Externa 2mg Syrup is a medicine given to children to help treat nausea and vomiting. It is mainly given to treat nausea and vomiting associated with surgery, chemotherapy, radiotherapy, and stomach/intestinal infection. It also helps treat vomiting that is caused as a side effect of medicines like painkillers.

Externa 2mg Syrup may be given before or after meals. To control vomiting caused due to chemotherapy, give this medicine to your child 30 minutes before the procedure. Give it 1 to 2 hours before a radiotherapy session and 1 hour before surgery to prevent your child from vomiting post these procedures. If your child expels out the medicine within 30 minutes of the intake, help your child calm down and repeat the dose. Do not double the dose if it is already time for the next dose.

Externa 2mg Syrup may cause some temporary side effects such as headache, constipation, diarrhea, and fatigue. These side effects usually subside once your child’s body adapts to the medicine. In case these side effects persist or become bothersome, do reach out to the doctor on a priority basis.

Let the doctor know about all the medicines your child is taking, including painkillers, antibiotics, or medicines taken to treat depression. Also, inform the doctor if your child has a history of liver problems, kidney malfunction, blockage in the gastrointestinal tract, heart problems, or allergies to any medicine, its ingredients, or a food product. This information is very important for dose alterations and for planning your child’s overall treatment.

Uses of Externa Syrup

Side effects of Externa Syrup

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Externa

Headache
Constipation
Diarrhea
Fatigue

How to use Externa Syrup

Take this medicine in the dose and duration as advised by your doctor. Check the label for directions before use. Measure it with a measuring cup and take it by mouth. Shake well before use. Externa 2mg Syrup may be taken with or without food, but it is better to take it at a fixed time.

How Externa Syrup works

During radiotherapy, chemotherapy, abdominal infection, or any major surgeries, the dead cells in the body start releasing a chemical called serotonin directly into the blood. Later, this stimulates special centers in the body that are responsible for inducing vomiting in your child. Giving Externa 2mg Syrup just before the procedure helps block the effect of this chemical on vomiting centers of the brain and prevents vomiting.

Safety advice

Alcohol

CAUTION

Caution is advised when consuming alcohol with Externa 2mg Syrup. Please consult your doctor.

Pregnancy

CONSULT YOUR DOCTOR

Information regarding the use of Externa 2mg Syrup during pregnancy is not available. Please consult your doctor.

Breast feeding

CONSULT YOUR DOCTOR

Information regarding the use of Externa 2mg Syrup during breastfeeding is not available. Please consult your doctor.

Driving

CONSULT YOUR DOCTOR

It is not known whether Externa 2mg Syrup alters the ability to drive. Do not drive if you experience any symptoms that affect your ability to concentrate and react.

Kidney

SAFE IF PRESCRIBED

Externa 2mg Syrup is safe to use in patients with kidney disease. No dose adjustment of Externa 2mg Syrup is recommended.

Liver

CAUTION

Externa 2mg Syrup should be used with caution in patients with liver disease. Dose adjustment of Externa 2mg Syrup may be needed. Please consult your doctor.

What if you forget to take Externa Syrup?

Do not panic. Give the missed dose as soon as you remember. However, you must skip the missed dose if it’s almost time for the next dose. Do not give a double dose and follow the prescribed dosing schedule.

All substitutes

For informational purposes only. Consult a doctor before taking any medicines.

Externa 2mg Syrup

₹32.6/Syrup

Onttrion 2mg Syrup

Mascot Health Series Pvt Ltd

₹37.72/syrup

11% costlier

Vomirek 2mg Syrup

Rekvina Laboratories Ltd

₹30.59/syrup

10% cheaper

Ondrea 2mg Syrup

Cinerea Biotech Pvt Ltd

₹36.3/syrup

7% costlier

Ondifil 2mg Syrup

Filant (India) Healthcare

₹35/syrup

3% costlier

Deron 2mg Syrup

LifeCare Formulation Pvt Ltd

₹32.31/syrup

5% cheaper

View all substitutes

Quick tips

Externa 2mg Syrup effectively controls nausea and bouts of vomiting reflex in children undergoing chemotherapy or radiotherapy sessions.
It is fast-acting and starts working within 30 minutes.
Practice self-care measures:
1. Give plenty of fluids to your child to avoid dehydration
2. Avoid giving fried and spicy food or heavy meals to your child.
3. Ensure that your child eats slowly and in small proportions.

Fact Box

Chemical Class

Carbazole Derivative

Habit Forming

Therapeutic Class

GASTRO INTESTINAL

Action Class

Serotonin 5-HT3 Receptor Antagonists

Patient concerns

Skin infection inside ear canal. Otitis externa.

Dr. Vijay Verma

ENT

visit ent secialist for complete examinaton as it might require cleaning and ear packing with medicines

Suffering with otitis externa plz suggest. Sm medication.

Dr. Vijay Verma

ENT

Visit enr specialist as it depend on severity of infection and may require ear packing

FAQs

What is Externa 2mg Syrup used for?

Externa 2mg Syrup is generally given before any major surgery or before chemotherapy and radiotherapy sessions. In case your child is about to undergo any of the above procedures, your child’s doctor may ask you to give Externa 2mg Syrup to your child to prevent vomiting post-procedure. Apart from this, Externa 2mg Syrup is also found useful in treating vomiting caused due to diseases of the stomach. In such a case, your child’s doctor may prescribe giving Externa 2mg Syrup to your child for a few days. Stick to the dose for best results.

What if my child takes too much Externa 2mg Syrup?

Externa 2mg Syrup is unlikely to cause harm if you give an extra dose by mistake. However, you must still speak to your child’s doctor immediately. Sometimes, excessive intake of Externa 2mg Syrup can cause some serious side effects like excess sleepiness, agitation, rapid heartbeat, hypertension, flushing, dilated pupils, sweating, involuntary muscle jerk, uncontrolled eye movements, overactive reflexes, and seizures. These symptoms are collectively known as serotonin syndrome. If any of these appear, consult the doctor without any delay.

How should Externa 2mg Syrup be stored?

Externa 2mg Syrup should be stored at room temperature, in a dry place, away from direct heat and light. Also, keep all the medicines out of the reach and sight of children to avoid any accidental intake.

What all medicines should my child avoid while taking Externa 2mg Syrup?

Usually, it is advised not to give Externa 2mg Syrup along with antidepressant medicines, apomorphine, anti-migraine medicines, painkillers, heart medicines, and antibiotics like linezolid. But, it is ideal to speak to your child’s doctor before coming to any conclusion. So, narrate your child’s complete medical history to your child’s doctor and follow their advice strictly.

In what conditions do I need to call my child’s doctor right away?

Call your child’s doctor immediately if your child develops symptoms of serotonin syndrome like irregular heartbeat, green-colored vomiting, inability to pass wind, pale skin and eyes, dark-colored urine, restlessness, and insomnia.

My child is having a migraine and is on medication. Can I give Externa 2mg Syrup along with it?

Avoid combining Externa 2mg Syrup with such medicines because concomitant use of Externa 2mg Syrup with medicines meant to treat depression or migraine results in serotonin syndrome. Consult your child’s doctor before giving any medicine to your child.

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Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

References

Ondansetron hydrochloride [FDA Label]. Research Triangle Park, NC: GlaxoSmithKline; 2016. [Accessed 04 Jan. 2020] (online) Available from:
Children’s Minnesota. Patient & Family Education Materials: Ondansetron (Zofran). [Accessed 04 Jan. 2020] (online) Available from:
Ondansetron [Package leaflet: Information for the user]. Harefield, UK: Norgine Pharmaceuticals Limited; 2023. [Accessed 25 Jul. 2024] (online) Available from:

Marketer details

Name: Blue Cross Laboratories Ltd

Address: Peninsula Chambers, Peninsula Corporate Park, G.K Marg, Lower Parel (West), Mumbai - 400013, Maharashtra, INDIA.

Country of origin: India

The list of available options shown with the same composition has been prepared upon the advice of registered medical practitioners, pharmacists affiliated with TATA 1MG. TATA 1MG does not promote any pharmaceutical product of any particular company, and all recommendations are based on the medical opinion, advisories from specialist medical and pharmaceutical professionals.