Drug: Emend

aprepitant (pronounced ah-preh-PIT-ant)

Common Side Effects: constipation or diarrhea, decreased appetite, hiccups, nausea, tiredness, weakness.

Less Common Side Effects: abdominal pain, dehydration, dizziness, fever, headache, heartburn, insomnia, ringing in the ears, upper abdominal pain, vomiting.

Missed Dose: Take the missed dose as soon as possible. If it's almost time for the next dose, skip the missed dose and take the next dose on schedule. Don't double the dose.

Drug Interactions: Combining certain medications may alter their actions or produce unwanted effects. Tell your health care provider about other prescription medications, nonprescription medications, herbs, and supplements you're taking, especially:

alprazolam (Xanax)
carbamazepine (Tegretol)
chemotherapy medications (such as docetaxel, etoposide, ifosfamide, imatinib, irinotecan, paclitaxel, vinblastine, vincristine, and vinorelbine)
clarithromycin (Biaxin)
dexamethasone (Decadron)
diltiazem (Cardizem)
hormonal contraceptives
itraconazole (Sporanox)
ketoconazole (Nizoral)
methylprednisolone (Medrol)
midazolam (Versed)
nefazodone
nelfinavir (Viracept)
paroxetine (Paxil)
phenytoin (Dilantin)
pimozide
rifampin
ritonavir (Norvir)
St. John's wort
tolbutamide
triazolam (Halcion)
troleandomycin
warfarin (Coumadin).

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