Question:

Choose the correct antiemetic compound with NK1 receptor antagonist activity:

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Drugs ending in "-pitant" (Aprepitant, Rolapitant) are NK1 receptor antagonists.
Updated On: May 28, 2026
  • Promethazine
  • Ondansetron
  • Aprepitant
  • Dicyclomine
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The Correct Option is C

Solution and Explanation

Step 1: Concept
Antiemetics work by blocking different receptors in the vomiting center and chemoreceptor trigger zone (CTZ). The Neurokinin-1 (NK1) receptor is a target for Substance P.

Step 2: Meaning

NK1 receptor antagonists are a class of medications primarily used to prevent chemotherapy-induced nausea and vomiting (CINV).

Step 3: Analysis

Promethazine is an H1-antagonist. Ondansetron is a 5-HT3 receptor antagonist. Dicyclomine is an anticholinergic. Aprepitant is the prototype drug that selectively blocks NK1 receptors.

Step 4: Conclusion

Aprepitant is the correct NK1 receptor antagonist.

Final Answer: (C)
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