Tropisetron is an approved anti-sickness medicine, sold as Navoban and related brands for preventing and treating the nausea and vomiting caused by chemotherapy.
Human trialsNon-peptide compound reference
Also known as: Navoban, Novaban, ICS 205-930, Tropisetronum, UNII 6I819NIK1W, CHEMBL56564, ATC A04AA03
Amounts reported for Tropisetron are listed under Reported protocols, each with its source and study kind. No amount ladder is inferred from them. This is educational source context, not a protocol or recommendation.
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Clinical context
Human study rows are described per source under Reported protocols; they belong to their trial populations and are not a general amount.
Storage, handling and interpretation
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Prepared solutions
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Reported protocols for Tropisetron
What published studies and recent community write-ups report about amounts, timing and course length. 6 clinical, 1 preclinical and 1 community-reported rows, each linked to its source. These are descriptions of what others report, not instructions, and nothing here is medical advice.
Context
Dose
Frequency
Route
Course
Source
Clinical6 rows
Approved regulator label for chemotherapy-induced nauseaAdults from 15 years of age receiving moderately to highly emetogenic cytotoxic chemotherapy
One 5 mg capsule per day (5.64 mg of tropisetron hydrochloride)
Once daily
Oral capsule
2 to 3 days on average, up to a maximum of 5 daysThe label sets a maximum of 5 consecutive days of treatment
This is the French medicines agency summary of product characteristics for Navoban 5 mg. It records headache and constipation as very common and drowsiness, abdominal pain, diarrhoea and fatigue as common, says use in children cannot be recommended for lack of experience, and warns that daily doses above 10 mg should be avoided in patients with uncontrolled high blood pressure. Tropisetron is not marketed in the United States and has no DailyMed label.
Randomised placebo-controlled trial in schizophrenia40 patients with chronic schizophrenia stabilised on risperidone at 2 to 6 mg a day; 33 completed
Auditory sensory gating improved significantly in non-smoking patients and sustained visual attention improved on a standard cognitive battery, while the overall psychosis rating scale did not change. Quality-of-life scores improved across the whole group but not in the non-smoking subgroup alone. Forty patients is small, and smoking status mattered enough to split the result.
Short-term dose comparison in schizophrenia40 non-smoking patients with schizophrenia on 3 to 6 mg a day of risperidone, with poor sensory gating at baseline
All three doses improved overall cognitive scores after ten days, with 10 mg best for immediate memory and 20 mg best for delayed memory, and the cognitive gains tracked the normalisation of sensory gating. Two patients in the 20 mg group withdrew because of adverse effects while the lower doses were well tolerated. A separate study by the same group found measurable gains after a single day of dosing.
Dose-finding trial in fibromyalgia418 patients with primary fibromyalgia
Only the 5 mg dose produced a significantly higher response rate than placebo, at 39.2 percent against 26.2 percent, along with less pain, fewer painful tender points and better sleep. The authors describe a bell-shaped dose-response curve, meaning more drug did not mean more effect, which is an unusual and important finding for anyone reading higher numbers elsewhere. Gastrointestinal symptoms were the most common adverse events.
Longer open-label course in fibromyalgia30 women with fibromyalgia
Pain on a visual analogue scale fell by a mean 59.7 percent by day 28, with most of the change arriving by day 10 and a further drop after that, and anxiety and depression scores also improved. This arm was open-label with no control group, so expectation effects cannot be separated out, and it was run by staff at the manufacturer.
Systematic review of sensory gating across 5-HT3 antagonists11 eligible human studies, eight in patients with schizophrenia stable on antipsychotics
Reviews the 5 to 20 mg daily range used in the tropisetron trials
Five studies consistently found that 5-HT3 antagonists improved sensory gating in schizophrenia, and the review singles out tropisetron, with its added alpha7 nicotinic partial agonism, as also improving sustained visual attention in non-smoking patients. Evidence for other measures of sensory processing was inconsistent, and the authors flag small samples and the confounding effect of concurrent antipsychotics.
Preclinical1 row
Recognition memory in rats on long-term antipsychoticsRats treated orally with risperidone at 2.5 mg/kg per day or quetiapine at 25 mg/kg per day for 30 or 90 days
3.0 mg/kg as a single injection
One acute dose before training
Injection, on top of chronic oral antipsychotic treatment
Single dose after 30 or 90 days of antipsychotic treatmentNot applicable
Neither antipsychotic improved novel object recognition after a 48-hour delay, but a single dose of tropisetron markedly did, in animals that had been on either drug for a month or three months. The design deliberately tested the pro-cognitive compound against a realistic medication background. These are rat amounts and routes and do not convert to a human dose.
Community-reported1 row
Vendor capsule product
5 mg per capsule, 60 capsules per bottle (300 mg total)
Not stated
Oral capsule
Not stated
Community resource2026
A vendor claim about what ships, not a protocol. The 5 mg strength matches both the approved anti-sickness capsule and the dose that worked in fibromyalgia, but this is research-grade material rather than a licensed medicine, and the listing states it is not for human use. The product URL is also misspelled on the vendor's site.
Plus 2 community resources (dosing guides, forum threads and vendor write-ups), reported above but not linked.
Overview
Tropisetron is an approved anti-sickness medicine, sold as Navoban and related brands for preventing and treating the nausea and vomiting caused by chemotherapy, and it is the only compound in this part of the library with a regulator-approved product label. What put it into brain research is a second action: alongside blocking the 5-HT3 serotonin receptor it is a partial agonist at the alpha7 nicotinic acetylcholine receptor, the target most often linked to the sensory-gating and attention deficits of schizophrenia. Randomised trials have added 5 to 20 mg a day to antipsychotic treatment and reported improved cognition, sensory gating and negative symptoms, and earlier trials in several hundred fibromyalgia patients found a benefit at 5 mg that did not grow with higher doses.
What researchers are exploring
These themes describe recurring questions in published research. They are not claims of effectiveness or recommendations for use.
1
Cognitive & neural
Neuroplasticity, cognition, stress and sleep models.
2
Approved regulator label for chemotherapy-induced nausea
This is the French medicines agency summary of product characteristics for Navoban 5 mg. It records headache and constipation as very common and drowsiness, abdominal pain, diarrhoea and fatigue as common, says use in.
3
Randomised placebo-controlled trial in schizophrenia
Auditory sensory gating improved significantly in non-smoking patients and sustained visual attention improved on a standard cognitive battery, while the overall psychosis rating scale did not change. Quality-of-life.
4
Short-term dose comparison in schizophrenia
All three doses improved overall cognitive scores after ten days, with 10 mg best for immediate memory and 20 mg best for delayed memory, and the cognitive gains tracked the normalisation of sensory gating. Two.
5
Dose-finding trial in fibromyalgia
Only the 5 mg dose produced a significantly higher response rate than placebo, at 39.2 percent against 26.2 percent, along with less pain, fewer painful tender points and better sleep. The authors describe a.
6
Longer open-label course in fibromyalgia
Pain on a visual analogue scale fell by a mean 59.7 percent by day 28, with most of the change arriving by day 10 and a further drop after that, and anxiety and depression scores also improved. This arm was open-label.
What the current evidence can support
Study models remain visible so laboratory and animal findings are not mistaken for established human outcomes.
Human
Human studies and registrations
6 protocol rows on this page come from human trials, trial registrations, regulator labels or reviews of human data. Approval status and populations are stated per row.
Animal
Preclinical models
1 protocol row describe animal, cell or toxicology work. Amounts from these rows do not translate to people.
Not graded
Community-reported use
1 row record what blogs, vendor write-ups or forums describe for Tropisetron. None has been verified against primary literature.
Chemistry identifiers
Sequence, synonyms and registry identifiers as recorded in PubChem, the National Library of Medicine's open chemistry database. Formula, mass and CAS number are summarized at the top of the page.
Also listed as
Navoban, Novaban, ICS 205-930, Tropisetronum, UNII 6I819NIK1W, CHEMBL56564, ATC A04AA03