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Barhemsys vs. Zofran

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Barhemsys (amisulpride) and Zofran (ondansetron) are both medications used to prevent and treat nausea and vomiting after surgery. However, they belong to different medication classes and have distinct characteristics. Barhemsys is a dopamine antagonist available only as an injection, typically administered by a healthcare provider. It is specifically approved for use in adults who did not respond to other preventive medications. In contrast, Zofran is an antiemetic that works by blocking serotonin and is available in various forms, including oral tablets, orally disintegrating tablets, and injections. Zofran is also used to prevent nausea and vomiting caused by cancer treatments, such as chemotherapy and radiation therapy. While Barhemsys does not commonly cause sleepiness, Zofran can lead to fatigue and other side effects like headache and constipation. Additionally, Zofran has potential interactions with medications that affect serotonin levels, which can lead to serious conditions like serotonin syndrome. Zofran is available as a generic, making it a more cost-effective option, whereas Barhemsys only comes as a branded medication.

Barhemsys

(amisulpride)

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Ondansetron

(Zofran)

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Summary for Barhemsys

Prescription only

Barhemsys (amisulpride) is an injectable medication used to prevent and treat nausea and vomiting after surgery. It's typically given by a healthcare provider through the vein, and doesn't have many common side effects.

Pros and Cons for Barhemsys

Pros

Cons

Summary for Zofran

Prescription only

Ondansetron (Zofran) is an antiemetic (or anti-nausea) medication. It's used to prevent nausea and vomiting after surgery or cancer treatments. It works by stopping a chemical called serotonin from binding to receptors in the brain that cause the feeling of nausea and vomiting. Ondansetron (Zofran) is taken by mouth, typically every 8 to 12 hours. It comes in different formulations, including orally disintegrating tablet (ODT) and oral solution. It can also be given as injection by a healthcare professional (HCP) in a hospital setting. Side effects of this medication include headache, tiredness, and constipation or diarrhea.

Indications for Zofran

  • Prevention of nausea and vomiting due to cancer medications (chemotherapy) or radiation therapy
  • Prevention of nausea and vomiting after surgery

Pros and Cons for Zofran

Pros

  • Can use for both adults and children
  • Available as a lower-cost generic
  • Available as a liquid, dissolvable tablet, and injection for people who have problems swallowing pills or are too nauseous to keep medication down
  • Possible option during pregnancy and breastfeeding

Cons

Common Side Effects for Zofran

  • Headache (up to 24%)
  • Fatigue (up to 13%)
  • Constipation (up to 9%)
  • Diarrhea (up to 6%)

Warnings for Zofran

  • Severe allergic reactions
  • Life-threatening abnormal heart rhythm (QT prolongation)
  • Serotonin syndrome
  • Risk of heart attack
  • Masking of gut blockage and stomach bloating
  • Caution use in people with phenylketonuria (PKU) - orally disintegrating tablets only

Prices with our coupons for Barhemsys vs. Zofran

Price Card Drug Icon
Barhemsys1 vial / 2ml of 5mg
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Ondansetron20 orally disintegrating tabs / 4mg
$10.99$116.03
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