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Rolapitant injection

What is this medication?

ROLAPITANT (roe LA pi tant) is used with other medicines to prevent nausea and vomiting caused by cancer treatment (chemotherapy).

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This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

COMMON BRAND NAME(S): Varubi Emulsion

What should I tell my care team before I take this medication?

They need to know if you have any of these conditions:

  • liver disease
  • an unusual or allergic reaction to rolapitant, soybean oil, other medicines, foods, dyes, or preservatives
  • pregnant or trying to get pregnant
  • breast-feeding

How should I use this medication?

This medicine is for injection into a vein. It is given by a health care professional in a hospital or clinic setting.

Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

NOTE: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

This does not apply.

What may interact with this medication?

Do not take this medicine with any of these medicines:

  • pimozide
  • thioridazine

This medicine may also interact with the following medications:

  • certain medicines for blood pressure, heart disease, irregular heart beat
  • certain medicines for depression, anxiety, or psychotic disturbances
  • certain medicines for seizures like carbamazepine, phenobarbital, phenytoin, fosphenytoin
  • certain medicines that treat or prevent blood clots like warfarin and dabigatran
  • cyclosporine
  • dextromethorphan
  • digoxin
  • irinotecan
  • methotrexate
  • narcotic medicines for pain
  • rifampin
  • rosuvastatin
  • sirolimus
  • topotecan

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This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medication?

Do not take this medicine if you already have nausea and vomiting. Ask your health care provider what to do if you already have nausea.

This medicine should not be used continuously for a long time.

What side effects may I notice from receiving this medication?

Side effects that you should report to your doctor or health care professional as soon as possible:

  • allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
  • dizziness
  • signs of decreased red blood cells - unusually weak or tired, feeling faint or lightheaded, falls
  • signs and symptoms of infection like fever or chills; cough; sore throat; pain or trouble passing urine
  • stomach pain
  • tingling or numbness

Side effects that usually do not require medical attention (report these to your doctor or health care professional if they continue or are bothersome):

  • hiccups
  • loss of appetite
  • mouth sores
  • weight loss

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Where should I keep my medication?

This drug is given in a hospital or clinic and will not be stored at home.

NOTE: This sheet is a summary. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider.

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Note: Introduction and Additional Common Questions written and medically approved by Cleveland Clinic professionals.

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