Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Bonjesta (doxylamine/pyridoxine) and Zofran (ondansetron) are both medications used to treat nausea and vomiting, but they are used in different situations. Bonjesta is specifically FDA-approved for morning sickness during pregnancy, while Zofran is approved for preventing nausea and vomiting after surgery or cancer treatments. Bonjesta combines an antihistamine (doxylamine) and a dietary supplement (pyridoxine, or vitamin B6), whereas Zofran is an antiemetic that works by blocking serotonin in the brain. Bonjesta is taken as a tablet, typically once or twice a day, and does not have a generic version available. Zofran, on the other hand, is available in multiple forms, including tablets, orally disintegrating tablets, and injections, and it does have a generic version. Common side effects of Bonjesta include sleepiness, while Zofran can cause headaches and fatigue. Additionally, Zofran has potential interactions with medications that affect serotonin levels, which can lead to a serious condition called serotonin syndrome.
Bonjesta (doxylamine / pyridoxine)
Ondansetron (Zofran)
Bonjesta (doxylamine / pyridoxine)
Ondansetron (Zofran)
Summary of Bonjesta vs. Zofran
Summary for Antihistamine / Dietary supplement
Prescription only
Bonjesta (doxylamine / pyridoxine) treats morning sickness, or nausea and vomiting that happens during pregnancy. It's typically taken when changing your diet or staying away from nausea triggers isn't enough help. This medication contains an antihistamine called doxylamine and a dietary supplement called pyridoxine (also known as vitamin B6). The dosage is 1 tablet taken by mouth at bedtime, but it can be adjusted to 1 tablet in the morning and 1 tablet at bedtime if needed. This medication commonly causes sleepiness as a side effect.
Summary for Antiemetic
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 of Bonjesta vs. Zofran
Indications for
•Morning sickness (nausea and vomiting during pregnancy) when non-medication options haven't provided enough relief