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Meclizine vs. Zofran

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

Key takeaways

Meclizine (Antivert, Dramamine Less Drowsy) and ondansetron (Zofran) are both used to treat nausea and vomiting, but they belong to different medication classes. Meclizine is an antihistamine, while ondansetron is an antiemetic. Meclizine is available over-the-counter for motion sickness and by prescription for vertigo, whereas ondansetron is prescription-only and used to prevent nausea and vomiting after surgery or cancer treatments. Meclizine comes in chewable tablets or pills, while ondansetron is available as tablets, orally disintegrating tablets, and liquid, and can also be given as an injection by a healthcare professional. Meclizine can cause sleepiness, dry mouth, and difficulty urinating, while ondansetron may lead to headaches, tiredness, and constipation or diarrhea. Ondansetron can interact with medications like antidepressants and migraine medications, while meclizine can interact with anticholinergic medications. Both medications are available as a lower-cost generic.

Meclizine

 

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Ondansetron

(Zofran)

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Summary for Meclizine

Prescription or over-the-counter

Meclizine is an antihistamine. It's used to prevent and treat nausea, vomiting, and dizziness from motion sickness or vertigo. It's available in both prescription (to treat vertigo) and over-the-counter (to treat motion sickness) forms. Meclizine also comes as a chewable tablet or pill that you swallow whole. Some common side effects of meclizine include sleepiness, dry mouth, and difficulty urinating.

Indications for Meclizine

Pros and Cons for Meclizine

Pros

  • Works well to treat symptoms of motion sickness and vertigo
  • Available as chewable tablets and oral pills
  • Available as a lower-cost generics
  • Effects can last for a full day

Cons

  • Can make you sleepy or dizzy
  • Not available as a liquid form
  • Not approved for use in children less than 12 years old (especially Antivert, which isn't approved for use in children younger than 18 years of age)
  • Not the best choice for people over 65 years old, people with glaucoma, or people with problems urinating

Common Side Effects for Meclizine

  • Sleepiness
  • Dry mouth
  • Headache
  • Fatigue
  • Vomiting

Warnings for Meclizine

  • Sleepiness
  • Worsening of certain medical conditions

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 Meclizine vs. Zofran

Price Card Drug Icon
Meclizine30 tablets / 25mg
$10.38$11.37
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Ondansetron20 orally disintegrating tabs / 4mg
$10.99$116.03
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