacin
  • Nortriptyline
  • Octreotide
  • Ofloxacin
  • Ondansetron
  • Paliperidone
  • Pazopanib
  • Pentamidine
  • Perflutren Lipid Microsphere
  • Pirmenol
  • Posaconazole
  • Prajmaline
  • Probucol
  • Procainamide
  • Prochlorperazine
  • Promethazine
  • Propafenone
  • Protriptyline
  • Quetiapine
  • Quinidine
  • Quinine
  • Ranolazine
  • Risperidone
  • Salmeterol
  • Saquinavir
  • Sematilide
  • Sertindole
  • Sodium Phosphate
  • Sodium Phosphate, Dibasic
  • Sodium Phosphate, Monobasic
  • Solifenacin
  • Sorafenib
  • Sotalol
  • Spiramycin
  • Sulfamethoxazole
  • Sultopride
  • Sunitinib
  • Tedisamil
  • Telavancin
  • Telithromycin
  • Terfenadine
  • Tetrabenazine
  • Toremifene
  • Trazodone
  • Trifluoperazine
  • Trimethoprim
  • Trimipramine
  • Vandetanib
  • Vardenafil
  • Vemurafenib
  • Vilanterol
  • Vinflunine
  • Voriconazole
  • Zolmitriptan
  • Zotepine

Other Interactions

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Other Medical Problems

The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:

  • Bradycardia (slow heartbeat) or
  • Congestive heart failure or
  • Kidney disease—Patients with these conditions should be monitored with an electrocardiogram (ECG) while using this medicine.
  • Heart block, without a pacemaker or
  • Heart rhythm problems (e.g., congenital long QT syndrome)—Should not be used in patients with these conditions.
  • Heart disease or
  • Heart rhythm problems (e.g., atrial fibrillation, prolonged QT, PR, and QRS interval) or
  • Sick sinus syndrome (type of abnormal heart rhythm)—Use with caution. May increase risk for more serious heart rhythm problems (such as torsade de pointes) and additional monitoring is required.

Proper Use

A nurse or other trained health professional will give you this medicine in a hospital. This medicine is given through a needle placed in one of your veins.

This medicine is usually given 15 minutes before anesthesia (medicine to put you to sleep before surgery) or right after surgery if nausea and vomiting begin.

Dolasteron injection may be mixed into apple or apple-grape juice and be given orally for children 2 years of age and older. The mixed medicine may be stored up to 2 hours at room temperature before use.

Precautions

Check with your doctor if severe nausea and vomiting continue after leaving the hospital.

This medicine can cause changes in heart rhythms, such as conditions called QT, PR, and QRS 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 have any symptoms of heart rhythm problems, such as fast, pounding, or irregular heartbeats.

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.

Side Effects

Along with its needed effects, a medicine 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:

Less common or rare

  1. Blurred vision
  2. burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings
  3. chest pain or discomfort
  4. chills
  5. cold sweats
  6. confusion
  7. cough
  8. difficulty with swallowing
  9. dizziness
  10. dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position
  11. fainting
  12. fast, slow, or irregular heartbeat
  13. feeling of warmth
  14. hives
  15. itching
  16. lightheadedness
  17. puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue
  18. redness of the face, neck, arms, and occasionally, upper chest
  19. shortness of breath
  20. skin rash
  21. sweating
  22. tightness in the chest
  23. unusual tiredness or weakness
  24. wheezing

Incidence not known

  1. Fast, pounding, or irregular heartbeat or pulse
  2. no blood pressure or pulse
  3. stopping of heart
  4. unconsciousness

Some side effects 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:

More common

  1. Headache

Less common or rare

  1. Acid or sour stomach
  2. agitation
  3. bad, unusual, or unpleasant (after) taste
  4. belching
  5. burning sensation or pain at the injection site
  6. change in taste
  7. changes in vision
  8. constipation
  9. difficulty with breathing
  10. difficulty with moving
  11. feeling of constant movement of self or surroundings
  12. heartburn
  13. indigestion
  14. joint pain
  15. muscle aching or cramping
  16. muscle pains or stiffness
  17. noisy breathing
  18. rash
  19. sensation of spinning
  20. stomach discomfort, upset, or pain
  21. strange dreams
  22. swollen joints

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.