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Active pharmaceutical ingredient

Aprepitant

Aprepitant is a potent and selective neurokinin-1 (NK1) receptor antagonist, primarily used to prevent nausea and vomiting associated with chemotherapy and surgery.

Compounded to order
Prescription required
Warwick, Rhode Island

About this ingredient

Aprepitant is a potent and selective neurokinin-1 (NK1) receptor antagonist, primarily used to prevent nausea and vomiting associated with chemotherapy and postoperative recovery. By blocking the action of substance P, a neuropeptide involved in the emetic reflex, Aprepitant effectively reduces the incidence of both acute and delayed emesis, enhancing patient comfort and compliance with treatment regimens.

In clinical practice, Aprepitant is often utilized as part of a combination therapy, working synergistically with other antiemetic agents such as 5-HT3 antagonists and corticosteroids to provide comprehensive protection against nausea and vomiting. Its pharmacokinetic profile is characterized by a high oral bioavailability and a long half-life, allowing for convenient dosing schedules that align with chemotherapy cycles.

Prescribers should be aware of potential drug interactions, as Aprepitant is a moderate inhibitor of CYP3A4, which can affect the metabolism of concomitant medications. Adjustments may be necessary for drugs metabolized by this pathway to avoid adverse effects or reduced efficacy. Additionally, Aprepitant is generally well-tolerated, with a safety profile that supports its use in diverse patient populations, including those with compromised renal or hepatic function.

Understanding the mechanism of action and pharmacological properties of Aprepitant is crucial for optimizing its use in clinical settings. By integrating this API into tailored therapeutic strategies, healthcare providers can significantly improve patient outcomes in managing chemotherapy-induced and postoperative nausea and vomiting.

Available formulations

Compounded formulations containing this ingredient

Each of these is compounded to order at our Warwick, Rhode Island pharmacy and requires a prescription.

We do not have a patient page for this ingredient yet. That does not mean we cannot make it. Bayview compounds this ingredient to a prescriber's order, and our full compounding formulary lists every preparation we make. Viewing the formulary requires a prescriber account.

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Compounding formulary

Formulas we compound with this ingredient

A sample of preparations from our formulary. Strengths and dose forms are customised to the prescription.

Common questions

Frequently asked questions

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Related

Related active ingredients

Other salt forms of this molecule, and ingredients commonly compounded alongside it.

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Important information

This page describes an active pharmaceutical ingredient, not a finished drug product. Bayview Pharmacy compounds preparations containing it only on a prescriber's order for an individual patient.

Compounded preparations are not FDA-approved, and the FDA has not evaluated them for safety, effectiveness, or manufacturing quality. Nothing on this page is a claim that any preparation is effective for any condition.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice — discuss your situation with a licensed healthcare provider.

Talk to a compounding pharmacist

Our pharmacists work with prescribers to build preparations around a patient's dose, form and tolerances. Ask us what is possible with this ingredient.