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Rolapitant Side Effects

Medically reviewed by Last updated on Jul 25, 2023.

Applies to rolapitant: oral tablet.

Serious side effects of Rolapitant

Along with its needed effects, rolapitant may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur while taking rolapitant:

More common

  • Black, tarry stools
  • chills
  • cough
  • difficult, burning, or painful urination
  • fever
  • lower back or side pain
  • pale skin
  • sore throat
  • trouble breathing
  • ulcers, sores, or white spots in the mouth
  • unusual bleeding or bruising
  • unusual tiredness or weakness

Less common

  • Bladder pain
  • bloody or cloudy urine
  • frequent urge to urinate

Other side effects of Rolapitant

Some side effects of rolapitant may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects.

Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

  • Decreased appetite
  • dizziness

Less common

  • Acid or sour stomach
  • belching
  • heartburn
  • hiccups
  • indigestion
  • stomach discomfort, upset, or pain

For Healthcare Professionals

Applies to rolapitant: intravenous emulsion, oral tablet.


The most commonly reported side effects included decreased appetite, neutropenia, dizziness, and hiccups.[Ref]


Common (1% to 10%): Abdominal pain, constipation, dyspepsia, stomatitis

Uncommon (0.1% to 1%): Abdominal distention, diarrhea, nausea, oral fungal infection

Rare (less than 0.1%): Abdominal discomfort, bowel habit change, dry mouth, gastroesophageal reflux disease, oral candidiasis, retching[Ref]

Nervous system

Common (1% to 10%): Dizziness, headache

Uncommon (0.1% to 1%): Disturbance in attention, dysgeusia, somnolence

Rare (less than 0.1%): Balance disorder, movement disorder, syncope[Ref]


Common (1% to 10%): Anemia, neutropenia

Rare (less than 0.1%): Decreased neutrophil count, increased international normalized ratio (INR), leukopenia, thrombocytopenia[Ref]


Common (1% to 10%): Decreased appetite

Rare (less than 0.1%): Dehydration, hypomagnesemia[Ref]


Common (1% to 10%): Hiccups[Ref]


Common (1% to 10%): Urinary tract infection[Ref]


Uncommon (0.1% to 1%): Myalgia

Rare (less than 0.1%): Arthralgia, back pain, muscular weakness, rhabdomyolysis[Ref]


Uncommon (0.1% to 1%): Asthenia

Rare (less than 0.1%): Gait disturbance, hypoacusis, tinnitus[Ref]


Uncommon (0.1% to 1%): Insomnia

Rare (less than 0.1%): Anxiety, bruxism[Ref]


Rare (less than 0.1%): Acneiform dermatitis, alopecia, dry skin[Ref]


Rare (less than 0.1%): Angioedema, hypersensitivity[Ref]


Rare (less than 0.1%): Hypertension, increased heart rate[Ref]


Rare (less than 0.1%): Candidiasis[Ref]


Rare (less than 0.1%): Blurred vision[Ref]


1. Cerner Multum, Inc. UK Summary of Product Characteristics.

2. Product Information. Varubi (rolapitant). Tesaro Inc. 2015.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Some side effects may not be reported. You may report them to the FDA.