
Abione Tab
Intas Pharmaceuticals Ltd - Tablet - 250mg - 10 S
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Endoxifen (8mg)
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Zonalta 8 mg Tablet is used for prevention and treatment of nausea and vomiting due to chemotherapy (CINV), radiotherapy (RINV), and postoperative nausea and vomiting (PONV).
Medically reviewed by Dr. Balaji Krishnan, MBBS · Updated October 2026
Zonalta 8 mg Tablet contains Endoxifen (8mg). It belongs to the 5-HT3 receptor antagonist (serotonin antagonist) class of medicines.
Ondansetron is a selective 5-HT3 (serotonin) receptor antagonist. It blocks serotonin-mediated stimulation of vagal afferents in the gut and the chemoreceptor trigger zone in the brain, thereby reducing nausea and vomiting.
Take tablet by mouth exactly as prescribed. It may be taken with or without food; taking after food may reduce stomach upset. Typical use is before chemotherapy/radiotherapy or as directed for postoperative nausea; swallow with water.
Take it exactly as your doctor prescribed. Do not change the dose or stop early on your own.
If you miss a dose of Zonalta 8mg Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.
An overdose of this medicine may be harmful — seek medical advice immediately. Do not wait for symptoms to appear — go to the nearest emergency department and take the pack or strip with you.
Most side effects of Zonalta are mild and settle as the body adjusts. Reported side effects include:
Stop the medicine and seek help immediately for a rash, swelling of the face or lips, wheezing or difficulty breathing. Tell your doctor about any side effect that persists or worries you.
| Pregnancy | Consult doctor (use only if clearly needed; generally considered low risk when prescribed) |
|---|---|
| Breastfeeding | Breast feeding UNSAFE |
| Alcohol | Use with caution (alcohol may worsen dizziness and drowsiness) |
| Driving | Driving CONSULT YOUR DOCTOR |
| Kidney | Kidney CONSULT YOUR DOCTOR |
| Liver | Liver CONSULT YOUR DOCTOR |
| Habit forming | No |
Use with caution in patients with prolonged QT interval, heart rhythm disorders, electrolyte imbalance (low potassium/magnesium), heart failure, or severe liver impairment (dose adjustment may be needed). Seek urgent help for palpitations, fainting, severe dizziness, or signs of serotonin syndrome (agitation, sweating, tremor) especially if taken with serotonergic medicines. Not recommended with apomorphine (risk of severe hypotension and loss of consciousness).
Not for anyone with a known allergy to this medicine or to any ingredient in the pack. Your doctor will confirm this medicine is suitable for you.
Apomorphine (contraindicated), other QT-prolonging drugs (e.g., amiodarone, sotalol, quinolones, macrolides, antipsychotics), serotonergic drugs (SSRIs/SNRIs, MAOIs, tramadol, linezolid) increased serotonin syndrome risk, CYP3A4 inducers (carbamazepine, phenytoin, rifampicin) may reduce effect
Store below 25°C in a dry place. Protect from moisture and light. Keep out of reach of children.
Inform your doctor if you experience chest pain or a fast heartbeat after starting treatment with Zonalta 8mg Tablet. Avoid breastfeeding during treatment with this medicine and for three months after the last dose. Zonalta 8mg Tablet might cause menstrual irregularity or amenorrhea. Consult your doctor. Use contraception to avoid getting pregnant during treatment with this medicine since it may cause fetal harm.

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Compiled from the manufacturer's prescribing information and the sources below, and reviewed by a registered medical practitioner. It does not replace your own doctor's advice.