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Journal of Psychopharmacology
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The 5-HT3 antagonist ondansetron reduces gastrointestinal side effects induced by a specific serotonin re-uptake inhibitor in man

Jayne E. Bailey

University of Bristol Psychopharmacology Unit, School of Medical Sciences, University Walk, Bristol BS8 1 TD, UK

John Potokar

University of Bristol Psychopharmacology Unit, School of Medical Sciences, University Walk, Bristol BS8 1 TD, UK

Nick Coupland

University of Bristol Psychopharmacology Unit, School of Medical Sciences, University Walk, Bristol BS8 1 TD, UK

David J. Nutt

University of Bristol Psychopharmacology Unit, School of Medical Sciences, University Walk, Bristol BS8 1 TD, UK

The selective serotonin re-uptake inhibitors (SSRIs) are increasingly being used to treat depression and anxiety disorders. Gastrointestinal (GI) symptoms are the main side effects, probably resulting from the stimulation of central or peripheral 5-HT receptors. The present double-blind, placebo-controlled study was undertaken to see if the GI side effects of fluvoxamine could be attenuated by the co-administration of the 5-HT3 antagonist ondansetron. The results demonstrate that, in volunteers, a single 100 mg oral dose of fluvoxamine can produce GI symptoms. Co-administration of ondansetron significantly reduced peak nausea and GI side effects, compared with placebo.

Key Words: ondansetron • fluvoxamine • side effects • gastrointestinal symptoms • SSRIs

Journal of Psychopharmacology, Vol. 9, No. 2, 137-141 (1995)
DOI: 10.1177/026988119500900208


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