Examples of using Aprepitant in English and their translations into German
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Aprepitant Regimen.
Antibiotics or medicines for infections, especially rifampin aprepitant.
The pharmacological effect of fosaprepitant is attributed to aprepitant.
Aprepitant(125 mg/ 80 mg) is a substrate, a moderate inhibitor, and an inducer of CYP3A4.
When administered intravenously fosaprepitant is rapidly converted to aprepitant.
Metabolism Fosaprepitant was rapidly converted to aprepitant in in vitro incubations with liver preparations from humans.
One case of angioedema andurticaria was reported as a serious adverse event in a patient receiving aprepitant in a non-CINV/ non-PONV study.
Medicines containing aprepitant have been available in the European Union as EMEND since 2003.
One case of angioedema andurticaria was reported as a serious adverse event in a patient receiving aprepitant in a non-CINV/ non-PONV study.
In humans,fosaprepitant administered intravenously was rapidly converted to aprepitant within 30 minutes following the end of infusion.
Alternative or back-up methods of contraception should be used during treatment with fosaprepitant or aprepitant and for 2 months following the last dose of aprepitant see section 4.5.
Aprepitant or fosaprepitant(for the treatment of nausea and vomiting after surgery or caused by chemotherapy[cancer treatment]);
In patients on chronic warfarin therapy, the prothrombin time(INR) should be monitored closely during treatment with fosaprepitant or aprepitant and for 2 weeks following each 3-day regimen for chemotherapy induced nausea and vomiting see section 4.4.
In clinical interaction studies, aprepitant did not have clinically important effects on the pharmacokinetics of ondansetron, granisetron, or hydrodolasetron the active metabolite of dolasetron.
The potential effects of increased plasma concentrations of midazolam or other benzodiazepines metabolised via CYP3A4(alprazolam,triazolam) should be considered when co-administering these agents with a 3-day regimen of fosaprepitant followed by aprepitant.
It is not known whether aprepitant is excreted in human milk; therefore, breast-feeding is not recommended during treatment with EMEND.
They include, but are not limited to, atazanavir, clarithromycin, indinavir, itraconazole, ketoconazole, nefazodone, nelfinavir, ritonavir, saquinavir, telithromycin,amprenavir, aprepitant, diltiazem, erythromycin, fluconazole, fosamprenavir, grapefruit juice, and verapamil.
Aprepitant accounts for approximately 19% of the radioactivity in plasma over 72 hours following a single intravenous administration 100 mg dose of[14C]-fosaprepitant, a prodrug for aprepitant, indicating a substantial presence of metabolites in the plasma.
In a separate study, a total of 413 patients undergoing initial and repeat cycles of chemotherapy(including carboplatin, cisplatin, oxaliplatin, and doxorubicin regimens),were randomized to receive either Akynzeo(n=309) or aprepitant and palonosetron n=104.
The potential for reproductive toxicity of aprepitant has not been fully characterized, since exposure levels above the therapeutic exposure in humans at the 125 mg/ 80 mg dose were not attained in animal studies.
Carbamazepine- for epilepsy, to stabilise your mood or for certain types of pain other medicines that may reduce the breakdown of Spedra in the body(‘moderate CYP3A4 inhibitors')including amprenavir, aprepitant, diltiazem, fluconazole, fosamprenavir, and verapamil.
Following a single intravenous dose of fosaprepitant administered as a 15-minute infusion to healthy volunteers the mean AUC0-24hr of aprepitant was 19.8 μ g• hr/ ml and the mean maximal aprepitant concentration was 3.26 μ g/ ml.
Levels of fesoterodine: amprenavir or fosamprenavir(antiviral medication for treating HIV), fluconazole(used to treat fungal infections),erythromycin(used to treat bacterial infections), aprepitant(medicine to prevent nausea), diltiazem and verapamil medicines to treat angina and high blood pressure.
When a single 375 mg dose of aprepitant was administered on Day 9 of a 14-day regimen of 600 mg/ day of rifampicin, a strong CYP3A4 inducer, the AUC of aprepitant decreased 91% and the mean terminal half-life decreased 68.
However, it should be noted that the value of the toxicity studies carried out with rodents, rabbit and monkey, including the reproduction toxicity studies,are limited since systemic exposures to fosaprepitant and aprepitant were only similar or even lower than therapeutic exposure in humans.
Effect of CYP3A4 inhibition by aprepitant on the pharmacokinetics of other active substances As a moderate inhibitor of CYP3A4, aprepitant(125 mg/ 80 mg) can increase plasma concentrations of co-administered active substances that are metabolised through CYP3A4.
The concomitant use of bosutinib with strong CYP3A inhibitors( including, but not limited to itraconazole, ketoconazole, posaconazole, voriconazole, clarithromycin, telithromycin, nefazodone, mibefradil, indinavir, lopinavir/ ritonavir, nelfinavir, ritonavir, saquinavir, boceprevir, telaprevir, grapefruit products including grapefruit juice) or moderate CYP3A inhibitors( including, but not limited to fluconazole, ciprofloxacin, erythromycin, diltiazem, verapamil, amprenavir, atazanavir, darunavir/ ritonavir,fosamprenavir, aprepitant, crizotinib, imatinib) should be avoided, as an increase in bosutinib plasma concentration will occur.
If you are taking a medicine such as erythromycin, amprenavir, aprepitant, diltiazem, fluconazole, fosamprenavir or verapamil(‘moderate CYP3A4 inhibitors') the recommended dose of Spedra is a 100 mg tablet, with an interval of at least 2 days between doses.
In a study of 20 healthy subjects, in whom a single dose of 125 mg aprepitant(a moderate CYP3A inhibitor) was co-administered with a single dose of 500 mg bosutinib under fed conditions, aprepitant increased bosutinib Cmax by 1.5-fold, and bosutinib AUC in plasma by 2.0-fold, as compared with administration of bosutinib alone.
Do not use IVEMEND• If you are allergic(hypersensitive) to fosaprepitant(which is converted to aprepitant in your body), aprepitant, or to polysorbate 80 or any of the other ingredients.• With medicines containing pimozide(used to treat psychiatric illnesses), terfenadine and astemizole(used for hay fever and other allergic conditions), cisapride used for treating gastrointestinal motility disorders.