Ondansetron vs RAD-140
FDA Approved vs Emerging
avoid Mechanism-based · 53% Both Ondansetron and RAD-140 carry hepatotoxic risk. Combining hepatotoxic compounds significantly increases liver damage potential. If unavoidable, include liver support (TUDCA/NAC) and monitor ALT/AST frequently.
Molecular Data
Ondansetron RAD-140
Weight 293.36 Da 393.83 Da
Half-life ~4 hours ~60 hours
Type Carbazole derivative (C18H19N3O) Nonsteroidal selective androgen receptor modulator (C20H16ClN5O2)
Key Benefits
Ondansetron
01 Highly effective at controlling nausea and vomiting from a wide range of causes, including GLP-1 agonists, HCG, and nandrolone
02 Orally disintegrating tablet (ODT) dissolves on the tongue in seconds, ideal for use during active nausea when swallowing pills is difficult
03 Does not cause sedation, extrapyramidal symptoms, or prolactin elevation, unlike dopamine-blocking anti-emetics
04 Fast onset of action (15-30 minutes oral, near-immediate for ODT) with reliable 4-8 hour duration
05 Well-tolerated with a mild side effect profile at standard doses
06 Widely available as an inexpensive generic in multiple formulations
RAD-140
01 Potent anabolic activity in muscle tissue with high oral bioavailability
02 Tissue-selective action sparing the prostate and other androgen-sensitive organs
03 No aromatization to estrogen (no estrogen-related side effects such as water retention or gynecomastia)
04 No conversion to DHT (reduced risk of hair loss and prostate stimulation compared to testosterone)
05 Long half-life (~60 hours) permitting convenient once-daily oral dosing
06 Neuroprotective properties observed in preclinical models
07 Increased lean body mass and reduced fat mass in preclinical studies
Side Effects
Ondansetron
Headache (most frequently reported side effect)
Constipation (5-HT3 blockade reduces gut motility)
Fatigue or dizziness
Dry mouth
RAD-140
Testosterone suppression (dose-dependent, occurs in virtually all users by week 4-6)
Liver enzyme elevation (ALT, AST increases reported in clinical and anecdotal data)
Hair shedding (temporary, typically resolves after discontinuation)
Headaches (most common in the first 1-2 weeks, often transient)
Nausea (mild, usually with initial doses or on an empty stomach)
Lipid disruption (HDL suppression, LDL elevation)
Mild insomnia or sleep disturbance
Reduced libido and mood changes related to testosterone suppression
Contraindications
Known hypersensitivity to ondansetron or other 5-HT3 antagonists
Congenital long QT syndrome
Concurrent use of apomorphine (risk of severe hypotension and loss of consciousness)
Severe hepatic impairment (maximum dose should not exceed 8 mg/day)
Pre-existing liver disease or elevated liver enzymes at baseline
Hormone-sensitive cancers (prostate cancer, certain breast cancers not being treated under clinical supervision)
Pregnancy or potential pregnancy (teratogenic risk from androgen receptor agonism)
Breastfeeding
Age under 25 (incomplete endocrine system maturation and higher risk of HPG axis disruption)
Concurrent use of hepatotoxic medications without medical supervision
Known cardiovascular disease (insufficient safety data for this population)
Research Evidence
Ondansetron RAD-140
Status FDA Approved Emerging
References 4 studies 5 studies
Latest — July 2020
FDA Approved Yes No
This comparison is for educational and research purposes only. Consult a healthcare professional before use.