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5 HT3 antagonists


5-HT3 antagonists are antiemetics used mainly in the management of chemotherapy-related nausea. They mainly act in the chemoreceptor trigger zone area of the medulla oblongata.

Examples

  • ondansetron
  • palonosetron
    • second-generation 5-HT3 antagonist
    • main advantage is reduced effect on the QT interval

Adverse effects

  • prolonged QT interval
  • constipation is common