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Aprepitant

An anti-sickness capsule (NK1 blocker) used with other medicines to prevent nausea and vomiting.

Clinical information

Common uses

  • preventing nausea and vomiting from cancer chemotherapy
  • preventing nausea and vomiting after surgery

Common side effects

  • tiredness
  • diarrhoea
  • indigestion
  • stomach pain
  • hiccups

Cautions

  • never take with pimozide — dangerous heart rhythm risk
  • not for treating sickness that has already started
  • not recommended for continuous long-term use
  • hormonal contraception may fail for 28 days after — use backup

Interactions

  • pimozide (do not combine)
  • warfarin (blood thinner — effect reduced, INR monitored)
  • hormonal contraceptives (less effective)
  • many medicines processed by CYP3A4

Pregnancy: not enough human data to know the risk

Reference information, not medical advice — always follow your doctor or pharmacist. Source: DailyMed, dailymed.nlm.nih.gov, aprepitant label, setid af9b6086-4bf2-472c-8740-4134eaaebace (accessed 2026-08-16)

Approved brands & formulations4

Brand nameDosage formStrengthImporterCategory
AprepitantCapsule150mgMFDA designated importers with Pre Authorization approval before importhospital
AprepitantCapsule120mgMFDA designated importers with Pre Authorization approval before importhospital
AprepitantCapsule125mgMFDA designated importers with Pre Authorization approval before importhospital
AprepitantCapsule80mgMFDA designated importers with Pre Authorization approval before importhospital
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