Fosaprepitant

Fosaprepitant is an antiemetic medication used primarily to prevent nausea and vomiting caused by chemotherapy. It belongs to a class of drugs known as neurokinin-1 (NK1) receptor antagonists. Fosaprepitant works by blocking signals in the brain that trigger the vomiting reflex. It is typically given before chemotherapy sessions and is often used in combination with other antiemetic drugs. As an intravenous prodrug of aprepitant, it offers a convenient alternative for patients who cannot take oral medication.

Uses of Fosaprepitant

  • Prevention of acute and delayed nausea and vomiting due to chemotherapy
  • Used in combination with other antiemetics for better control

How Fosaprepitant Works

Fosaprepitant blocks neurokinin-1 (NK1) receptors in the brain, which are responsible for triggering vomiting. By doing so, it helps prevent nausea and vomiting caused by chemotherapy treatments.

Benefits of Fosaprepitant

  • Prevents both early and delayed chemotherapy-induced nausea
  • Reduces need for rescue antiemetics
  • Allows patients to better tolerate cancer treatment

How to Take Fosaprepitant

Fosaprepitant is administered as an intravenous infusion by a healthcare professional, usually about 30 minutes before chemotherapy begins. It is not meant for daily use and should only be used as prescribed around chemotherapy sessions.

Type of Dosage Available

  • Intravenous Injection

Side Effects of Fosaprepitant

  • Fatigue
  • Headache
  • Hiccups
  • Injection site reactions (pain, swelling)
  • Dizziness

Safety Advice

  • Inform doctor about liver problems before use
  • Monitor for allergic reactions during infusion
  • Use with caution in pregnancy and breastfeeding
  • Avoid alcohol during treatment
  • Inform your doctor about all medicines you are taking

Frequently Asked Questions (FAQs)


Q. What is Fosaprepitant used for?
A. Fosaprepitant is used to prevent nausea and vomiting caused by chemotherapy, especially when used with other antiemetic medications.

Q. How is Fosaprepitant administered?
A. It is given as an intravenous infusion about 30 minutes before the start of chemotherapy treatment.

Q. Can Fosaprepitant be used alone?
A. No, it is typically used in combination with corticosteroids and serotonin antagonists for optimal effectiveness.

Q. Are there any serious side effects?
A. Serious side effects are rare but may include allergic reactions or severe injection site reactions. Always report any unusual symptoms.

Q. Is it safe to take Fosaprepitant during pregnancy?
A. Use only if clearly needed and prescribed by your doctor, as safety in pregnancy has not been fully established.

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