A 55-year-old woman receiving cisplatin-based chemotherapy for ovarian cancer presents with nausea. She is started on a medication blocking substance P signaling at neurokinin-1 receptors for delayed emesis prevention. Her vital signs are stable (BP 128/82, HR 82, RR 16, Temp 37°C). Laboratory studies show normal electrolytes and creatinine 0.9 mg/dL. Upper endoscopy reveals no peptic ulceration. She denies prior antiemetic use. Which drug most likely has this mechanism of action?

  1. A)Metoclopramide
  2. B)Ondansetron
  3. C)AprepitantGABARITO
  4. D)Loperamide
  5. E)Diphenhydramine

Explicação

Aprepitant is an NK1 receptor antagonist that blocks substance P mediated emetic signaling, useful for delayed chemotherapy induced nausea. Ver explicação completa e trilha adaptativa →

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