Avona Tablet

Avona Tablet is manufactured by Popular Pharmaceuticals Ltd. Avona Tablet contains 8 mg Ondansetron. It is Anti-emetic drugs class drug.

Avona is a selective 5-HT3 receptor antagonist. While its mechanism of action has not been fully characterized, ondansetron is not a dopamine-receptor antagonist. Serotonin receptors of the 5-HT3 type are present both peripherally on vagal nerve terminals and centrally in the chemoreceptor trigger zone of the area postrema. It is not certain whether ondansetron's antiemetic action is mediated centrally, peripherally, or in both sites. However, cytotoxic chemotherapy appears to be associated with release of serotonin from the enterochromaffin cells of the small intestine.

Uses

Avona is used for: 

  • Prevention of nausea and vomiting associated with highly emetogenic cancer chemotherapy
  • Prevention of nausea and vomiting associated with radiotherapy
  • Prevention of post operative nausea and vomiting
Brand Name: Avona
Generic: Ondansetron
Weight: 8 mg
Type: Tablet
Therapeutic Class: Anti-emetic drugs
Manufacturer: Popular Pharmaceuticals Ltd
Price: 14.00
Last Updated: November 20, 2020 at 6:15 pm

Dosage

Avona contains Ondansetron 8 mg. Avona Dosage:

Prevention of chemotherapy induced nausea & vomiting (CINV):

Adult- 

  • Tablet and oral solution: The recommended adult oral dosage of Avona is 24 mg given as three 8 mg tablets in highly emetogenic chemotherapy. In case of moderately emetogenic chemotherapy the oral dose is one 8 mg Avona tablet or 10 ml of Avona oral solution given twice daily.
  • Injection: The recommended i.v. dose of Avona is a single 32 mg dose or three 0.15 mg/kg doses. A single 32 mg dose is infused over 15 minutes beginning 30 minutes before the start of emetogenic chemotherapy. Subsequent doses (0.15 mg/kg) are administered 4 and 8 hours after the first dose of Avona.
  • Suppository: The recommended adult dose is one 16 mg suppository 1-2 hours before treatment. Avona should be continued for upto 5 days after a course of treatment.The recommended dose is one suppository daily.

Pediatric patients- 

  • Tablet and oral solution: for pediatric patients 4 through 11 years of age the dosage is one 4 mg Avona tablet or 5ml of Avona solution should be administered 3 times a day for 1 to 2 days after completion of chemotherapy.
  • Injection: the dosage in pediatric patients 4 to 18 years of age should three 0.15-mg/kg doses.
  • Suppository:Not recommended.

Radiotherapy induced nausea and vomiting:

Adult- 

  • Tablet and oral solution: the recommended oral dosage is one 8mg Avona tablet or 10ml of Avona oral solution given 3 times daily.

Post operative nausea & vomiting (PONV):

Adult- 

  • Tablet and oral solution: The recommended dosage is 16 mg given as two 8 mg Avona tablets or 20 ml of Avona oral solution 1hour before induction of anesthesia.
  • Injection: The recommended I.V. dosage of Avona for adults is 4 mg undiluted administered intravenously in not less than 30 seconds, preferably over 2 to 5 minutes, immediately before induction of anesthesia, or postoperatively if the patient experiences nausea and/or vomiting occurring shortly after surgery. Alternatively, 4 mg undiluted may be administered intramuscularly as a single injection for adults. In patients who do not achieve adequate control of postoperative nausea and vomiting following a single, prophylactic, preinduction, I.V. dose of Avona 4 mg, administration of a second I.V. dose of 4 mg Avona postoperatively does not provide additional control of nausea and vomiting.
  • Suppository: The recommended adult dose is one 16 mg suppository 1-2 hours before treatment. Avona should be continued for upto 5 days after a course of treatment.The recommended dose is one suppository daily.

Pediatric patients- 

  • Injection: The recommended I.V. dosage of Avona for pediatric patients (2 to 12 years of age) is a single 0.1-mg/kg dose for pediatric patients weighing 40 kg or less, or a single 4 mg dose for pediatric patients weighing more than 40 kg. The rate of administration should not be less than 30 seconds, preferably over 2 to 5 minutes. Little information is available about dosage in pediatric patients younger than 2 years of age.
  • Suppository: Not recommended.

Prior to IV infusion, dilute in 50 ml dextrose 5% inj or normal saline.

Side Effects

The most common adverse effects include headache, constipation, diarrhea. In chemotherapy induced nausea and vomiting rash has occurred in approximately 1% of patients receiving Avona. Blurred vision, chest pain with or without ST segment depression, cardiac arrhythmias, hypotension and bradycardia have been rarely reported.

Precaution

Hypersensitivity reactions have been reported in patients who have exhibited hypersensitivity to other 5-HT3 receptor antagonists. Avona is not a drug that stimulates gastric or intestinal peristalsis. It should not be used instead of nasogastric suction. The use of Avona in patients following abdominal surgery or in patients with chemotherapy-induced nausea and vomiting may mask a progressive ileus and/or gastric distension.

Avona

Interaction

In patients treated with potent inducers of CYP3A4 (i.e Phenytoin, Carbamazepine or Rifampicin), the oral clearance of Avona was increased and Avona blood concentrations were decreased. Data from small studies indicate that Avona may reduce the analgesic effect of tramadol.

Pregnancy Lactation use

In pregnancy: Pregnancy category B. Reproduction studies at daily oral dose up to 10 and 30 mg/kg/day have been performed in animals and have revealed no evidence of impaired fertility harm to the fetus due to Avona. There are, however, no adequate and well-controlled studies in pregnant women. So the drug should be used in pregnancy only if clearly needed.

In lactation: Avona excretes in milk of lactating animals. Caution should be exercised when Avona is administered to nursing mother.

Contraindication

Avona is contraindicated in patients with known hypersensitivity to the drug.

Special Warning

Pediatric use: Can be given in children 1 month of age and above. 

Geriatric use: No dosage adjustment is necessary in the elderly.Dosage adjustment for patients with impaired hepatic function:

  • Tablet and Oral Solution: The total daily dose of 8 mg should not be exceeded.
  • Injection: A single maximal dose of 8 mg to be infused over 15 minutes beginning 30 minutes before the start of the emetogenic chemotherapy is recommended.
  • Suppository: Not recommended

Acute Overdose

There is no specific antidote for Avona overdose. In addition to the adverse events, hypotension (and faintness) occurred in a patient that took 48 mg of AVONA tablets. In all instances, the events resolved completely.

Interaction with other Medicine

 

Storage Condition

Store in a cool and dry place, protected from light and moisture. For suppository- Store below 25º c.