Sustol blocks the actions of chemicals in the body that can trigger nausea and vomiting.

Sustol is used to prevent nausea and vomiting that may be caused by medicine to treat cancer (chemotherapy), or after having surgery.

Sustol is sometimes used together with other anti-nausea medications.

Sustol may also be used for purposes not listed in this medication guide.

Before you are treated with Sustol, tell your doctor about all your medical conditions, especially heart problems. Also, make sure your doctor knows about all the medicines you are using.

Sustol is injected under the skin, or into a vein through an IV.

A healthcare provider will give you this injection.

Sustol is usually given at least 30 minutes before the start of chemotherapy.

When used to prevent nausea and vomiting caused by surgery, you will receive Sustol either before or after the procedure.

Your doctor will determine how often to treat you with Sustol, and for how long.

You should not receive Sustol if you are allergic to it.

To make sure Sustol is safe for you, tell your doctor if you have:

• kidney disease;

• heart disease;

• a heart rhythm disorder;

• a personal or family history of long QT syndrome;

• an electrolyte imbalance (such as low levels of potassium or magnesium in your blood);

• if you have recently had stomach or intestinal surgery; or

• if you are allergic to a medicine like Sustol (dolasetron, ondansetron, Aloxi, Anzemet, Lotronex, Zofran, or others).

It is not known whether Sustol will harm an unborn baby. Tell your doctor if you are pregnant.

It is not known whether granisetron passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breast-feeding a baby.

Because you will receive Sustol in a clinical setting, you are not likely to miss a dose.

Since Sustol is given by a healthcare professional in a medical setting, an overdose is unlikely to occur.

Follow your doctor's instructions about any restrictions on food, beverages, or activity.

Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Some side effects may occur up to 2 weeks or more after you have received a Sustol.

Sustol may cause serious side effects. Call your doctor at once if you have:

• pain, swelling, bleeding, skin changes, or a hard lump where the injection was given;

• severe constipation;

• headache with chest pain and severe dizziness, fainting, fast or pounding heartbeats;

• high levels of serotonin in the body--agitation, hallucinations, fever, fast heart rate, overactive reflexes, nausea, vomiting, diarrhea, loss of coordination, fainting.

Common side effects of Sustol may include:

• headache;

• stomach pain, constipation;

• fever; or

• abnormal liver function tests.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Sustol can cause a serious heart problem, especially if you use certain medicines at the same time, including antibiotics, antidepressants, heart rhythm medicine, antipsychotic medicines, and medicines to treat cancer, malaria, HIV or AIDS.

Receiving Sustol while you are using certain other medicines can cause high levels of serotonin to build up in your body, a condition called "serotonin syndrome," which can be fatal. Tell your doctor if you also use:

• lithium;

• ritonavir;

• St. John's wort;

• an antidepressant;

• migraine headache medicine;

• a narcotic (opioid) medication or muscle relaxer; or

• other anti-nausea medications.

This list is not complete. Other drugs may interact with granisetron, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide. Tell your doctor about all medicines you use, and those you start or stop using during your treatment with granisetron.