Page last updated: 2024-11-01

ondansetron and Long QT Syndrome

ondansetron has been researched along with Long QT Syndrome in 30 studies

Ondansetron: 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.

Long QT Syndrome: A condition that is characterized by episodes of fainting (SYNCOPE) and varying degree of ventricular arrhythmia as indicated by the prolonged QT interval. The inherited forms are caused by mutation of genes encoding cardiac ion channel proteins. The two major forms are ROMANO-WARD SYNDROME and JERVELL-LANGE NIELSEN SYNDROME.

Research Excerpts

ExcerptRelevanceReference
"We have sought to determine the effect of a standardized dose of intravenous ondansetron on the QTc duration of children under 14years of age treated for gastroenteritis-associated vomiting in a pediatric ED."7.88Effect of intravenous ondansetron on QTc interval in children with gastroenteritis. ( Alansari, K; Hoffman, RJ, 2018)
"While I usually prescribe doxylamine-pyridoxine for morning sickness, some of my patients with severe nausea and vomiting of pregnancy (NVP) receive ondansetron in hospital."7.78Motherisk update. Is ondansetron safe for use during pregnancy? ( Koren, G, 2012)
" Physicians and pharmacists should be cautious for drug-drug interactions when pipamperon is prescribed, especially in combination with other QT-prolongating agents."5.48Drug-drug interaction related to the use of pipamperon and ondansetron in a child treated for leukemia. ( Bauters, T; Bordon, V; Buts, S; Laureys, G, 2018)
"To describe a case of ventricular tachycardia after co-administration of ondansetron and dimenhydrinate to a child with occult congenital QT prolongation."5.36Ventricular tachycardia after ondansetron administration in a child with undiagnosed long QT syndrome. ( Froese, A; McKechnie, K, 2010)
"When used in treatment of postoperative nausea and vomiting, a situation where prolongation of the QTc interval seems to occur, the safety of 5-hydroxytryptamine type 3 antagonists may not be superior to that of low-dose droperidol."5.33Prolongation of QTc interval after postoperative nausea and vomiting treatment by droperidol or ondansetron. ( Albaladejo, P; Charbit, B; Funck-Brentano, C; Legrand, M; Marty, J; Samain, E, 2005)
" Ondansetron, which is widely used in treatment of nausea and vomiting symptoms in head injuries, was issued a safety warning from the U."4.31Ondansetron Safety Regarding Prolong QTc for Children with Head Trauma. ( Assaad, R; Pratt, RE; Qiao, H; Territo, HM; Wrotniak, BH, 2023)
"We have sought to determine the effect of a standardized dose of intravenous ondansetron on the QTc duration of children under 14years of age treated for gastroenteritis-associated vomiting in a pediatric ED."3.88Effect of intravenous ondansetron on QTc interval in children with gastroenteritis. ( Alansari, K; Hoffman, RJ, 2018)
"This was an observational study looking at patients aged 6 months to 18 years receiving intravenous ondansetron for nausea, vomiting, or the inability to take fluids in the emergency department."3.88Effect of Intravenous Ondansetron on the QT Interval of Patients' Electrocardiograms. ( Clark, JM; Jacobs, T; Krammes, SK; Lutes, RE, 2018)
"While I usually prescribe doxylamine-pyridoxine for morning sickness, some of my patients with severe nausea and vomiting of pregnancy (NVP) receive ondansetron in hospital."3.78Motherisk update. Is ondansetron safe for use during pregnancy? ( Koren, G, 2012)
"Drugs used for postoperative nausea and vomiting prophylaxis are believed to provoke torsadogenic changes in cardiac repolarization."2.80Small doses of droperidol do not present relevant torsadogenic actions: a double-blind, ondansetron-controlled study. ( Owczuk, R; Tracz, K, 2015)
"The purpose of this article is to outline the risk of cardiac adverse events (AEs) from 5-HT3-RAs, with focus on the three most commonly used, ondansetron, granisetron and palonosetron."2.505-Hydroxytryptamine3 receptor antagonists and cardiac side effects. ( Brygger, L; Herrstedt, J, 2014)
"Ondansetron is a commonly used antiemetic in the emergency department despite a 2011 FDA warning regarding dose-related QTc prolongation and torsades des pointes (TdP)."1.91QT prolongation, torsades des pointes, and cardiac arrest after 4 mg of IV ondansetron. ( Cole, JB; Fuchs, RT; Fushianes, GD; Lee, SC; Orozco, BS, 2023)
" Physicians and pharmacists should be cautious for drug-drug interactions when pipamperon is prescribed, especially in combination with other QT-prolongating agents."1.48Drug-drug interaction related to the use of pipamperon and ondansetron in a child treated for leukemia. ( Bauters, T; Bordon, V; Buts, S; Laureys, G, 2018)
"Ondansetron is known to cause QT interval prolongation, but this effect and clinical significance has not been prospectively studied in adult emergency department (ED) patients."1.43Intravenous Ondansetron and the QT Interval in Adult Emergency Department Patients: An Observational Study. ( Cartwright, L; Grossart, EA; Kang, CS; Moffett, PM; O'Keefe, D, 2016)
"To determine the most common drug-drug interaction (DDI) pairs contributing to QTc prolongation in cardiac intensive care units (ICUs)."1.39Drug-drug interactions contributing to QT prolongation in cardiac intensive care units. ( Armahizer, MJ; Kane-Gill, SL; Seybert, AL; Smithburger, PL, 2013)
"Ondansetron is a 5-HT3 receptor antagonist commonly prescribed to prevent nausea and vomiting caused by cancer chemotherapy, radiation therapy, and surgery but may increase the risk of developing prolongation of the QT interval of the electrocardiogram, which can lead to an abnormal and potentially fatal heart rhythm and recently raised FDA concerns and warnings."1.38Nifedipine blocks ondansetron electrophysiological effects in rabbit purkinje fibers and decreases early after depolarization incidence. ( Gerard, JL; Hanouz, JL; Lemoine, S; Plaud, B; Puddu, PE; Rouet, R; Salle, L; Worou, ME, 2012)
"To describe a case of ventricular tachycardia after co-administration of ondansetron and dimenhydrinate to a child with occult congenital QT prolongation."1.36Ventricular tachycardia after ondansetron administration in a child with undiagnosed long QT syndrome. ( Froese, A; McKechnie, K, 2010)
"When used in treatment of postoperative nausea and vomiting, a situation where prolongation of the QTc interval seems to occur, the safety of 5-hydroxytryptamine type 3 antagonists may not be superior to that of low-dose droperidol."1.33Prolongation of QTc interval after postoperative nausea and vomiting treatment by droperidol or ondansetron. ( Albaladejo, P; Charbit, B; Funck-Brentano, C; Legrand, M; Marty, J; Samain, E, 2005)

Research

Studies (30)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's2 (6.67)29.6817
2010's19 (63.33)24.3611
2020's9 (30.00)2.80

Authors

AuthorsStudies
Yang, H1
Jeon, W1
Ko, Y1
Jeong, S1
Lee, J1
Assaad, R1
Pratt, RE1
Wrotniak, BH1
Qiao, H1
Territo, HM1
Orozco, BS1
Lee, SC1
Fuchs, RT1
Fushianes, GD1
Cole, JB1
Safaeian, R1
Hassani, V1
Asghari, A1
Mohseni, M1
Ashraf, H1
Koleini, ZS1
Al-Khalil, M1
Sack, A1
Elson, R1
Pleat, J1
Miller, J1
House, S1
Lovato, L1
Meltzer, A1
Hahn, B1
Avarello, J1
Plasse, T1
Kalfus, I1
Fathi, R1
Silverman, R1
Kamath, A1
Rai, KM1
Shreyas, R1
Saxena, PUP1
Banerjee, S1
Sutherland, H1
Miller, M1
Tomanec, A1
Xu, KT1
Barton, T1
Richman, P1
Bauters, T1
Buts, S1
Bordon, V1
Laureys, G1
Hoffman, RJ1
Alansari, K1
Ko, JS1
Guo, S1
Hassel, J1
Celestino-Soper, P1
Lynnes, TC1
Tisdale, JE1
Zheng, JJ1
Taylor, SE1
Foroud, T1
Murray, MD1
Kovacs, RJ1
Li, X1
Lin, SF1
Chen, Z1
Vatta, M1
Chen, PS1
Rubart, M1
Darpo, B1
Benson, C1
Brown, R1
Dota, C1
Ferber, G1
Ferry, J1
Jarugula, V1
Keirns, J1
Ortemann-Renon, C1
Pham, T1
Riley, S1
Sarapa, N1
Ticktin, M1
Zareba, W1
Couderc, JP1
Patel, J1
Lee, JH2
Park, YH1
Kim, JT1
Kim, CS1
Kim, HS1
Obal, D1
Yang, D1
Sessler, DI1
Marzuillo, P1
Benettoni, A1
Germani, C1
Ferrara, G1
D'Agata, B1
Barbi, E1
Brygger, L1
Herrstedt, J1
Tracz, K1
Owczuk, R1
Kim, SH1
Lee, SM1
Kim, YK1
Park, SY1
Cho, SH1
Chai, WS1
Jin, HC1
Moffett, PM1
Cartwright, L1
Grossart, EA1
O'Keefe, D1
Kang, CS1
Krammes, SK1
Jacobs, T1
Clark, JM1
Lutes, RE1
Trivedi, S1
Schiltz, B1
Kanipakam, R1
Bos, JM1
Ackerman, MJ1
Ouellette, Y1
Charbit, B2
Alvarez, JC1
Dasque, E1
Abe, E1
Démolis, JL1
Funck-Brentano, C2
McKechnie, K1
Froese, A1
Mehta, D1
Sanatani, S1
Whyte, SD1
Rouet, R1
Worou, ME1
Puddu, PE1
Lemoine, S1
Plaud, B1
Salle, L1
Gerard, JL1
Hanouz, JL1
Koren, G1
Armahizer, MJ1
Seybert, AL1
Smithburger, PL1
Kane-Gill, SL1
Albaladejo, P1
Legrand, M1
Samain, E1
Marty, J1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Clinical ECG Study to Evaluate Electrophysiological Effects of Potential QT Prolonging Drugs With Novel ECG Biomarkers With Exposure-Response Analysis[NCT05716854]Phase 144 participants (Actual)Interventional2023-03-21Completed
Effect of Ramosetron on Heart Rate-corrected QT Interval During Robot-assisted Laparoscopic Prostatectomy With Steep Trendelenburg Position[NCT03232125]54 participants (Actual)Interventional2017-08-01Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Reviews

3 reviews available for ondansetron and Long QT Syndrome

ArticleYear
Droperidol- and ondansetron-induced life-threatening arrhythmias.
    Journal of emergency nursing, 2013, Volume: 39, Issue:4

    Topics: Aged; Antiemetics; Arrhythmias, Cardiac; Droperidol; Fatal Outcome; Female; Humans; Long QT Syndrome

2013
Acquired long QT syndrome: a focus for the general pediatrician.
    Pediatric emergency care, 2014, Volume: 30, Issue:4

    Topics: Adolescent; Death, Sudden, Cardiac; Electrocardiography; Female; General Practitioners; Humans; Long

2014
5-Hydroxytryptamine3 receptor antagonists and cardiac side effects.
    Expert opinion on drug safety, 2014, Volume: 13, Issue:10

    Topics: Aged; Antiemetics; Antineoplastic Agents; Cardiovascular Diseases; Granisetron; Humans; Isoquinoline

2014

Trials

7 trials available for ondansetron and Long QT Syndrome

ArticleYear
The effects of ondansetron versus dexamethasone on electrocardiographic markers of ventricular repolarization in children undergoing cochlear implant.
    International journal of pediatric otorhinolaryngology, 2020, Volume: 132

    Topics: Antiemetics; Child; Cochlear Implantation; Cochlear Implants; Deafness; Dexamethasone; Double-Blind

2020
Absence of QT prolongation after administration of a 24-mg bimodal-release ondansetron pill (RHB-102).
    The American journal of emergency medicine, 2021, Volume: 43

    Topics: Administration, Oral; Adolescent; Adult; Antiemetics; Delayed-Action Preparations; Double-Blind Meth

2021
Evaluation of the Effect of 5 QT-Positive Drugs on the JTpeak Interval - An Analysis of ECGs From the IQ-CSRC Study.
    Journal of clinical pharmacology, 2020, Volume: 60, Issue:1

    Topics: Arrhythmias, Cardiac; Biomarkers; Cetirizine; Drug-Related Side Effects and Adverse Reactions; Elect

2020
Small doses of droperidol do not present relevant torsadogenic actions: a double-blind, ondansetron-controlled study.
    British journal of clinical pharmacology, 2015, Volume: 79, Issue:4

    Topics: Adolescent; Adult; Antiemetics; Dose-Response Relationship, Drug; Double-Blind Method; Droperidol; E

2015
Effects of prophylactic ramosetron and ondansetron on corrected QT interval during general anesthesia.
    Journal of clinical anesthesia, 2014, Volume: 26, Issue:7

    Topics: Adult; Aged; Anesthesia, General; Antiemetics; Benzimidazoles; Cholecystectomy, Laparoscopic; Dose-R

2014
Droperidol and ondansetron-induced QT interval prolongation: a clinical drug interaction study.
    Anesthesiology, 2008, Volume: 109, Issue:2

    Topics: Adult; Antiemetics; Area Under Curve; Cross-Over Studies; Double-Blind Method; Droperidol; Drug Inte

2008
The effects of droperidol and ondansetron on dispersion of myocardial repolarization in children.
    Paediatric anaesthesia, 2010, Volume: 20, Issue:10

    Topics: Ambulatory Surgical Procedures; Antiemetics; Child, Preschool; Droperidol; Electrocardiography; Fema

2010

Other Studies

20 other studies available for ondansetron and Long QT Syndrome

ArticleYear
The effect of oral ondansetron on QT interval in children with acute gastroenteritis; a retrospective observational study.
    BMC pediatrics, 2021, 11-10, Volume: 21, Issue:1

    Topics: Antiemetics; Child; Child, Preschool; Electrocardiography; Gastroenteritis; Humans; Infant; Long QT

2021
Ondansetron Safety Regarding Prolong QTc for Children with Head Trauma.
    The Journal of emergency medicine, 2023, Volume: 64, Issue:5

    Topics: Adult; Antiemetics; Child; Craniocerebral Trauma; Electrocardiography; Humans; Long QT Syndrome; Nau

2023
QT prolongation, torsades des pointes, and cardiac arrest after 4 mg of IV ondansetron.
    The American journal of emergency medicine, 2023, Volume: 68

    Topics: Adult; Antiemetics; DNA-Binding Proteins; Electrocardiography; Female; Heart Arrest; Humans; Long QT

2023
A 5-year single-centre retrospective study of potential drug interactions in burns inpatients with psychiatric comorbidities.
    Burns : journal of the International Society for Burn Injuries, 2020, Volume: 46, Issue:5

    Topics: Adult; Analgesics, Opioid; Antidepressive Agents; Arrhythmias, Cardiac; Burns; Comorbidity; Drug Int

2020
Effect of domperidone, ondansetron, olanzapine-containing antiemetic regimen on QT
    Scientific reports, 2021, 01-11, Volume: 11, Issue:1

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Antiemetics; Antineoplastic Agents; Domperidone; Drug Co

2021
QTc interval changes following low-dose ondansetron administration in the emergency department.
    The American journal of emergency medicine, 2022, Volume: 55

    Topics: Antiemetics; Electrocardiography; Emergency Service, Hospital; Humans; Long QT Syndrome; Ondansetron

2022
Drug-drug interaction related to the use of pipamperon and ondansetron in a child treated for leukemia.
    Journal of oncology pharmacy practice : official publication of the International Society of Oncology Pharmacy Practitioners, 2018, Volume: 24, Issue:7

    Topics: Butyrophenones; Child; Drug Interactions; Electrocardiography; Humans; Leukemia; Long QT Syndrome; M

2018
Effect of intravenous ondansetron on QTc interval in children with gastroenteritis.
    The American journal of emergency medicine, 2018, Volume: 36, Issue:5

    Topics: Administration, Intravenous; Adolescent; Antiemetics; Child; Child, Preschool; Electrocardiography;

2018
Ondansetron blocks wild-type and p.F503L variant small-conductance Ca
    American journal of physiology. Heart and circulatory physiology, 2018, 08-01, Volume: 315, Issue:2

    Topics: Animals; Anti-Arrhythmia Agents; Calcium; Cells, Cultured; Female; HEK293 Cells; Humans; Long QT Syn

2018
The effect of sevoflurane and ondansetron on QT interval and transmural dispersion of repolarization in children.
    Paediatric anaesthesia, 2014, Volume: 24, Issue:4

    Topics: Adolescent; Anesthetics, Inhalation; Antiemetics; Arrhythmias, Cardiac; Brugada Syndrome; Cardiac Co

2014
Perioperative doses of ondansetron or dolasetron do not lengthen the QT interval.
    Mayo Clinic proceedings, 2014, Volume: 89, Issue:1

    Topics: Aged; Aged, 80 and over; Female; Heart Rate; Humans; Indoles; Long QT Syndrome; Male; Middle Aged; O

2014
Intravenous Ondansetron and the QT Interval in Adult Emergency Department Patients: An Observational Study.
    Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2016, Volume: 23, Issue:1

    Topics: Adult; Aged; Antiemetics; Cohort Studies; Electrocardiography; Emergency Service, Hospital; Female;

2016
Effect of Intravenous Ondansetron on the QT Interval of Patients' Electrocardiograms.
    Pediatric emergency care, 2018, Volume: 34, Issue:1

    Topics: Adolescent; Antiemetics; Child; Child, Preschool; Electrocardiography; Female; Humans; Infant; Long

2018
Effect of Ondansetron on QT Interval in Patients Cared for in the PICU.
    Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, 2016, Volume: 17, Issue:7

    Topics: Adolescent; Antiemetics; Child; Child, Preschool; Critical Care; Electrocardiography; Female; Humans

2016
Ventricular tachycardia after ondansetron administration in a child with undiagnosed long QT syndrome.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2010, Volume: 57, Issue:5

    Topics: Antiemetics; Child; Dimenhydrinate; Drug Therapy, Combination; Electrocardiography; Female; Humans;

2010
Nifedipine blocks ondansetron electrophysiological effects in rabbit purkinje fibers and decreases early after depolarization incidence.
    Current clinical pharmacology, 2012, Feb-01, Volume: 7, Issue:1

    Topics: Animals; Antiemetics; Calcium Channel Blockers; Calcium Channels, L-Type; Dose-Response Relationship

2012
Motherisk update. Is ondansetron safe for use during pregnancy?
    Canadian family physician Medecin de famille canadien, 2012, Volume: 58, Issue:10

    Topics: Antiemetics; Canada; Cleft Palate; Female; Fetus; Humans; Long QT Syndrome; Morning Sickness; Nausea

2012
In brief: intravenous ondanstron (Zofran) 32 mg withdrawn.
    The Medical letter on drugs and therapeutics, 2012, Dec-24, Volume: 54, Issue:1406

    Topics: Antiemetics; Antineoplastic Agents; Humans; Long QT Syndrome; Nausea; Ondansetron; Product Recalls a

2012
Drug-drug interactions contributing to QT prolongation in cardiac intensive care units.
    Journal of critical care, 2013, Volume: 28, Issue:3

    Topics: Amiodarone; Anti-Anxiety Agents; Anti-Arrhythmia Agents; Anti-Infective Agents; Antipsychotic Agents

2013
Prolongation of QTc interval after postoperative nausea and vomiting treatment by droperidol or ondansetron.
    Anesthesiology, 2005, Volume: 102, Issue:6

    Topics: Adult; Droperidol; Electrocardiography; Female; Humans; Long QT Syndrome; Male; Middle Aged; Ondanse

2005