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Formulas

Granisetron HCl 0.2 mg/mL Oral Suspension

Granisetron HCl 0.2 mg/mL Oral Suspension is a liquid dosage form where granisetron hydrochloride is uniformly dispersed in a liquid medium, ensuring a homogeneous mixture for precise administration.

This formulation is primarily used to treat nausea and vomiting associated with chemotherapy, radiation therapy, and postoperative recovery.

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Granisetron Hydrochloride
Suspension
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Formula Information

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Granisetron Hydrochloride 0.2 mg/mL Oral Suspension is a compounded medication prepared to prevent and alleviate nausea and vomiting induced by chemotherapy, radiation therapy, or surgical procedures. Granisetron is a potent, selective 5-hydroxytryptamine3 (5-HT3) receptor antagonist, which works by blocking the action of serotonin, a natural substance that may cause nausea and vomiting when released in the gut and central nervous system during these treatments.

This oral suspension offers a valuable alternative for patients who have difficulty swallowing solid dosage forms, such as tablets or capsules. Conditions like mucositis, dysphagia, or other gastrointestinal issues can make swallowing pills challenging or painful. The liquid dosage form ensures that the medication is evenly distributed throughout the suspension, allowing for precise dosing and ease of administration. This can be particularly beneficial for pediatric patients, elderly patients, or those

Drug Interactions

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Granisetron HCl 0.2 mg/mL Oral Suspension is a liquid dosage form designed to provide a homogeneous mixture for administration, ensuring consistent dosing and ease of use. This formulation is primarily used to prevent nausea and vomiting associated with chemotherapy, radiation therapy, and postoperative recovery. As with any medication, it is crucial to be aware of potential drug interactions that may affect the efficacy and safety of Granisetron HCl.

Granisetron is a selective 5-HT3 receptor antagonist, which works by blocking the action of serotonin, a natural substance that can cause nausea and vomiting. While Granisetron is generally well-tolerated, it is important to consider its interactions with other medications. One significant interaction is with other serotonergic drugs, such as selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), and monoamine oxidase inhibitors (MAOIs). Concurrent use of these medications can increase the risk of serotonin syndrome, a potentially life-threatening condition characterized by symptoms such as confusion, rapid heart rate, high blood pressure, dilated pupils, and muscle rigidity.

Additionally, Granisetron may interact with medications that affect the cytochrome P450 enzyme system, particularly CYP3A4. Drugs that inhibit or induce CYP3A4 can alter the metabolism of Granisetron, potentially leading to increased side effects or reduced efficacy. For example, strong CYP3A4 inhibitors like ketoconazole or ritonavir may increase Granisetron levels, while inducers like rifampin or carbamazepine may decrease its effectiveness. It is important for prescribers to review a patient's medication regimen for potential CYP3A4 interactions and adjust dosing as necessary.

Another consideration is the use of Granisetron with other medications that prolong the QT interval, such as certain antiarrhythmics, antipsychotics, and antibiotics. Combining these drugs can increase the risk of cardiac arrhythmias, including Torsades de Pointes. Patients with a history of cardiac issues or those taking multiple QT-prolonging drugs should be monitored closely.

Patients should also be advised to inform their healthcare provider of all medications they are currently taking, including over-the-counter drugs and supplements, to ensure there are no contraindications or interactions. It is essential for both patients and prescribers to be vigilant about potential interactions to optimize treatment outcomes and minimize adverse effects.

If you have any questions or concerns about drug interactions with Granisetron HCl 0.2 mg/mL Oral Suspension, please reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to assist you with any inquiries you may have.

How Does it Work

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Granisetron HCl 0.2 mg/mL Oral Suspension is a liquid dosage form designed to provide a homogeneous mixture of the active ingredient, granisetron hydrochloride, dispersed uniformly throughout a liquid medium. This formulation is particularly beneficial for patients who may have difficulty swallowing tablets or capsules, such as pediatric or geriatric patients, or those with certain medical conditions that impair swallowing. The liquid suspension allows for precise dosing and easy administration, ensuring that patients receive the correct amount of medication with each dose.

Granisetron is a selective 5-HT3 receptor antagonist, which means it works by blocking the action of serotonin, a natural substance in the body that can cause nausea and vomiting. Serotonin is released in the gut and central nervous system in response to certain stimuli, such as chemotherapy, radiation therapy, or surgery. By inhibiting the 5-HT3 receptors, granisetron effectively prevents the initiation of the vomiting reflex, thereby reducing the incidence and severity of nausea and vomiting associated with these treatments.

This oral suspension formulation is particularly useful in treating nausea and vomiting induced by chemotherapy and radiation therapy, as well as postoperative nausea and vomiting. The liquid form allows for rapid absorption and onset of action, providing timely relief from symptoms. Additionally, the suspension can be easily adjusted to accommodate specific dosing requirements, making it a versatile option for personalized patient care.

For prescribers, the granisetron HCl oral suspension offers a flexible and patient-friendly alternative to traditional solid dosage forms. It can be particularly advantageous in cases where patients require tailored dosing regimens or have specific needs that preclude the use of tablets or capsules. The uniform dispersion of granisetron in the liquid medium ensures consistent therapeutic effects with each administration, supporting effective management of nausea and vomiting in various clinical settings.

Patients using this formulation should follow their healthcare provider's instructions regarding dosage and administration. It is important to shake the bottle well before each use to ensure the medication is evenly distributed. If you have any questions or concerns about using Granisetron HCl 0.2 mg/mL Oral Suspension, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries you may have.

Other Uses

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Granisetron HCl 0.2 mg/mL Oral Suspension is primarily used for the prevention and treatment of nausea and vomiting associated with chemotherapy, radiation therapy, and postoperative recovery. However, this formulation may have other potential uses that are being explored or utilized in clinical practice. One such use is in the management of nausea and vomiting in patients with gastroparesis, a condition characterized by delayed gastric emptying. Patients with gastroparesis often experience chronic nausea and vomiting, and granisetron, as a selective 5-HT3 receptor antagonist, can help alleviate these symptoms by blocking the action of serotonin, a key neurotransmitter involved in the vomiting reflex.

Additionally, granisetron may be considered for use in patients with cyclic vomiting syndrome (CVS), a disorder that causes recurrent episodes of severe vomiting. While the exact cause of CVS is not fully understood, it is believed to involve abnormal brain-gut communication and neurotransmitter imbalances, where granisetron's action on serotonin receptors may provide symptomatic relief. Furthermore, there is emerging interest in the use of granisetron for treating nausea and vomiting in patients with advanced cancer or those receiving palliative care, where traditional antiemetics may not be effective or well-tolerated.

For prescribers, it is important to consider the individual patient's medical history, current medications, and overall treatment goals when contemplating the use of granisetron for off-label indications. The liquid suspension form offers a flexible dosing option, particularly beneficial for patients who have difficulty swallowing tablets or require precise dose adjustments. Patients should be informed about the potential benefits and risks associated with off-label use, and any treatment should be closely monitored for efficacy and adverse effects.

As with any medication, the decision to use granisetron for conditions beyond its primary indications should be based on a thorough evaluation of the available evidence, clinical judgment, and patient preferences. If you have any questions or need further information about the use of Granisetron HCl 0.2 mg/mL Oral Suspension, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries or support you may need.

Frequently Asked Questions

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What is Granisetron HCl 0.2 mg/mL Oral Suspension used for?

Granisetron HCl 0.2 mg/mL Oral Suspension is used to prevent nausea and vomiting caused by chemotherapy, radiation therapy, or surgery. It works by blocking serotonin, a natural substance in the body that can cause nausea and vomiting.

How should I take Granisetron HCl 0.2 mg/mL Oral Suspension?

Take Granisetron HCl 0.2 mg/mL Oral Suspension exactly as prescribed by your healthcare provider. It is usually taken by mouth, and the dosage will depend on your medical condition and response to treatment. Follow the instructions on the prescription label carefully.

Can I take Granisetron HCl 0.2 mg/mL Oral Suspension with food?

Yes, Granisetron HCl 0.2 mg/mL Oral Suspension can be taken with or without food. However, it is best to follow your healthcare provider's instructions regarding food intake.

What should I do if I miss a dose of Granisetron HCl 0.2 mg/mL Oral Suspension?

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to catch up.

Are there any side effects associated with Granisetron HCl 0.2 mg/mL Oral Suspension?

Common side effects may include headache, constipation, and diarrhea. If you experience any severe side effects or signs of an allergic reaction, such as rash, itching, or difficulty breathing, seek medical attention immediately.

How should I store Granisetron HCl 0.2 mg/mL Oral Suspension?

Store Granisetron HCl 0.2 mg/mL Oral Suspension at room temperature, away from light and moisture. Keep it out of reach of children and pets. Do not freeze the suspension.

Can I use Granisetron HCl 0.2 mg/mL Oral Suspension if I am pregnant or breastfeeding?

If you are pregnant or breastfeeding, consult your healthcare provider before using Granisetron HCl 0.2 mg/mL Oral Suspension. Your doctor will weigh the potential benefits and risks before recommending this medication.

Is Granisetron HCl 0.2 mg/mL Oral Suspension safe for children?

The safety and effectiveness of Granisetron HCl 0.2 mg/mL Oral Suspension in children have not been fully established. Consult a pediatrician before administering this medication to a child.

Can I drive or operate machinery while taking Granisetron HCl 0.2 mg/mL Oral Suspension?

Granisetron HCl 0.2 mg/mL Oral Suspension may cause dizziness in some individuals. If you experience dizziness, avoid driving or operating heavy machinery until you know how the medication affects you.

What should I do in case of an overdose of Granisetron HCl 0.2 mg/mL Oral Suspension?

In case of an overdose, seek emergency medical attention immediately. Symptoms of overdose may include severe dizziness, fainting, or irregular heartbeat.

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Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.