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BJA Advance Access originally published online on May 19, 2009
British Journal of Anaesthesia 2009 103(1):7-13; doi:10.1093/bja/aep125
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© The Author [2009]. Published by Oxford University Press on behalf of The Board of Directors of the British Journal of Anaesthesia. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournal.org

Neurokinin-1 receptor antagonists in the prevention of postoperative nausea and vomiting

P. Diemunsch1,*,{dagger}, G. P. Joshi2 and J.-F. Brichant3

1 Department of Anesthesiology, Hautepierre University Hospital, 1, Avenue Molière, 67000 Strasbourg, France
2 Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, Dallas, TX, USA
3 Department of Anesthesiology and Intensive Care, Service d'Anesthésie—Réanimation Chirurgicale, University Hospital of Liège, Belgium

* Corresponding author. E-mail: pierre.diemunsch{at}chru-strasbourg.fr

Despite major advances, emesis remains a major problem in the context of cancer chemotherapy and in the postoperative period. A better understanding of the relevant neurocircuitry, especially the central pattern generator responsible for emesis and the central role of substance P, led to the development of a new class of antiemetics: the neurokinin-1 (NK1) receptor antagonists. Aprepitant is the first NK1 receptor antagonist approved for use in postoperative nausea and vomiting, but several other compounds are currently being investigated for their potential as antiemetics in the postoperative and cancer chemotherapy settings.

Keywords: antagonists, NK1 receptor, aprepitant; complications; substance P; vomiting, nausea


{dagger} Declaration of interest. P.D. has acted as a lecturer, consultant, investigator, and coordinator of clinical studies promoted by Glaxo, Marion Merrell Dow, Roche, Pro Strakan, Merck.


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D. J. Rowbotham
Neurokinin-1 antagonists: a step change in prevention of postoperative nausea and vomiting?
Br. J. Anaesth., July 1, 2009; 103(1): 5 - 6.
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