{"id":629461,"date":"2024-08-15T10:46:51","date_gmt":"2024-08-15T14:46:51","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=629461"},"modified":"2025-05-22T11:09:37","modified_gmt":"2025-05-22T15:09:37","slug":"ondansetron-for-cats","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/ondansetron-for-cats\/","title":{"rendered":"Ondansetron for cats: Dosage and safety"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Ondansetron is an anti-nausea drug that veterinarians give to cats for severe nausea and vomiting. Ondansetron for cats is an extra-label use of the drug. It\u2019s a powerful antiemetic that works rapidly and dramatically. The drug essentially shuts down the involuntary reflex that causes vomiting. Though powerful, it has few and relatively uncommon side effects. Even so, veterinarians reserve its use for only the most severe feline nausea and vomiting cases.\u00a0<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/prescription\/ondansetron\"><b>Save up to 80% on ondansetron<\/b><\/a><\/p>\n<h2 id=\"what-is-ondansetron-used-for-in-cats\"><span style=\"font-weight: 400;\">What is ondansetron used for in cats?<\/span><\/h2>\n<p><a href=\"https:\/\/www.singlecare.com\/prescription\/ondansetron\/what-is\"><span style=\"font-weight: 400;\">Ondansetron<\/span><\/a><span style=\"font-weight: 400;\"> is commonly used by veterinarians to treat severe or frequent vomiting and nausea in cats that can\u2019t be managed with other <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/antiemetics\"><span style=\"font-weight: 400;\">antinausea<\/span><\/a><span style=\"font-weight: 400;\"> drugs. The most common reasons ondansetron is needed in cats are chemotherapy, drug treatment, and <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/pancreatitis-treatment-and-medications\"><span style=\"font-weight: 400;\">pancreatitis<\/span><\/a><span style=\"font-weight: 400;\"> (inflamed pancreas).\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ondansetron belongs to a small family of drugs called 5-HT3 receptor antagonists or simply <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/serotonin-antagonists\"><span style=\"font-weight: 400;\">serotonin antagonists<\/span><\/a><span style=\"font-weight: 400;\">. It blocks a nerve-signaling chemical called serotonin in the part of the brain that controls nausea and vomiting. This part of the brain is called the chemoreceptor trigger zone (CRZ) or simply the \u201cnausea center.\u201d Communication between the brain\u2019s nausea center and the gastrointestinal tract is blocked, so the brain can\u2019t activate the vomiting reflex.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A single dose, usually given intravenously by a veterinarian, can stop vomiting and make the cat feel more comfortable in <\/span><a href=\"https:\/\/boerumhillvet.com\/wp-content\/uploads\/2024\/06\/Ondansetron.pdf\"><span style=\"font-weight: 400;\">one to two<\/span> <span style=\"font-weight: 400;\">hours<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<h3 id=\"chemotherapy-and-drug-induced-vomiting\"><span style=\"font-weight: 400;\">Chemotherapy and drug-induced vomiting<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Like dogs and humans, cats can get malignant cancers that require chemotherapy. Dogs get cancer at about the same rate as people, but the rate<\/span> <a href=\"https:\/\/www.avma.org\/resources\/pet-owners\/petcare\/cancer-pets\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">in cats<\/span><\/a><span style=\"font-weight: 400;\"> is not as well understood. Veterinarians are also not as knowledgeable about treating feline cancer as they are about treating cancer in dogs.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ondansetron is a mainstay drug in human medicine to control nausea caused by chemotherapy. Cats and dogs also get nauseous and vomit frequently when put on chemotherapy or other drugs that cause nausea. Veterinary guidelines recommend intravenous injections as needed to treat chemotherapy-induced vomiting. The guidelines do not specify the number of doses, so veterinarians will use the drug as needed. As in humans, doses may be given both before and after chemotherapy.<\/span><\/p>\n<h3 id=\"pancreatitis\"><span style=\"font-weight: 400;\">Pancreatitis<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Pancreatitis is inflammation of the pancreas due to a variety of causes. Based on autopsies, veterinarians know that <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7995362\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">pancreatitis<\/span><\/a><span style=\"font-weight: 400;\"> is very common among cats. However, it\u2019s not usually symptomatic. Pancreatitis can be very mild to very severe, but when it\u2019s severe, nausea and persistent vomiting are significant problems.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Veterinarians primarily use intravenous ondansetron to treat pancreatitis-induced vomiting, but oral dosing is also possible. The drug will be used along with other drugs to treat the pancreatitis.<\/span><\/p>\n<h3 id=\"vomiting\"><span style=\"font-weight: 400;\">Vomiting<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">When cats are vomiting due to other problems, ondansetron is not always the first choice <\/span><a href=\"https:\/\/www.dvm360.com\/view\/pharmacologic-control-vomiting-proceedings\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">unless the vomiting is intractable<\/span><\/a><span style=\"font-weight: 400;\">. Doses may be given intravenously or by mouth.\u00a0<\/span><\/p>\n<h2 id=\"is-ondansetron-safe-for-cats\"><span style=\"font-weight: 400;\">Is ondansetron safe for cats?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Ondansetron is only used for a few doses in severe cases. In those cases, ondansetron is a safe drug for cats that has few side effects.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It is never given to cats that:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Have had an allergic reaction to ondansetron or other serotonin antagonists like dolasetron or granisetron\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Have a large intestine that is not contracting and moving feces out of the body (ileus)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Have an enlarged stomach (gastric distention)<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Veterinarians may need to reduce the dose in a cat with liver problems. In humans, doctors only reduce the dose for people with severe liver disease. The degree of liver impairment requiring a dosage adjustment in cats has not been specified in veterinary medicine.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Cats with kidney disease or chronic kidney disease (CKD) can take regular doses.<\/span><\/p>\n<h3 id=\"side-effects-of-ondansetron-in-cats\"><span style=\"font-weight: 400;\">Side effects of ondansetron in cats<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Though uncommon, possible side effects of ondansetron in cats are:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Constipation<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sleepiness and drowsiness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Involuntary muscle movements like head shaking<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Low blood pressure (hypotension)<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Low blood pressure does not have symptoms, but the cat might get lightheaded, feel dizzy, faint, collapse, or be lethargic.<\/span><\/p>\n<h3 id=\"interactions-of-ondansetron-with-other-pet-meds\"><span style=\"font-weight: 400;\">Interactions of ondansetron with other pet meds<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Ondansetron has relatively few major drug interactions. These include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Drugs that cause heart rhythm abnormalities, such as amiodarone, cisapride, or sotalol<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The narcotic painkiller <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/tramadol-for-cats\"><span style=\"font-weight: 400;\">tramadol<\/span><\/a><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">To be safe, tell the veterinarian about all prescription drugs, over-the-counter medications, supplements, and herbal remedies the cat is on.\u00a0<\/span><\/p>\n<h2 id=\"ondansetron-dosage-for-cats\"><span style=\"font-weight: 400;\">Ondansetron dosage for cats<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Ondansetron dosages can vary. The standard dosage is 0.5 mg per kilogram of body weight, given twice daily, 12 hours apart. Plumb\u2019s Veterinary Drug Manual recommends that the doses be given intravenously.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Other published ondansetron dosages include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>For severe vomiting:<\/b><span style=\"font-weight: 400;\"> 0.1\u20131.0 mg\/kg given as an intravenous infusion every six to 12 hours as needed.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>To control vomiting due to severe pancreatitis:<\/b><span style=\"font-weight: 400;\"> 0.1\u20131 mg\/kg given by mouth or as an intravenous injection every 12 or every 24 hours<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>As an antiemetic:<\/b><span style=\"font-weight: 400;\"> 0.1\u20130.2 mg\/kg given by mouth every 12 hours or every 24 hours<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Most published dosages recommend intravenous injections for cats so that doses will be administered by a veterinary specialist in a clinical setting.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Some veterinarians may send a pet owner home with oral ondansetron. In those cases, pet parents can choose between <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/pet-meds\/\"><span style=\"font-weight: 400;\">human versions<\/span><\/a><span style=\"font-weight: 400;\"> or have the medication custom compounded into a specific dose or flavored oral liquid by a compounding pharmacy.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Human versions come in <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/zofran\/dosage\"><span style=\"font-weight: 400;\">several dosage formats<\/span><\/a><span style=\"font-weight: 400;\">, including orally disintegrating tablets and liquid oral solutions. The brand-name version of ondansetron is Zofran, but it\u2019s been discontinued.<\/span><\/p>\n<h3 id=\"can-cats-overdose-on-ondansetron\"><span style=\"font-weight: 400;\">Can cats overdose on ondansetron?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">An ondansetron overdose can cause serious problems in a cat. In humans, <\/span><a href=\"https:\/\/dailymed.nlm.nih.gov\/dailymed\/lookup.cfm?setid=834bc56a-657d-4733-9a60-47040cb5c7bf\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">the adverse effects<\/span><\/a><span style=\"font-weight: 400;\"> of an overdose include short-lived blindness, low blood pressure, severe constipation, and <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/serotonin-syndrome-treatment-and-medications\"><span style=\"font-weight: 400;\">serotonin syndrome<\/span><\/a><span style=\"font-weight: 400;\">. If you suspect the cat has been given an overdose, call the veterinarian or take the cat to a veterinary hospital.\u00a0<\/span><\/p>\n<h3 id=\"can-i-give-my-cat-ondansetron-every-day\"><span style=\"font-weight: 400;\">Can I give my cat ondansetron every day?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Ondansetron is given to cats on an as-needed basis to stop severe vomiting. In these cases, ondansetron is a safe drug to give to cats and has relatively few side effects.<\/span><\/p>\n<h3 id=\"how-to-give-your-cat-ondansetron\"><span style=\"font-weight: 400;\">How to give your cat ondansetron<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Most cat parents will not give their cat ondansetron doses. Instead, the veterinarian will inject the medicine in a clinical setting. If the veterinarian sends the cat home with an ondansetron prescription, pet owners can expect to give their cat tablets, liquid, or a topical gel.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Giving doses is relatively straightforward:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Follow all the veterinarian\u2019s instructions.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Understand the dosing schedule. Pet parents will dose their cat every 12 or 24 hours.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">If you don\u2019t know how to give a cat a tablet, ask the veterinarian or a veterinary technician to demonstrate the best technique.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">If giving the cat a pill is difficult, a compounding pharmacy may be able to make an ondansetron oral solution or treat for easier dosing.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ondansetron tablets and oral solutions can be given with or without food.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">If the cat is being dosed with ondansetron oral solution:<\/span>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">There is no need to shake the bottle before measuring a dose<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">Use a calibrated oral syringe to measure the dose<\/span><\/li>\n<\/ul>\n<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Since the cat is vomiting, it may vomit the tablet or oral solution. Ask the veterinarian what to do in case this happens.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">There is no need to taper the dose when this drug is discontinued.<\/span><\/li>\n<\/ul>\n<h2 id=\"ondansetron-alternatives-for-cats\"><span style=\"font-weight: 400;\">Ondansetron alternatives for cats<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Ondansetron is not a first-choice drug for most cases of vomiting and nausea in cats. It\u2019s too powerful for mild cases and doesn\u2019t work for <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/do-cats-get-car-sick\/\"><span style=\"font-weight: 400;\">motion sickness<\/span><\/a><span style=\"font-weight: 400;\">. Instead, veterinarians only use it in cats with severe or persistent vomiting.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If a cat cannot take ondansetron, veterinarians have <\/span><a href=\"https:\/\/www.cliniciansbrief.com\/column\/category\/column\/capsules\/emesis-management-cats\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">many other choices<\/span><\/a><span style=\"font-weight: 400;\"> that can relieve severe vomiting, including:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Maropitant (available for cats as brand-name Cerenia)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The phenothiazine drugs <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/prochlorperazine\"><span style=\"font-weight: 400;\">prochlorperazine<\/span><\/a><span style=\"font-weight: 400;\"> or <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/chlorpromazine-hcl\"><span style=\"font-weight: 400;\">chlorpromazine<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/metoclopramide-hcl\"><span style=\"font-weight: 400;\">Metoclopramide<\/span><\/a><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">For less severe nausea and vomiting, veterinarians will rely on milder anti-nausea drugs such as <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/omeprazole\"><span style=\"font-weight: 400;\">omeprazole<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/famotidine-for-cats\/\"><span style=\"font-weight: 400;\">famotidine<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/sucralfate\"><span style=\"font-weight: 400;\">sucralfate<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/mirtazapine\"><span style=\"font-weight: 400;\">mirtazapine<\/span><\/a><span style=\"font-weight: 400;\">, or <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/cisapride\"><span style=\"font-weight: 400;\">cisapride<\/span><\/a><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/resources\/pet-meds\"><strong>Save on ondansetron &amp; other pet meds<\/strong><\/a><\/p>\n<h2 id=\"summary\"><span style=\"font-weight: 400;\">Summary<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Ondansetron is a powerful anti-nausea drug that rapidly reduces severe and persistent nausea and vomiting in cats. There are few side effects, but veterinarians only use it briefly. Most cats will get their ondansetron doses from a veterinarian as an injection. A cat may be sent home with oral ondansetron. In those cases, pet owners should diligently follow the veterinarian\u2019s instructions.\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ondansetron is an anti-nausea drug that veterinarians give to cats for severe nausea and vomiting. Ondansetron for cats is an extra-label use of the drug. It\u2019s a powerful antiemetic that works rapidly and dramatically. The drug essentially shuts down the involuntary reflex that causes vomiting. Though powerful, it has few and relatively uncommon side effects. [&hellip;]<\/p>\n","protected":false},"author":15,"featured_media":629462,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[7956],"tags":[15095],"coauthors":[8861],"class_list":["post-629461","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-pets","tag-cats","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Ondansetron for cats: Dosage and safety<\/title>\n<meta name=\"description\" content=\"Ondansetron treats severe nausea and vomiting in cats. The standard dose of ondansetron for cats is 0.5 mg per kg of body weight. 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The standard dose of ondansetron for cats is 0.5 mg per kg of body weight. 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