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This medication is used to prevent and treat seasonal and year-round allergy symptoms of the nose (stuffiness or congestion, runny nose, itching, and sneezing). It is also used to treat growths in the nose (nasal polyps). Mometasone works by reducing swelling of the nasal passages. It belongs to the class of drugs known as corticosteroids.This medication does not work immediately. It may take several weeks or longer before the full benefit of this drug takes effect. Therefore, when using mometasone to prevent seasonal allergy symptoms, start this medication 2-4 weeks before pollen season begins.How to use Mometasone NaslRead the Patient Information Leaflet provided by your pharmacist before you start using mometasone and each time you get a refill. If you have any questions regarding the information, consult your doctor or pharmacist.This medication is for use in the nose, usually once a day or as directed by your doctor. Avoid spraying this medication in your eyes. Gently blow your nose before using this drug. Shake the container well before each use. Follow the instructions to learn how to properly prime the spray pump if you are using it for the first time, and to learn when you need to reprime it if you have not used it regularly.To use the spray, remove the protective cap and insert the applicator tip into your nostril. Close the other nostril by pressing with your finger, and tilt your head forward slightly. Press down firmly on the pump to deliver the prescribed number of sprays. Do not spray directly onto the middle wall of your nose (the septum). Breathe in gently through your nose and out through your mouth. Repeat in the other nostril. Wipe the applicator tip and replace the protective cap.The dosage is based on your medical condition and response to therapy. Younger children require a smaller dose and need help from an adult to use this medication. Use this drug regularly during the prescribed treatment period for full benefit. Remember to use it at the same time(s) each day. Do not use this drug more often, increase your dose, or use it for longer than prescribed.Keep track of the number of sprays used from the container. Discard the container after you have used the number of sprays specified on the manufacturer's package.Inform your doctor if your symptoms do not improve or if they worsen.Mometasone Nasl is used to treat the following:Chronic Inflammation of the Nose Not due to Allergies, Inflammation of the Nose due to an Allergy, Non-Seasonal Allergic Runny Nose, Allergic Rhinitis Prevention

Irovel ( Avapro, Generic Irbesartan )

Irbesartan is used alone or in combination with other medications to treat high blood pressure. It is also used to treat kidney disease caused by diabetes in patients with type 2 diabetes (condition in which the body does not use insulin normally and therefore cannot control the amount of sugar in the blood) and high blood pressure.Irbesartan is in a class of medications called angiotensin II receptor antagonists. It works by blocking the action of certain chemicals that tighten the blood vessels, so blood flows more smoothly.Irbesartan comes as a tablet to take by mouth. It is usually taken once a day with or without food. To help you remember to take irbesartan, take it around the same time every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take irbesartan exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.Your doctor may start you on a low dose of irbesartan and gradually increase your dose.Irbesartan controls high blood pressure but does not cure it. Continue to take irbesartan even if you feel well. Do not stop taking irbesartan without talking to your doctor.Irbesartan is also used sometimes to treat heart failure.

Accolate (Generic Zafirlukast ) - Product Origin: Eu (Turkey)

Diltizem Sr ( Zemtard, Viazem Xl, Tildiem La, Dilzem Xl, Calcicard, Angitil Xl, Dilcardia, Generic Diltiazem Hcl ) - Product Origin: Eu (Turkey)

This product is able to be sourced and supplied at excellent prices because of favourable cross border currency conversions. All products are authentic brand names and will include a product information insert in English.Medical Information:Diltiazem capsules contain the active ingredient diltiazem, which is a type of medicine called a calcium channel blocker. This type of medicine acts on the heart and blood vessels.Diltiazem works by slowing down the movement of calcium through muscle cells that are found in the heart and the walls of blood vessels. It does this by blocking 'calcium channels' on these muscle cells. Calcium is needed by the muscle cells in order for them to contract. By depriving them of calcium, diltiazem causes the muscle cells to relax. This action of diltiazem has two main effects; it slows down the rate at which the heart beats and it allows the blood vessels in the body to widen. When the heart beats more slowly, the pressure at which the blood is pumped out of the heart is reduced. When the blood vessels in the body relax and widen, this decreases the resistance that the heart has to push against in order to pump the blood around the body. Both these actions reduce the pressure within the blood vessels. This means diltiazem can be used to lower high blood pressure. Slowing the heart rate also reduces the energy used by the heart to pump blood around the body. This in turn reduces the heart's need for oxygen. At the same time, widening the blood vessels improves the blood and therefore oxygen supply to the heart. Both these features mean that diltiazem can be used in the management of angina. The chest pain of angina is caused by insufficient oxygen supply to the heart. As diltiazem improves this oxygen supply, and also reduces the effort the heart has to make to pump blood, it can be used to prevent angina attacks. Diltiazem capsules are a long-acting or 'modified-release' form of diltiazem. This means that they are designed to release the diltiazem slowly and continuously over several hours to produce a steady blood level of the medicine throughout the day. Diltiazem capsules are designed to be taken once a day, at the same time each day. They should be swallowed whole and not chewed or crushed, as this would damage the modified-release action. What is it used for? Angina pectoris.Mild to moderate high blood pressure (hypertension).

Veradanafil ( Levitra, Generic Veradanfil )

Vardenafil is used to treat male sexual function problems (impotence or erectile dysfunction) by blocking a certain enzyme (phosphodiesterase-PDE5). In combination with sexual stimulation, vardenafil works by helping the blood flow into the penis to achieve and maintain an erection.This drug is not indicated for use in women.Use of this drug does not protect against sexually transmitted diseases (e.g., HIV, hepatitis B, gonorrhea, syphilis). Practice "safe sex" such as using latex condoms. Consult your doctor or pharmacist for more details.How to use Vardenafil OralThis drug is taken by mouth as needed, 1 hour before sexual activity with or without food; or use as directed by your doctor. Do not take more often than once daily as needed.A high fat meal may decrease the amount of drug that is absorbed.Avoid eating grapefruit or drinking grapefruit juice while you are being treated with this medication unless your doctor instructs you otherwise.The dosage is based on your medical condition, response to therapy, and other medications you may be taking (see also Drug Interactions section). Consult your doctor or pharmacist for more details.Read the patient information leaflet provided by your pharmacist and ask questions if any of the information is unclear.

Duphaston ( Generic Dydrogesterone )

It is Progestogen.Used in the treatment of menstrual disorders and in the management of recurrent miscarriage/threatened miscarriage.

Nialip ( Niaspan, Slo-Niacin, Generic Nicotinic Acid )

Niacin (nicotinic acid) is used to prevent and treat niacin deficiency (pellagra). Niacin deficiency may result from certain medical conditions (e.g., alcohol abuse, malabsorption syndrome, Hartnup disease), poor diet, or long-term use of certain medications (e.g., isoniazid).Niacin deficiency can cause diarrhea, confusion (dementia), tongue redness/swelling, and peeling red skin. Niacin is also known as vitamin B3 , one of the B-complex vitamins. Vitamins help to support the body's ability to make and break down natural compounds (metabolism) needed for good health. Niacinamide (nicotinamide) is a different form of vitamin B3 and does not work the same as niacin. Do not substitute unless directed by your doctor.OTHER USES: This section contains uses of this drug that are not listed in the approved professional labeling for the drug, but may be prescribed by your health care professional. Use this drug for a condition that is listed in this section only if it has been so prescribed by your health care professional.Niacin may also be used to improve cholesterol and lower fat levels (triglycerides) in the blood under the care of your doctor. It is generally used after non-drug treatments have not been fully successful at lowering cholesterol (e.g., diet change, increase in exercise, weight loss if overweight). Doses for treating these blood fat problems are usually much higher than for dietary problems.How to use Nicotinic Acid OralSee also Drug Interactions section.Take this medication by mouth with food, usually once or twice a day or as directed by your doctor. Taking niacin on an empty stomach increases side effects (e.g., flushing, upset stomach). Follow all directions on the product package. If you are uncertain about any of the information, consult your doctor or pharmacist.Niacin is available in different formulations (e.g., immediate, sustained release). If your doctor has prescribed niacin, do not switch strengths, brands, or forms because doing so may increase the risk of severe liver problems.Sustained-release capsules and tablets must be swallowed whole. Check with your pharmacist whether you may break the tablet on the score line. Do not crush or chew extended-release tablets or capsules. Doing so can destroy the long action of the drug and may increase side effects.To prevent flushing, do not take this medication with alcohol or hot drinks. Taking a plain (non-enteric-coated, 325-milligram) aspirin or a nonsteroidal anti-inflammatory drug (e.g., ibuprofen) 30 minutes before taking niacin may help prevent flushing. Consult your doctor or pharmacist for specific directions on aspirin/NSAID use before starting your niacin treatment to make sure it is right for you, especially if you are also using "blood thinners" (anticoagulants such as warfarin or heparins).If you also take certain other drugs to lower blood fats (bile acid-binding resins such as cholestyramine or colestipol), take niacin at least 6 hours before or after taking these medications. These products interact with niacin, preventing its full absorption. Continue to take other medications to lower your cholesterol as directed by your doctor.Dosage is based on your medical condition and response to therapy. Follow the directions on the label or your doctor's instructions carefully. If you are taking this for lipid problems, your doctor will start you at a low dose and gradually increase your dose in order to minimize side effects. Your dose will need to be increased slowly even if you are already taking niacin and are being switched from another niacin product to this product. Use this medication regularly in order to get the most benefit from it. To help you remember, take it at the same times each day.If this medication has been prescribed by your doctor, do not stop taking it unless your doctor tells you to do so. If your doctor tells you to stop taking niacin, do not start taking it again until your doctor has given you instructions on how to restart it. Your dose may need to be gradually increased to the dose you were on.It is very important to continue to follow your doctor's advice about diet and exercise.If your condition persists or worsens, or if you think you may have a serious medical problem, seek immediate medical attention.Nicotinic Acid Oral is used to treat the following:Deficiency of the Vitamin Niacin, Pellagra, High Amount of Fats in the Blood, High Cholesterol, Heterozygous High Cholesterol, High Amount of Triglyceride in the Blood, Combined High Blood Cholesterol and Triglyceride Level, Low HDL Cholesterol, Myocardial Reinfarction Prevention, Slow Progression of Disease of the Arteries of the HeartNicotinic Acid Oral may also be used to treat: Increased Triglycerides and Cholesterol

Aldactone ( Generic Spironolactone )

Spironolactone is used to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to treat swelling (edema) caused by certain conditions (e.g., congestive heart failure) by removing excess fluid and improving symptoms such as breathing problems.This medication is also used to treat low potassium levels and conditions in which the body is making too much of a natural chemical (aldosterone).Spironolactone is known as a "water pill" (potassium-sparing diuretic).OTHER USES: This section contains uses of this drug that are not listed in the approved professional labeling for the drug but that may be prescribed by your health care professional. Use this drug for a condition that is listed in this section only if it has been so prescribed by your health care professional.This medication has also been used to treat excessive hair growth (hirsutism) in women with polycystic ovary disease.How to use Spironolactone OralTake this medication by mouth, as directed by your doctor. If stomach upset occurs, take it with food or milk. It is best to take your dose early in the day (before 6 p.m.) to prevent having to get up during the night to urinate. Consult your doctor or pharmacist if you have any questions.Dosage is based on your medical condition and response to therapy. In children, the dosage is also based on body weight.Take this medication regularly in order to get the most benefit from it. Remember to use it at the same time(s) each day as directed. It is important to continue taking this medication even if you feel well. Most people with high blood pressure do not feel sick.Take this medication exactly as prescribed. Do not increase your dose, take it more often than prescribed, or stop using this medicine without first consulting your doctor. Your condition may become worse when the drug is suddenly stopped.Inform your doctor if your condition worsens (e.g., if you notice an increase in your routine blood pressure readings).Spironolactone Oral is used to treat the following:Diagnostic Test for Primary Hyperaldosteronism, Low Amount of Potassium in the Blood, High Blood Pressure, Chronic Heart Failure, Accumulation of Fluid Resulting from Chronic Heart Failure, Fluid in the Lungs due to Chronic Heart Failure, Accumulation of Fluid caused by Cirrhosis of the Liver, Accumulation of Fluid caused by Kidney Disease, Visible Water Retention, AscitesSpironolactone Oral may also be used to treat: Disease of Ovaries with Cysts, Diastolic Heart Failure, Male Pattern of Hair Distribution or Hirsutism in a Woman

Intagra ( Coverata, Revatio, Viagra, Generic Sildenafil Citrate )

Sildenafil (Viagra) is used to treat erectile dysfunction (impotence; inability to get or keep an erection) in men. Sildenafil (Revatio) is used to improve the ability to exercise in people with pulmonary arterial hypertension (PAH; high blood pressure in the vessels carrying blood to the lungs, causing shortness of breath, dizziness, and tiredness). Sildenafil is in a class of medications called phosphodiesterase (PDE) inhibitors. Sildenafil treats erectile dysfunction by increasing blood flow to the penis during sexual stimulation. This increased blood flow can cause an erection. Sildenafil treats PAH by relaxing the blood vessels in the lungs to allow blood to flow easily.If you are taking sildenafil to treat erectile dysfunction, you should know that it does not cure erectile dysfunction or increase sexual desire. Sildenafil does not prevent pregnancy or the spread of sexually transmitted diseases such as human immunodeficiency virus (HIV).Sildenafil comes as a tablet to take by mouth.If you are taking sildenafil to treat erectile dysfunction, follow your doctor's directions and the guidelines in this paragraph. Take sildenafil as needed before sexual activity. The best time to take sildenafil is about 1 hour before sexual activity, but you can take the medication any time from 4 hours to 30 minutes before sexual activity. Sildenafil usually should not be taken more than once every 24 hours. If you have certain health conditions or are taking certain medications, your doctor may tell you to take sildenafil less often. You can take sildenafil with or without food. However, if you take sildenafil with a high-fat meal, it will take longer for the medication to start to work.If you are taking sildenafil to treat PAH, follow your doctor's directions and the guidelines in this paragraph. You will probably take sildenafil three times a day with or without food. Take sildenafil at around the same times every day, and space your doses about 4 to 6 hours apart.Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take sildenafil exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.If you are taking sildenafil for erectile dysfunction, your doctor will probably start you on an average dose of sildenafil and increase or decrease your dose depending on your response to the medication. Tell your doctor if sildenafil is not working well or if you are experiencing side effects.If you are taking sildenafil for PAH, you should know that sildenafil controls PAH but does not cure it. Continue to take sildenafil even if you feel well. Do not stop taking sildenafil without talking to your doctor.

Zofran ( Generic Ondansetron )

Medical Information:Zofran is used for: Preventing nausea and vomiting due to cancer chemotherapy or surgery.Ondansetron blocks the actions of chemicals in the body that can trigger nausea and vomiting. Ondansetron is used to prevent nausea and vomiting that may be caused by surgery or by medicine to treat cancer (chemotherapy or radiation).

Venlor ( Effexor Xr, Efexor, Generic Venlafaxine )

Venlafaxine is an antidepressant (serotonin-norepinephrine reuptake inhibitor type-SNRI) used in the treatment of depression and anxiety. It works by restoring the balance of natural substances (neurotransmitters such as serotonin and norepinephrine) in the brain. Venlafaxine may decrease nervousness and improve your mood, feelings of well-being, and energy level.How to use Venlafaxine OralRead the Medication Guide provided by your pharmacist before you start using venlafaxine and each time you get a refill. If you have any questions, consult your doctor or pharmacist.Take this medication with food, usually 2 to 3 times daily or as directed by your doctor. Dosage is based on your medical condition and response to treatment. The usual maximum dose for an adult is 375 milligrams each day.To reduce your risk of side effects, your doctor may direct you to start taking this drug at a low dose and gradually increase your dose. Follow your doctor's instructions carefully. Do not take more or less medication or take it more frequently than prescribed. Your condition will not improve any faster, and your risk of side effects will increase. Use this medication regularly in order to get the most benefit from it. To help you remember, use it at the same times each day.It is important to continue taking this medication even if you feel well. Do not stop taking this medication without consulting your doctor. Some conditions may become worse when the drug is suddenly stopped. Your dose may need to be gradually decreased.This medication may cause dependence, especially if it has been used regularly for an extended time or if it has been used in high doses. In such cases, withdrawal reactions (e.g., nausea, vomiting, headache, numbness, tingling, nightmares) may occur if you suddenly stop this drug. To prevent withdrawal when stopping extended/regular treatment with this drug, gradually reduce the dosage as directed. Consult your doctor or pharmacist for more details, and report any withdrawal reactions immediately.It may take several weeks to feel the full benefit of this medication. Tell your doctor if your condition persists or worsens.

Bonmax ( Evista, Generic Raloxifene )

Raloxifene is used to prevent and treat bone loss (osteoporosis) in women after menopause. Maintaining strong bones by slowing bone loss helps to reduce the risk of fractures.Raloxifene may also lower the chance of getting a certain type of breast cancer (invasive) in women after menopause.This drug is different from hormones (including estrogens and progestins). It works by acting like estrogen (as a selective estrogen receptor modulator or SERM) in some parts of the body. Raloxifene helps to preserve bone mass, but it does not affect the breast and uterus like estrogen or relieve symptoms of menopause such as hot flashes.This medication is not recommended for use in women before menopause. It should not be used in children.This medication should not be used to prevent heart disease.How to use Raloxifene OralTake this medication by mouth usually once a day, with or without food, or as directed by your doctor. Use this medication regularly to get the most benefit from it. Remember to use it at the same time each day.Be sure to include adequate amounts of calcium and vitamin D in your diet. Consult your doctor or pharmacist to see if you need to take calcium/vitamin D supplements.

Kytril ( Generic Granisetron ) - Product Origin: Eu (Turkey)

This product is able to be sourced and supplied at excellent prices because of favourable cross border currency conversions. All products are authentic brand names and will include a product information insert in English.Medical Information:This product is able to be sourced and supplied at excellent prices because of favourable cross border currency conversions. All products are authentic brand names and will include a product information insert in English.Kytril is used for: Preventing nausea and vomiting caused by cancer chemotherapy and radiation. Granisetron blocks the actions of chemicals in the body that may cause nausea and vomiting.Granisetron is used to prevent and treat nausea and vomiting associated with cancer chemotherapy, radiation therapy, and anesthesia used during surgery.

Ipravent ( Atrovent, Ipratop, Generic Ipratropium Bromide )

Ipratropium oral inhalation is used to prevent wheezing, difficulty breathing, chest tightness, and coughing in people with chronic obstructive pulmonary disease (COPD; a group of diseases that affect the lungs and airways) such as chronic bronchitis (swelling of the air passages that lead to the lungs) and emphysema (damage to the air sacs in the lungs). Ipratropium is in a class of medications called bronchodilators. It works by relaxing and opening the air passages to the lungs to make breathing easier.Ipratropium comes as a solution (liquid) to inhale by mouth using a nebulizer (machine that turns medication into a mist that can be inhaled) and as an aerosol to inhale by mouth using an inhaler. The nebulizer solution is usually used three or four times a day, once every 6 to 8 hours. The aerosol is usually used four times a day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Use ipratropium exactly as directed. Do not use more or less of it or use it more often than prescribed by your doctor.Talk to your doctor about what you should do if you experience symptoms such as wheezing, difficulty breathing, or chest tightness. Your doctor will probably give you a different inhaler that acts more quickly than ipratropium to relieve these symptoms. Your doctor may also tell you to use additional puffs of ipratropium along with other medications to treat these symptoms. Follow these directions carefully and be sure you know when you should use each of your inhalers. Do not use extra puffs of ipratropium unless your doctor tells you that you should. Never use more than 12 puffs of ipratropium inhalation aerosol in a 24-hour period.Call your doctor if your symptoms worsen or if you feel that ipratropium inhalation no longer controls your symptoms. Also call your doctor if you were told to use extra doses of ipratropium and you find that you need to use more doses than usual.If you are using the inhaler, your medication will come in canisters. Each canister of ipratropium aerosol is designed to provide 200 inhalations. After the labeled number of inhalations has been used, later inhalations may not contain the correct amount of medication. You should keep track of the number of inhalations you have used. You can divide the number of inhalations in your inhaler by the number of inhalations you use each day to find out how many days your inhaler will last. Throw away the canister after you have used the labeled number of inhalations even if it still contains some liquid and continues to release a spray when it is pressed. Do not float the canister in water to see if it still contains medication.Be careful not to get ipratropium into your eyes. If you are using the inhaler, keep your eyes closed when you use the medication. If you are using the nebulizer solution, you should use a nebulizer with a mouthpiece instead of a face mask. If you must use a face mask, ask your doctor how you can prevent the medication from leaking. If you get ipratropium in your eyes, you may develop narrow angle glaucoma (a serious eye condition that may cause loss of vision). If you already have narrow angle glaucoma, your condition may worsen. You may experience widened pupils (black circles in the center of the eyes), eye pain or redness, blurred vision, and vision changes such as seeing halos around lights. Call your doctor if you get ipratropium into your eyes or if you develop these symptoms.The inhaler that comes with ipratropium aerosol is designed for use only with a canister of ipratropium. Never use it to inhale any other medication, and do not use any other inhaler to inhale ipratropium.

Tagon ( Zelnorm, Generic Tegaserod )

This medication is used to treat irritable bowel syndrome (IBS) in women who have constipation as a major symptom. Tegaserod relieves constipation by shortening the time stool remains in the bowel, reducing stomach pain and bloating. It is also used in women with severe, long-term constipation. Use of tegaserod is FDA-restricted to women less than 55 years of age who have tried other treatments for constipation without relief, and who are free of heart disease (see also Side Effects and Precautions sections).This medication should not be used to treat IBS in women who have diarrhea as their major symptom, or if you currently have diarrhea or a history of frequent diarrhea.This medication has not been shown to work in men with IBS.How to use Tegaserod Hydrogen Maleate OralTake this medication by mouth, usually twice daily before meals; or as directed by your doctor. Take this medication for 4 to 6 weeks. If your symptoms improve, your doctor may recommend a second 4 to 6 weeks of treatment.What conditions does this medication treat?Tegaserod Hydrogen Maleate Oral may also be used to treat: Chronic Difficulty having a Bowel Movement, Constipation Predominant Irritable Colon

Cefadur ( Baxan, Duricef, Generic Cefadroxil )

This medication is a cephalosporin-type antibiotic used to treat a wide variety of bacterial infections (e.g., strep throat, skin and urinary tract infections). It works by stopping the growth of bacteria.This antibiotic treats only bacterial infections. It will not work for viral infections (e.g., common cold, flu). Unnecessary use or overuse of any antibiotic can lead to its decreased effectiveness.OTHER USES: This section contains uses of this drug that are not listed in the approved professional labeling for the drug but that may be prescribed by your health care professional. Use this drug for a condition that is listed in this section only if it has been so prescribed by your health care professional.This drug may also be used before dental procedures in patients with artificial heart valves to prevent serious infection of the heart lining (bacterial endocarditis).How to use Cefadroxil OralTake this medication by mouth usually once or twice a day, or as directed by your doctor. You may take this medicine with food if stomach upset occurs.Antibiotics work best when the amount of medicine in your body is kept at a constant level. Therefore, take this drug at evenly spaced intervals.Continue to take this medication until the full-prescribed amount is finished even if symptoms disappear after a few days. Stopping this medication too early may allow bacteria to continue to grow, which may result in a relapse of the infection.Inform your doctor if your condition persists or worsens.

Ziprax ( Suprax, Generic Cefixime )

Cefixime is a cephalosporin antibiotic used to treat infections caused by bacteria such as pneumonia; bronchitis; gonorrhea; and ear, lung, throat, and urinary tract infections. Antibiotics will not work for colds, flu, or other viral infections. This antibiotic treats only bacterial infections. It will not work for viral infections (e.g., common cold, flu). Unnecessary use or overuse of any antibiotic can lead to its decreased effectiveness.Cefixime comes as a tablet and liquid to take by mouth. It is usually taken once a day or every 12 hours (twice a day) for 5-14 days. Gonorrhea may be treated in 1-10 days. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take cefixime exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.

Emeset - ( Zofran, Zofran Odt, Generic Ondansetron )

Ondansetron is used for: Preventing nausea and vomiting due to cancer chemotherapy or surgery. Ondansetron blocks the actions of chemicals in the body that can trigger nausea and vomiting.