🩺 ANTIEMETICS & ANTINAUSEANTS 🏷️ Neurokinin Receptor Antagonists
👨‍⚕️ Clinically Reviewed by: PakistaniBano Medical Editorial Board (Pharm.D Panel)
📅 Reviewed: November 2026 • 🔍 Authority: DRAP / WHO ATC
📦 Formulations, Pack Sizes & Retail Prices Currency: Rs.
Dosage Form Reg. No Pack Size Trade Price (TP) Maximum Retail Price (MRP)
Cap 125 mg/80 mg 068204 2 Rs.2942.79 Rs.3462.10

📋 Indications & Clinical Dosage

*Preventing nausea and vomiting associated with emetogenic chemotherapy (adjunct to dexamethasone and a 5HT3-receptor antagonist):* Adult: Initially 125 mg, dose to be taken 1 hour before chemotherapy, then 80 mg once daily for 2 days, consult product literature for dose of concomitant corticosteroid and 5HT3-antagonist

⛔ Contraindications

Acute porphyrias

⚠️ Precautions & Warnings

Moderate to severe renal or hepatic impairment.

🔄 Drug Interactions

Pimozide, immunosuppressants, ergot alkaloids, fentanyl, alfentanil, etoposide, vinorelbine, antifungals, macrolides, protease inhibitors, rifampicin, phenytoin, carbamazepine, phenobarbital, oral anticoagulants, tolbutamide; any other substrate, inhibitor or inducer of CYP3A4 or substrate of CY92C9. lrinotecan, hormonal contraceptives, corticosteroids, benzodiazepines.

⚠️ Adverse Reactions / Side Effects

Headache, dizziness, anorexia, asthenia, constipation, diarrhoea, dyspepsia, hiccups, abdominal pain, anxiety, bradycardia, chills, colitis, confusion, conjunctivitis, dry mouth, duodenal ulcer, flushing, haematuria, hyperglycaemia, hyponatraemia, pruritus, rash, taste disturbance. Rare: Myalgia, neutropenia, oedema, palpitations, pharyngitis, polyuria, stomatitis, thirst, tinnitus, weight changes

🤰 Pregnancy & Lactation Safety

Pregnancy Risk:
Avoid unless potential benefit outweighs risk
Lactation / Breastfeeding:
Avoid, discontinue breast-feeding

📚 Official Regulatory & Clinical References

  • Drug Regulatory Authority of Pakistan (DRAP): Drug Registration, S.R.O. Price Gazettes & National Essential Medicines List (NEML).
  • World Health Organization (WHO): Collaborating Centre for Drug Statistics Methodology (ATC/DDD Index).
  • Formulary Standards: British National Formulary (BNF) & Pakistan National Formulary (PNF) guidelines.

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