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Home / Cancer / Bicalutamide


Bicalutamide is a non-steroidal and anti-androgen drug. It is primarily used for the treatment of prostate cancer (especially at stage D2 when the cancer has spread to other parts of the body) and hirsuitism.

Bicalutamide 50mg

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What are Bicalutamide uses? 

Bicalutamide is an anti-androgen which works in your body by preventing the actions of androgens which is also known as male hormones. This medicine is mainly used together with another hormone in order to treat prostate cancer. Women and children should never use this medicine.  

Bicalutamide generic drug is available in the brand name of Casodex.  

You can easily buy Bicalutamide 50 mg prostate cancer medicine from our pharmacy at a reasonable price.  

What is the dosage of Bicalutamide? 

Before you start taking this medicine, it is important for you to read the patient information leaflet and still if you have any confusion talk to your doctor or pharmacist.  

You need to strictly follow the prescription label. There are chances that your doctor changes the dose occasionally. You should never take Casodex dosage in larger, smaller amounts or for a longer time than recommended by your doctor.  

Casodex generic drug is mainly taken once per day in the morning or evening time. You need to take this medicine with or without the food as prescribed by your doctor. Always try taking this medicine at the same time each day so that you remember to take it.  

Stopping bicalutamide without your doctor’s permission can cause serious side effects. This medicine is given as a part of a combination of prostate cancer treatment with another medicine known as luteinizing hormone-releasing hormone or LHRH. All these medicines help in preventing the testicles from producing testosterone.  

Treatment with bicalutamide as well as LHRH is mainly started at the same time. So it is important for you to follow your doctor’s instructions carefully.  

LHRH is mainly given as an injection or a tiny implant which is vaccinated through a needle under the skin around your bellybutton. LHRH injections are often given at intervals like once every 4 weeks. So strictly follow your doctor’s directions. Until and unless your doctor tells you to stop the Bicalutamide tablets you should not stop it.  

During your Bicalutamide medication, it is important for you to have frequent blood tests. Always store the medicine at the room temperature right away from moisture as well as heat. Therefore, take the Casodex as per the prescribing information.  

Remember that you should not increase your dose or use this medicine more often or for a longer time than prescribed by your doctor because in this way you are going to improve your condition faster but will definitely increase your risk for side effects.  

What happens if you miss a dose? 

As soon as you remember you need to take the missed dose. But if it’s time for your next dose then it is very important for you to skip the missed dose because two doses cannot be taken at the same time.  

In case you have missed the appointment for your LHRH injection then call your doctor for instructions.

What you should avoid while taking Bicalutamide? 

There are chances that Bicalutamide tablets may impair your thinking or reactions so you need to be very careful while driving, using machinery or doing anything that demands for alertness. 

Avoid your exposure to tanning beds as well as sunlight because this medicine is known to make you sunburn easily. You need to properly wear the protective clothing as well as use sunscreen which comes with SPF 30 or higher when you are outdoors.   

Bicalutamide 50 mg tablet is known to pass into the body fluids like urine, vomit and faeces. So it is very important for the caregivers to wear the rubber gloves when cleaning up a patient’s body fluids, changing diapers, handling contaminated trash or laundry of the patient. Carefully wash the hands before as well as after removing gloves. Wash the soiled clothing as well as linens separately from your other laundry.

Can you take this medicine during pregnancy? 

Bicalutamide 50 mg is known to get absorbed through your skin as well as lungs due to which it can harm your unborn baby. Women who are pregnant or planning to get pregnant should not use this medicine or breathe the dust from the Casodex 50 mg tablets.   

Can you use this medicine during breastfeeding? 

You should never use this medicine if you are breastfeeding because it can harm your nursing baby. So it is very important for you first consult the doctor and then take this medicine if you breastfeed your baby.  

Precautions you need to take while using Bicalutamide 

In order to make sure that Bicalutamide is safe for you then assure that you tell your doctor well in advance if you suffer from various health issues such as:

  • Diabetes
  • Liver disease
  • Also inform your doctor if you take a blood thinner like jantoven, warfarin and Coumadin

You should never take this medicine if you are allergic to it. Always make use of effective birth control if your sexual partner is able to get pregnant. If the father is using Bicalutamide tablets then he can harm an unborn baby. It is very important to use the birth control for at least 130 days i.e. about 19 weeks after your last dose of Bicalutamide.   

This medicine is strictly not be used by women because it can cause birth defects in case the woman is exposed to it at the time of pregnancy. Bicalutamide is known to contain certain inactive ingredients that can often cause allergic reactions or other problems. So talk to your doctor or pharmacist for more details well in advance.    

You also need to limit your alcoholic beverages because it can cause serious side effects. Inform your doctor well in advance if you use marijuana.  

Always keep the medicine out of the reach of children, while you should also not share your medicine with others even if the person has the same symptoms as you. Make sure that you use this medicine only for the prescribed time.   

What are the side effects of Bicalutamide? 

Remember that your doctor has prescribed by you this medicine because he or she thinks that the benefits of this medicine are more as compared to its side effects. Some of the common side effects of Bicalutamide tablets are:

  • Nausea, hot flashes
  • Diarrhoea, constipation
  • Pain in your back, stomach & pelvis
  • Weakness and dizziness
  • Swelling in your hands, feet and ankles
  • Increased night-time urination

You need to contact your doctor immediately if you come across any signs of an allergic reaction such as swelling of your tongue, lips, throat and face, hives as well as difficulty in breathing.  

Get the emergency medical help immediately if you suffer from:

  • Fever, chills
  • Breast pain or swelling
  • Sudden pain in chest or discomfort, feeling short of breath, wheezing as well as dry cough
  • Signs of liver problems like feeling tired, nausea, loss of appetite, upper stomach pain, jaundice, dark urine and clay coloured stools
  • Blood in urine
  • Signs of low blood red cells such as pale skin, trouble in concentrating, feeling light-headed or short of breath as well as rapid heart rate
  • High blood sugar like drowsiness, increased thirst, blurred vision, hunger, weight loss, increased urination, dry mouth, hunger, fruity breath odour, dry skin as well as weight loss

Though this is not the complete list of side effects if you come across any other problems then do contact your doctor immediately.  

Bicalutamide Interactions 

Remember that drug interactions can completely change how your medications work or can also increase your risk for serious side effects. Always make a list of products that you are using such as prescription drugs, non-prescription drugs as well as herbal products and share them with your doctor. You should never start, stop or change the dosage of any medicine without your doctor’s approval.   

Some of the other drugs that interact with this medicine include over-the-counter medicines, vitamins, prescription medicines as well as herbal products,  

There are total 296 drugs that are known to interact with Bicalutamide medication. 

57 major drug interactions

227 moderate drug interactions

12 minor drug interactions 

Some of the names of drugs that interact with Bicalutamide tablets include Calcium 600 D, Lasix, Flomax, Lipitor, Tamoxifen, Plavix, Lupron, etc.  

What is Bicalutamide mechanism of action? 

This medicine is known to work by blocking the actions of male hormones in the prostate that further helps in slowing the growth of cancer cells.  

Bicalutamide Warnings 

This medicine should strictly not be used by women. Bicalutamide tablets are known to cause a birth defect in case a woman is exposed to it at the time of pregnancy. 

We only ship medications which are approved by FDA, Also please consult your doctor to make a full decision on what medication to take.

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