Question:

Which of the following drugs acts as a neurokinin-1 (NK1) receptor antagonist to prevent chemotherapy-induced vomiting?

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Chemotherapy-induced nausea and vomiting (CINV) is controlled by drugs acting on several receptor systems. Substance P, acting on neurokinin-1 (NK1) receptors, is a key mediator of the delayed phase of vomiting.
Updated On: Jun 24, 2026
  • Ondansetron
  • Aprepitant
  • Dronabinol
  • Metoclopramide
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The Correct Option is B

Solution and Explanation

Concept:
Chemotherapy-induced nausea and vomiting (CINV) is controlled by drugs acting on several receptor systems. Substance P, acting on neurokinin-1 (NK1) receptors, is a key mediator of the delayed phase of vomiting.

How it works: Aprepitant is a selective NK1 receptor antagonist. By blocking substance P at NK1 receptors in the vomiting centre, it prevents both acute and delayed CINV, and is usually combined with a 5-HT3 blocker and a corticosteroid.

Why the other choices are wrong: Ondansetron is a 5-HT3 antagonist. Dronabinol is a cannabinoid. Metoclopramide is mainly a dopamine D2 antagonist (with some 5-HT3 effect). None of these blocks NK1 receptors.

Answer: Option (2) — Aprepitant is the NK1 receptor antagonist. (2)
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