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fourgr8kidz

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Reply with quote  #1 
Over the last few months we have gotten different looking Zofran ODT tabs from 2 different pharmacies although the Rx were written the same. They are actually the generic ondansetron (sp). One is flat and kind of crumbly, and the other looks like a tiny hard tablet. While I was reading old posts on this site I noticed comments made about different kinds of Zofran being more easily dissolved, more palatable, etc. Should I be requesting a particular type of Zofran? Should I not accept the generic? My pediatrician does not know a lot about CVS but thankfully is very willing to work with me. Thanks -
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Beth ~
mom to twins with CVS
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fionasmom

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Reply with quote  #2 

There is a form of zofran that is designed to dissolve under the tongue.  I believe it will say zofran ODT.  These are very easy to take, even for young children.  The soft, crumbly one that you had was probably ODT.


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Sheila
Mom to a 7 year old who has had CVS since she was 4 (Fiona)
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marli

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Reply with quote  #3 
Yes, the ODT is immediate as it dissolves under or on the tongue.  The other is a tablet that requires for it to travel through your system before it starts to work, like any other tablet or capsule.  Your doctor must write a different script for the ODT, usually the pharmacy won't dispense without the order.
Definetly a better shot at getting it to work, since it may not likely come back up like a tablet during an attack.

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marli
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Doc

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Reply with quote  #4 
I would go with the ODTs so they won't be "wasted" if they are vomited back up. Dern things are expensive.  If you give the ODTs you know some of it has gotten into the system and don't have to guess if it isn't working just because it isn't, or because it never got a chance to get into the system.

Doc

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29 yr old veterinarian. Puke free for 1 year.
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fourgr8kidz

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Reply with quote  #5 
Thanks for the responses! This also explains why my poor daughter was trying to mime to me that the tablet was not dissolving well - will definitely make sure to get the rapid dissolve.
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Beth ~
mom to twins with CVS
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marli

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Reply with quote  #6 

Rapids taste a little bitter, we give her a gingerale shooter right after.  It also helps for them to rub the tongue on the roof of the mouth, it dissolves faster.  My daughter hated to do this, but quickly learned that if she got the Zofran in her fast enough, it would avoid her getting sick altogether.


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marli
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sdieks

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Reply with quote  #7 
My daughter uses the Zofran ODT meltables. We melt it in the tiniest bit of warm water..and then add a very small amount of red fruit punch gatorade to it..and make it into a tiny little shooter....
When she gives me a really hard time about it..She sucks an ice chip for a second ..if her taste buds are cold..she doesn't taste the bitterness..and she is far more willing to take it.
The ODT melts really easily...and works very quickly.

Sydney is cycling right now actually..and this all went on last night.
This is her first episode in about 13 or 14 months.
She turned 7 in October ..and we think she might be starting precoutious puberty...we truly thought she might be all finished with the puke monster..
NOT!!!
Honestly though..we expected it...
we have found that if we change from her regular sleep routine ..it is game over if she gets too tired....and she has had late nights since last Thursday...






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Sherry
Mom to Max almost 10yrs and healthy
and Sydney 7yrs diagnosed feb07 with CVS...benign brain lipoma, adhd and possible hormone issues
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Doc

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Posts: 409
Reply with quote  #8 
Wow. that sucks after so much time passed with no episode. I hope that she is feeling better soon. And maybe she won't have another. There is just something about the puke monter and puberty/hormones...... I wish we could connect all the dots!!!!

Doc

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29 yr old veterinarian. Puke free for 1 year.
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mahler1987

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Reply with quote  #9 
Since Zofran ODT's patent expired and allowed it to be manufactured by other pharmaceutical companies, I have discovered that the generic version differs abit in how it looks.

The trade brand of Zofran looks more like a thin wafer.  It's flavored with a strong mint flavoring.

Generic versions are smaller and thicker.  Ones manufacturer Sandoz does produce them in a very small white pill.  This too is rapid dissolving despite its looks.  It also does not have the strong mint flavor, and I did not notice a very bitter aftertaste.

This is just my experience in using Zofran and Ondansetron

Pattie

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I may have CVS but CVS is not me.
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fourgr8kidz

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Reply with quote  #10 
I just learned the answer to my question in the ER the other day and you are right, Pattie; it is the name label Zofran that is thin and crumbly like a wafer and the generic that is the smaller thicker pill. My girls have trouble dissolving the generic when they are getting dry anyway, the other worked better for us. The ER nurses said they have gotten other complaints about the new tablets not dissolving well so they wrote a script for Zofran for me now we'll see if my insurance will cover it!
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Beth ~
mom to twins with CVS
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NikkiN77

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Reply with quote  #11 
Has anyone had trouble with insurance covering Zofran generic or otherwise? My insurance co. has started to balk (I think because I have to take it so often and it is so expensive, and Dr. V wrote some large scripts for me). Seems they have called Dr. V's office and asked if there is another anti-naus. I could be put on. This has me worried because the Zofran is really the only thing I have ever found that works for me. I think things will work out the nurse I spoke with made it sound like she would call them back and let them know that I have been on many different anti-naus. meds over the years and the Zofran is the only thing that works. However, they have been trying to cut back how many we can pick up at a time and over the last couple of weeks. They have really been messing with this script and it is making me nervous because it is costly and I can tell they are trying to get out of paying for it. I am just wondering if anyone else has had issue with insurance paying for this med?


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drewswife

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Reply with quote  #12 
Hey Nikki, We have also had battles with the insurance companies over coverage.  Randomly, we'll go to the pharmacy and they'll have only filled half of the prescription because the insurance company said they will only pay for a certain number of pills per day.  Whenever this happens, we have the doctor's office call the insurance company and inform them that Drew needs that many pills per day, etc.  This usually works fine, but it does take some annoying phone calls. 
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NikkiN77

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Reply with quote  #13 

Thank you that's what I needed to hear really. It started last week with only getting 9 pills to last three days we called the insurance co and talked to them and they claimed it had been a glitch with the pharmacy, where they had tried to put in 20 (the usual number we are allowed to pick up at one time) but only 19 had been available so the next likely number they had tried was 9?  (This didn't add up, just one reason being because it happened twice). Then today the office called me, but it sounded like they already had it under control and I do have allot of faith in Dr. V's people coming through for me  I was just wondering if others had run into this, thanks again!

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marli

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Reply with quote  #14 
Our insurance will only cover the generic.  We only get 10 per month which in our case, is enough.  I never thought that there would be a difference in wafer style or the thicker pill.  I will have to ask the GI to request that we receive brand name and see if there is a difference. I would assume that the wafer would dissolve better?


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marli
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NikkiN77

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Reply with quote  #15 

I have only ever had the generic so I am not sure on the difference there. I started having problems when I was switched to the dissolving tablets, they must be more expensive than the regular pills. I don't mind the generic, I just don't want to throw up! I think it was Monday/Tuesday I woke up at 3:30 a.m vomiting without the ODT I don't think I could have gotten it stopped. But I am sure it will all work out. Seems they were just checking if there is anything else that works for me and there really isn't. I just get a little freaked out at the thought of someone taking the Zofran away, things may not be great now but they were alot worse without it.

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