Emend (Aprepitant)

They need to know if you have any of these conditions: -liver disease -an unusual or allergic reaction to aprepitant, fosaprepitant, other medicines, foods, dyes, or preservatives -pregnant or trying to get pregnant -breast-feeding

Take this medicine by mouth with a glass of water. Follow the directions on the prescription label. Usually, you will take your first dose one hour before your chemotherapy begins, and then once daily in the morning for the next 2 days after your chemotherapy treatment. This medicine may be taken with or without food. Do not take more often than directed. Talk to your pediatrician regarding the use of this medicine in children. While this drug may be prescribed for children as young as 12 years for selected conditions, precautions do apply.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once. NOTE: This medicine is only for you. Do not share this medicine with others.

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

Do not take this medicine with any of these medicines: -cisapride -flibanserin -lomitapide -pimozide This medicine may also interact with the following medications: -diltiazem -female hormones, like estrogens or progestins and birth control pills -medicines for fungal infections like ketoconazole and itraconazole -medicines for HIV -medicines for seizures or to control epilepsy like carbamazepine or phenytoin -medicines used for sleep or anxiety disorders like alprazolam, diazepam, or midazolam -nefazodone -paroxetine -ranolazine -rifampin -some chemotherapy medications like etoposide, ifosfamide, vinblastine, vincristine -some antibiotics like clarithromycin, erythromycin, troleandomycin -steroid medicines like dexamethasone or methylprednisolone -tolbutamide -warfarin

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

Do not take this medicine if you already have nausea and vomiting. Ask your health care provider what to do if you already have nausea. Birth control pills and other methods of hormonal contraception (for example, IUD or patch) may not work properly while you are taking this medicine. Use an extra method of birth control during treatment and for 1 month after your last dose of aprepitant. This medicine should not be used continuously for a long time. Visit your doctor or health care professional for regular check-ups. This medicine may change your liver function blood test results.

Side effects that you should report to your doctor or health care professional as soon as possible: -allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue -breathing problems -changes in heart rhythm -high or low blood pressure -rectal bleeding -serious dizziness or disorientation, confusion -sharp or severe stomach pain -sharp pain in your leg Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome): -constipation or diarrhea -hair loss -headache -hiccups -loss of appetite -nausea -upset stomach -tiredness

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Keep out of the reach of children. Store at room temperature between 20 and 25 degrees C (68 and 77 degrees F). Throw away any unused medicine after the expiration date.

NOTE: This sheet is a summary. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider.