The types of hepatic microsomal cytochrome P450 (CYP) isozymes responsible for the in-vivo metabolism of ondansetron in rats have not been reported. In this study, ondansetron at a dose of 8 mg kg was administered intravenously to rats pretreated with various inducers of CYP isozymes, such as 3-methylcholanthrene, orphenadrine citrate, isoniazid and dexamethasone phosphate (the main inducers of CYP1A1/2, 2B1/2, 2E1 and 3A1/2 in rats, respectively), and inhibitors, such as SKF-525A (a non-specific inhibitor of CYP isozymes), sulfaphenazole, quinine hydrochloride and troleandomycin (the main inhibitors of CYP2C6, 2D subfamily and 3A1/2 in rats, respectively). In rats pretreated with quinine hydrochloride and troleandomycin, the time-averaged non-renal clearance of ondansetron was significantly slower (48.9 and 13.2% decrease, respectively) than that in control rats. In rats pretreated with dexamethasone phosphate, the time-averaged non-renal clearance was significantly faster (18.2% increase) than that in control rats. The results suggest that ondansetron is primarily metabolized via the CYP2D subfamily and 3A1/2 in rats.Ondansetron, a potent and selective 5-HT 3 (5-hydroxytryptamine) receptor antagonist, has been used for the treatment of chemotherapy-and radiotherapy-induced nausea and emesis (Oxford et al 1992). Therapeutic failure sometimes occurs due to metabolism of ondansetron via hepatic microsomal cytochrome P450 (CYP) isozymes (Janicki 2005). Ondansetron is coadministered with other drugs in most clinical situations. Gilbert et al (1998) reported that ondansetron alters the systemic exposure to cyclophosphamide in breast cancer patients, and Cagnoni et al (1999) reported that ondansetron causes a significantly smaller total area under the plasma concentration-time curve from time zero to infinity (AUC) of high-dose cyclophosphamide and cisplatin in patients. Thus, identifying the types of CYP isozymes responsible for the metabolism of ondansetron is important in order to determine possible therapeutic failure and drug interactions.The following results on ondansetron have been reported in humans (Laethem & SerabjitSingh 2000). Ondansetron is metabolized to 8-hydroxyondansetron (40% of the given dose), 7-hydroxyondansetron (20% of the dose), 6-hydroxyondansetron (less than 5% of the dose), and N-desmethylondansetron (very minor amount) (Pritchard 1992). CYP2D6 (Fisher et al 1994), the 3A subfamily (Fisher et al 1994) and 1A1/2 (Dixon et al 1995) are responsible for the metabolism of ondansetron. CYP1A1/2 plays the most important role, CYP2D6 plays a relatively minor role, and the involvement of the CYP3A subfamily seems important only at relatively high concentrations of ondansetron (Dixon et al 1995). In rats, ondansetron is extensively and rapidly metabolized to two primary products, 7-hydroxyondansetron and desmethylondansetron, based on rat liver slices and isolated hepatocytes (Worboys et al 1996). 8-Hydroxyondansetron, the major product in humans, is also formed in rat microsomes in additi...