Question:

Aprepitant, a drug used to prevent late-onset chemotherapy-induced nausea and vomiting, acts through which of the following mechanisms?

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Aprepitant is an NK-1 antagonist, effective in preventing chemotherapy-induced nausea and vomiting by blocking the action of substance P.
Updated On: Jul 9, 2025
  • NK-1 antagonist
  • NK-1 agonist
  • NK-3 antagonist
  • NK-2 antagonist
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The Correct Option is A

Solution and Explanation

Aprepitant is a medication used to prevent nausea and vomiting caused by chemotherapy. It achieves this by targeting specific receptors in the body that play a role in these symptoms.

The mechanism of action for Aprepitant involves its role as an NK-1 antagonist. The NK-1 (Neurokinin-1) receptor is associated with the emetic (vomiting) reflex. By acting as an antagonist at these receptors, Aprepitant can effectively block the action of substance P, a neurotransmitter that binds to NK-1 receptors and induces nausea and vomiting.

The options provided for the mechanism of action were:

  • NK-1 antagonist
  • NK-1 agonist
  • NK-3 antagonist
  • NK-2 antagonist

Considering the pharmacological action of Aprepitant, the correct choice is NK-1 antagonist.

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