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Ondansetron for Dogs: Treat and Prevent Nausea and Vomiting

Chris Vanderhoof, DVM, MPHGhanasyam Bey, DVM
Published on December 2, 2024

Key takeaways:

  • Ondansetron (Zofran) is a medication that prevents and treats nausea and vomiting in dogs.

  • Veterinarians may prescribe ondansetron to treat nausea and vomiting triggered by conditions such as infections, chemotherapy, or vestibular disorders.

  • Ondansetron’s side effects may include diarrhea, constipation, and sedation. Dogs don’t usually have side effects from this medication, however.

A vet hugging a dog.
ruizluquepaz/E+ via Getty Images

Ondansetron (Zofran) is a commonly prescribed medication that prevents or manages nausea and vomiting in people undergoing cancer treatment. Veterinarians also prescribe ondansetron to treat nausea and vomiting in dogs.

Here’s a look at ondansetron uses in dogs, along with side effects and serious risks.

Ondansetron for dogs at a glance

Common names

Ondansetron (Zofran)

What it treats

Nausea, vomiting

How it comes (forms)

Tablets, oral disintegrating tablets, oral solution, injection

Common side effects

Constipation, diarrhea, mild sedation

Average cost

$15 to $21 (10 tablets)

What is ondansetron for dogs, and how does it work?

Ondansetron is a medication used to treat nausea and vomiting in dogs. It works by blocking substances and signals to the brain that cause nausea. 

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Zofran is the most common brand name for ondansetron.

What is ondansetron used for in dogs?

Ondansetron is used to treat nausea and vomiting in dogs that may be triggered by certain situations, such as:

Ondansetron may also be used to prevent nausea or vomiting in dogs. It can be given before they take another medication or undergo a procedure. 

Vets consider maropitant (Cerenia) to be as effective or better than ondansetron for the prevention of vomiting in dogs. But many veterinarians consider ondansetron more effective for treating nausea.

What is the dosage of ondansetron for dogs, and how is it given?

There is no FDA-approved dosage of ondansetron for dogs. Vets prescribe ondansetron off-label, which is common in veterinary medicine. 

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A veterinarian can determine the ondansetron dosage based on your dog’s symptoms. They may adjust the dose depending on how your dog responds to it.

Vets may use an injectable form of ondansetron if your dog is being treated in the hospital for nausea or vomiting. 

You may give your dog the oral form of ondansetron every 8 to 12 hours at home. The oral tablet form is most common. Dogs that may not be able to swallow or keep down medication may be able to take the dissolvable tablet.

Ondansetron works fast in dogs. Your dog should start feeling better within 1 to 2 hours.

What are the common side effects of ondansetron in dogs?

Some dogs may experience mild side effects while taking ondansetron. Common side effects in dogs may include:

What are the most serious risks of ondansetron in dogs?

Serious side effects of ondansetron have been reported in humans. Your dog may experience these as well, but they’re rare. These include:

  • Head shaking

  • Abnormal heartbeat

  • Low blood pressure

Call a vet right away if your dog shows any of these signs.

Does ondansetron interact with any other dog medications?

The following medications may interact with ondansetron. But this doesn’t mean your dog can’t take ondansetron with it.

  • Apomorphine

  • Azole antifungals

  • Cyclophosphamide

  • Metformin

  • Monoamine oxidase inhibitors (MAOIs)

  • Opioids, such as fentanyl and methadone

  • Phenobarbital

  • Tramadol

  • Trazodone

Always discuss your dog’s medications with a vet. 

What should you do if your dog misses a dose of ondansetron?

Ondansetron is typically given every 8 to 12 hours. If you miss giving your dog a dose of ondansetron, give it as soon as possible. If it’s close to the time for the next dose, wait until the next scheduled dose to give them the medication.

The bottom line

Ondansetron (Zofran) is a medication used to prevent and treat nausea and vomiting in dogs. Side effects like diarrhea and constipation are possible, but they’re typically mild and uncommon. 

Ondansetron can interact with other medications your dog takes. Make sure to discuss your dog’s over-the-counter and prescription medications with a vet.

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Why trust our experts?

Chris Vanderhoof, DVM, MPH
Chris Vanderhoof, DVM, MPH, has been involved with the veterinary field for over 20 years, since working as an assistant at a local veterinary clinic. After earning an associate’s degree in veterinary technology in 2005, Chris transferred to Virginia Tech where he went on to complete his bachelor’s degree, then his doctorate and master’s.
Renée Fabian, MA
Renée Fabian is the senior pet health editor at GoodRx. She’s worked for nearly 10 years as a journalist and editor across a wide range of health and well-being topics.
Ghanasyam Bey, DVM
Reviewed by:
Ghanasyam Bey, DVM
Ghanasyam Bey, DVM, is from Cleveland, Ohio, and attended Princeton University for undergraduate studies. After a year of biology research at Duke University, he attended Ohio State College of Veterinary Medicine.

References

Budde, J. A., et al. (2023). Ondansetron. Plumb’s Veterinary Drug Handbook, 10th Edition. Wiley-Blackwell. 

Burke, J. E., et al. (2022). Effectiveness of orally administered maropitant and ondansetron in preventing preoperative emesis and nausea in healthy dogs premedicated with a combination of hydromorphone, acepromazine, and glycopyrrolate. Journal of the American Veterinary Medical Association.

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GoodRx Health has strict sourcing policies and relies on primary sources such as medical organizations, governmental agencies, academic institutions, and peer-reviewed scientific journals. Learn more about how we ensure our content is accurate, thorough, and unbiased by reading our editorial guidelines.

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