2007
DOI: 10.4103/0019-509x.31164
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Aprepitant: A substance P antagonist for chemotherapy induced nausea and vomiting

Abstract: Correspondence to: Dr. Girish C, E-mail: gcnx@rediffmail.com AbstractThe episodes of nausea and vomiting which follow each cycle of chemotherapy are the most troublesome side effect experienced by cancer patients. Introduction of ondansetron was a definite therapeutic advance in treating chemotherapy induced nausea and vomiting (CINV) with more effectiveness with corticosteroids. However, the protection remained largely limited to acute phase of CINV with little or no effect over delayed phase. Aprepitant, a d… Show more

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Cited by 34 publications
(22 citation statements)
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References 15 publications
(20 reference statements)
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“…ImageJ is a public domain Java image processing program inspired by NIH Image for the Macintosh. The author, Wayne Rasband is at the Research Services Branch, National Institute of Mental Health, Bethesda, Maryland, USA [14][15][16]. ImageJ holds a unique position because it is not only in the public domain, but also runs on any operating system.…”
Section: Analysis Methodsmentioning
confidence: 99%
“…ImageJ is a public domain Java image processing program inspired by NIH Image for the Macintosh. The author, Wayne Rasband is at the Research Services Branch, National Institute of Mental Health, Bethesda, Maryland, USA [14][15][16]. ImageJ holds a unique position because it is not only in the public domain, but also runs on any operating system.…”
Section: Analysis Methodsmentioning
confidence: 99%
“…Metabolization of aprepitant is carried out primarily by CYP3A4 and minor metabolism by CYP1A2 and CYP2C19. The half-life ranged from 9 to 13 hours approximately 5,17,18 .…”
Section: Recent Advances In Antiemeticsmentioning
confidence: 99%
“…Its potential emetic effects result from binding to the NK1 receptor. Substance P levels in the peripheral circulation may become elevated after administration of cisplatin 4,5,6 . (ii) abdominal vagus by means of the nucleus tractus solitarius.…”
Section: Pathophysiology Of Emesismentioning
confidence: 99%
“…Drugs which block substance P from binding to neurokinin type 1 (NK1) receptors can be of use as antiemetic agents as these neurotransmitters are implicated in the pathoetiology of emesis [3,4] Fig. 1), is a new class of substance P/Neurokinin1 (NK1) receptor antagonist, which is effective on both acute and delayed emesis.…”
Section: Introductionmentioning
confidence: 99%