Ondansetron | 5-HT₃ Antagonist | CAS 99614-02-5 | Anti-emetic API

Selective 5-HT₃ serotonin receptor antagonist. Widely used as an anti-emetic for chemotherapy-induced, radiation-induced, and postoperative nausea and vomiting. Carbazole derivative.
  • CAS №: 99614-02-5
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Product Name: Ondansetron
CAS No.: 99614-02-5
Molecular Formula: C₁₈H₁₉N₃O
Appearance: White or almost white crystalline powder
Solubility: Sparingly soluble in water; soluble in methanol and ethanol. For parenteral administration, often used as hydrochloride dihydrate (more water-soluble).
Stability: Stable when stored protected from light


1. Introduction

Ondansetron is a selective 5-HT₃ serotonin receptor antagonist widely used as an anti-emetic. It is effective for the prevention and treatment of nausea and vomiting caused by chemotherapy, radiation therapy, and postoperative nausea and vomiting.

Nausea and vomiting are common and poorly tolerated side effects of anticancer therapy and surgical interventions. Ondansetron was one of the first and most successful drugs of the setron class, significantly improving the quality of life for patients undergoing such treatments. Its mechanism of action involves blocking 5-HT₃ receptors both in the central nervous system (chemoreceptor trigger zone) and peripherally (gastrointestinal tract).

2. Chemical Structure & Synthesis

Ondansetron is a carbazole derivative.

Molecular Formula: C₁₈H₁₉N₃O

The synthesis of ondansetron involves several steps, starting from carbazole derivatives followed by the introduction of an imidazole ring and a methyl group. The process requires precise control of reaction conditions to ensure high purity and yield.

3. Physicochemical Properties

Property Description
Appearance White or almost white crystalline powder
Solubility Sparingly soluble in water; soluble in methanol and ethanol
Stability Stable when stored protected from light
Pharmacokinetics Well absorbed orally; extensive hepatic metabolism (cytochrome P450); excreted in urine and feces as metabolites and unchanged drug

4. Applications

Indication Use
Chemotherapy-Induced Nausea & Vomiting (CINV) Standard of care for preventing emetic effects of many anticancer drugs
Radiation-Induced Nausea & Vomiting (RINV) Effective for irradiation of emetogenic areas
Postoperative Nausea & Vomiting (PONV) Widely used in anesthesiology to reduce PONV incidence

5. Conclusion

Ondansetron revolutionized the treatment of nausea and vomiting associated with cancer treatment and surgical interventions. Its high efficacy and relatively good tolerability profile have made it the gold standard in anti-emetic therapy. Further research is focused on exploring its use in other conditions accompanied by nausea and vomiting, as well as the development of new drugs in this class with improved properties.

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