aprepitant Side Effects
Also known as: Emend
Analysis of 17,740 adverse event reports submitted to the FDA from 2004 to 2025.
Total Reports
17,740
Death-Related
2,942
16.6% of reports
Hospitalizations
9,758
55.0% of reports
Top Indication
Product Used For Unknown Indication
Most Reported Adverse Reactions
Who Reports Side Effects
Gender Distribution
Age Distribution
Reporting Trend by Year
Reactions in Death Reports
Top reactions reported in 2,942 reports where death was an outcome. These are voluntarily reported and do not establish causation.
| Reaction | Reports |
|---|---|
| DEATH | 529 |
| FATIGUE | 515 |
| VOMITING | 493 |
| DIARRHOEA | 476 |
| PYREXIA | 461 |
| OFF LABEL USE | 455 |
| GENERAL PHYSICAL HEALTH DETERIORATION | 447 |
| HAND DEFORMITY | 416 |
| FOLLICULITIS | 409 |
| GLOSSODYNIA | 404 |
| NAUSEA | 403 |
| IMPAIRED HEALING | 401 |
| HYPERSENSITIVITY | 396 |
| DECREASED APPETITE | 394 |
| STOMATITIS | 394 |
| HELICOBACTER INFECTION | 392 |
| CONFUSIONAL STATE | 386 |
| JOINT SWELLING | 383 |
| RASH | 380 |
| INFECTION | 377 |
Reactions in Hospitalization Reports
Top reactions in 9,758 reports where hospitalization was an outcome.
| Reaction | Reports |
|---|---|
| PYREXIA | 1,317 |
| NAUSEA | 1,177 |
| FATIGUE | 1,163 |
| DIARRHOEA | 1,090 |
| VOMITING | 1,050 |
| DYSPNOEA | 1,004 |
| OFF LABEL USE | 934 |
| RASH | 920 |
| FEBRILE NEUTROPENIA | 910 |
| STOMATITIS | 814 |
| HYPERSENSITIVITY | 807 |
| GENERAL PHYSICAL HEALTH DETERIORATION | 787 |
| PRURITUS | 778 |
| CONFUSIONAL STATE | 776 |
| ALOPECIA | 767 |
| INFUSION RELATED REACTION | 761 |
| GASTROINTESTINAL DISORDER | 757 |
| DECREASED APPETITE | 749 |
| INFECTION | 747 |
| PAIN | 731 |
Nearby — Related Medications
What the FAERS Data Reveals About aprepitant Side Effects
The FDA Adverse Event Reporting System (FAERS) contains 17,740 voluntary reports linked to aprepitant and its brand equivalents (Emend), spanning 2004 through 2025. Of those, 2,942 (16.6%) listed death as an outcome and 9,758 (55.0%) involved hospitalization. The most common indication reported alongside adverse events was Product Used For Unknown Indication.
Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 62% were female and 37% male; age distribution skews toward 45-64, with 6,016 reports in that bracket. The single most reported reaction is nausea with 2,145 submissions, followed by fatigue and pyrexia.
FAERS is a signal-detection tool, not a scorecard. Reports are voluntary, and a single case may list multiple suspect drugs, so numbers above should not be read as incidence rates or per-patient risk. Widely prescribed drugs naturally accumulate more reports than niche therapies even when individual risk is low. These aggregates are useful for spotting patterns that merit further pharmacovigilance, not for choosing between medications. This page is for educational reference only and is not medical advice — speak with a licensed clinician about any side-effect concerns.
Read our methodology — how this data is sourced, computed, and verified.