INTRODUCTION

DOMI UP contains Ondansetron which belongs to a group of medicines called anti-emetics, which help to stop feeling or being sick. It is indicated to prevent and manage nausea and vomiting induced by cytotoxic therapy and radiotherapy and post-operative nausea and vomiting. This medicine works by blocking the action of serotonin levels in the brain which causes nausea and vomiting during chemotherapy or any other surgery.

Cytotoxic chemotherapy triggers the release of serotonin from the enterochromaffin cells of the small intestine. The released serotonins stimulate the vagal afferents through the 5-HT3 receptors and initiate the vomiting reflex. Ondansetron is a selective 5-HT3 receptor antagonist which blocks serotonin, both peripherally on vagal nerve terminals and centrally in the chemoreceptor trigger zone. It works by blocking serotonin in the brain which causes nausea and vomiting during anti-cancer management (chemotherapy) or after surgery.

Always take DOMI UP exactly as directed by your doctor. Before taking this medicine, tell your doctor if you have liver, kidney or heart problems, pregnant women and breastfeeding mothers. Your doctor will decide the right dose depends on your child’s age and body weight. The common side effects are headache, constipation and dizziness.

USES OF DOMI UP

• Cancer chemotherapy-induced nausea and vomiting
• Postoperative nausea and/or vomiting

HOW DOMI UP WORKS

DOMI UP is a selective 5-HT3-receptor antagonist which blocks serotonin, both peripherally on vagal nerve terminals and centrally in the chemoreceptor trigger zone. It works by blocking serotonin in the brain which causes nausea and vomiting during anti-cancer management (chemotherapy) or after surgery.

DIRECTIONS FOR USE

Always take DOMI UP exactly as your doctor has told you. Do not mix medicine with anything (even water) before swallowing it. Shake well before use. It can be taken with or without food.

SIDE EFFECTS OF DOMI UP

HOW TO MANAGE SIDE EFFECTS

Headache:

Rest and drink plenty of fluids.

Constipation:

Add fruits, vegetables whole grains and other high-fiber foods to your normal diet.

Dizziness:

Get up and move around to feel awake, take small naps to edge off the sleepiness. Give your eyes a break to avoid fatigue and eat a healthy food to boost energy.

WARNING & PRECAUTIONS

INTERACTIONS

Inform your doctor if you are taking or have recently taken any other medicines, including medicines obtained without a prescription or the following,

• apomorphine (used to manage Parkinson’s Disease)
• phenytoin, carbamazepine (used to manage epilepsy)
• rifampicin, erythromycin (an antibiotic)
• tramadol (used to manage pain)
• medicines used to manage heart problems such as abnormal heart beats (anti-arrhythmics) and high blood pressure (betablockers)
• anthracyclines, trastuzumab (used to manage cancer)
• ketoconazole (used to manage fungal infection)

SYNOPSIS

MORE INFORMATION

Store below 20-25°C and keep out of reach of children.

FAQs ABOUT DOMI UP

Does DOMI UP stop vomiting?

It is a highly potent antiemetic drug that is effective in preventing chemotherapy-and radiation-induced nausea and vomiting.

How quickly does DOMI UP work?

It starts working within half an hour to 2 hours, which dissolves rapidly into the bloodstream and starts showing its effect.

Can use DOMI UP during breastfeeding?

It is not recommended during breastfeeding unless necessary. Consult your doctor for advice.

REFERENCES

1. KD Tripathi MD. 5-HT, its antagonists and drug therapy of migraine. Essentials of Medical Pharmacology 7th ed. New Delhi, May 2013. Page – 171.

2. Sharkey KA, Wallace JL. Management of Disorders of Bowel Motility and Water Flux; Anti-Emetics; Agents Used in Biliary and Pancreatic Disease. Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 12th ed. New York, New York: McGraw-Hill Medical; 2011. Page - 1341-1342.

3. Katzung BG. Histamine, Serotonin, & the Ergot Alkaloids. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. Page – 285.

4. A Cheng. Emergency department use of oral Ondansetron for acute gastroenteritis-related vomiting in infants and children: Pediatrics in child health. March 2011; [Accessed Jan 6, 2021] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3077311/

5. Apollo Pharma Ltd. Transdermal Limited. Electronic Medicines Compendium (EMC); [Revised March 2020] [Accessed Jan 6, 2021] https://www.medicines.org.uk/emc/files/pil.9704.pdf

6. Focus Pharmaceuticals Limited. Penn Pharmaceutical Services Ltd. Electronic Medicines Compendium (EMC); [Revised Jan, 2020] [Accessed Jan 6, 2021] https://www.medicines.org.uk/emc/files/pil.3369.pdf

7. GlaxoSmithKline. Sep, 2011. U.S. Food & Drug Administration; [Accessed Jan 6, 2021] https://www.accessdata.fda.gov/drugsatfda_docs/label/2011/020103s030,020605s014,020781s014lbl.pdf