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Casodex (bicalutamide) 

Indications

Casodex is used to treat: 

  • Advanced prostate cancer that has spread to other parts of the body and is at an advanced stage (Stage D2). 

Dosage and Administration

  • Take Casodex exactly as prescribed by your healthcare provider. 
  • Swallow Casodex tablets whole with a full glass of water. 
  • Take Casodex at the same time each day, usually in the morning or evening.  
  • Take a missed dose as soon as you remember.  
  • Skip the missed dose and continue with your regular schedule if it is almost time for your next dose. 
  • Do not crush or chew Casodex tablets. 
  • Do not take more than the prescribed dose. 
  • Do not stop taking Casodex suddenly without consulting your healthcare provider. 
  • Avoid using Casodex as a single agent; it must be used in combination with an LHRH analog. 

Mechanism of Action

Casodex works by blocking androgen receptors, which are proteins that allow the body to respond to androgens (male hormones). By inhibiting these receptors, Casodex prevents androgens from stimulating the growth of prostate cancer cells, thereby helping to control the progression of the disease. 

Contraindications

Casodex is contraindicated in: 

  • Patients with hypersensitivity to Bicalutamide or any of the ingredients in Casodex 
  • Women 
  • Pregnant women 

Side Effects

Common Side Effects: 

  • Hot flashes 
  • Pain (generalized or in specific areas) 
  • Weakness or fatigue 
  • Constipation 
  • Nausea 

Serious Side Effects: 

  • Severe hepatic injury 
  • Fatal hepatic failure 
  • Hemorrhage with concomitant use of coumarin anticoagulant 
  • Gynecomastia (enlargement of breast tissue) and breast pain 
  • Reduction in glucose tolerance, especially in combination with LHRH agonists 

Precautions

  • Hepatic Monitoring: Severe hepatic injury and fatal hepatic failure have been observed. Monitor serum transaminase levels before starting treatment, regularly for the first four months, and periodically thereafter. Watch for symptoms of liver dysfunction.
  • Anticoagulant Interaction: Use Casodex with caution in patients taking coumarin anticoagulants. Monitor Prothrombin Time (PT) and International Normalized Ratio (INR) closely, and adjust the anticoagulant dose as needed.
  • Gynecomastia and Breast Pain: Gynecomastia and breast pain have been reported during treatment, particularly when Casodex is used as a single agent.
  • Glucose Monitoring: LHRH agonists used in combination with Casodex may reduce your glucose tolerance. Monitor blood glucose levels in patients receiving this combination.
  • PSA Monitoring: Regularly monitor Prostate Specific Antigen (PSA) levels. You should evaluate clinical progression if PSA levels increase.

Storage Instructions

  • Store Casodex at controlled room temperature, 20°-25°C (68°-77°F). 
  • Keep Casodex in its original packaging until use. 

References

https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/020498s028lbl.pdf  

Additional information

Brand Name:

Casodex

Scientific Name:

Bicalutamide

Other Names:

Bicalutamide, Calutide, Casodex

Strength(s):

50mg, 150mg

Quantities Available:

28, 30, 84, 100

Formulation:

Tablet

The information above is provided by third parties to Prescriptionpoint.com for Casodex (Bicalutamide). This information is for general purposes only and is not intended to replace a physician's advice. Always consult with your doctor or a qualified health care professional if you need advice on any medical concerns.


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