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It is selective blocker of 5HT3 receptors that are located on the nerve terminals of vagus in the periphery and in the chemotrigger zone of the area postrema, Antineoplastic agents causes release of serotonin from the intestinal enterochromaffin cells which stimulates the vomiting center as well as receptors presents in area postrema.
It does not show activity against the dopamine receptors and other serotonin receptors.