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Zofran vs. Dexamethasone

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

Key takeaways

Ondansetron (Zofran) and dexamethasone (Decadron) are both prescription medications, but they serve different purposes and belong to different drug classes. Ondansetron is an antiemetic used to prevent nausea and vomiting after surgery or cancer treatments, while dexamethasone is a corticosteroid used to treat various inflammatory conditions, including allergies and autoimmune diseases. Ondansetron works by blocking serotonin receptors in the brain, whereas dexamethasone reduces inflammation by mimicking cortisol, a natural hormone. Ondansetron is available in multiple forms, including tablets, dissolvable tablets, and injections, and is typically taken multiple times a day. In contrast, dexamethasone is available as oral tablets, solutions, and injections, and its dosing can vary widely based on the condition being treated. Common side effects of ondansetron include headache and fatigue, while dexamethasone can cause trouble sleeping, weight gain, and higher blood sugar levels. Additionally, long-term use of dexamethasone can lead to more severe side effects like weakened bones and increased infection risk.

Ondansetron

(Zofran)

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Dexamethasone

 

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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

Summary for Dexamethasone

Prescription only

Dexamethasone is a corticosteroid that's used to treat many inflammatory conditions, including allergic reactions and certain autoimmune conditions. If you've been taking dexamethasone for a long time, you're at higher risk for side effects like weight gain and weakened bones. Dexamethasone also has many drug interactions, so make sure to tell your provider and pharmacist what medications you're taking before starting this steroid. This medication is available as oral tablets and solutions, as well as an injection that's usually given in a healthcare setting.

Indications for Dexamethasone

Pros and Cons for Dexamethasone

Pros

  • Can treat many conditions
  • Works quickly to relieve symptoms and problems caused by an overactive immune system, like swelling or rash
  • Option to take it by mouth
  • Available as a liquid for children or people who can't take tablets by mouth

Cons

Common Side Effects for Dexamethasone

  • Difficulty sleeping
  • Higher blood sugar levels
  • Headache
  • Mood swings
  • Nausea
  • Stomach pain
  • Feeling more hungry
  • Weight gain

Warnings for Dexamethasone

  • Lowered stress hormone levels
  • Higher risk of infections
  • High blood pressure and kidney-related problems
  • Stomach and intestinal problems
  • Weakened bones
  • Eye problems

Prices with our coupons for Zofran vs. Dexamethasone

Price Card Drug Icon
Ondansetron20 orally disintegrating tabs / 4mg
$10.99-
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Dexamethasone5 tablets / 4mg
$9.40-
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