Bicalutamide is a prescription medication used to treat stage D2 metastatic prostate cancer, which is an advanced form of prostate cancer also known as stage IV cancer. As a hormone therapy, bicalutamide affects the hormones in the body by stopping the male sex hormone, testosterone, from promoting the growth and multiplication of prostate cancer cells. Bicalutamide is classified as an androgen receptor inhibitor or anti-androgen, which means it blocks the action of testosterone on the cancer cells.
To effectively treat prostate cancer, bicalutamide is used in conjunction with another type of hormone therapy known as a luteinizing hormone-releasing hormone (LHRH) analog. These drugs work by reducing the level of testosterone in the body. By combining bicalutamide with an LHRH analog, it is possible to slow down or even halt the growth of prostate cancer.
Uses and Dosage
To ensure proper use of this medication, take it orally as directed by your physician, usually once daily with or without food.
For optimal results, use this medication on a regular schedule, taking it at the same time each day to aid in recall.
Do not exceed the prescribed dose or utilize this medication more frequently or for a more extended period than recommended. Doing so will not hasten the improvement of your condition and could increase your likelihood of experiencing severe adverse reactions.
Due to the potential for this medication to be absorbed through the skin and lungs, and the risk of harm to an unborn child, pregnant women or those who may become pregnant should avoid handling the medication or inhaling dust from the tablets.
Some side effects may occur that usually do not need medical attention:
- breast pain
- decreased interest in sexual intercourse
- difficulty with moving
- dry skin
- hair loss or thinning of the hair
- inability to have or keep an erection
- leg cramps
- loss in sexual ability, desire, drive, or performance
- loss of strength or energy
- muscle ache, cramp, pain, or weakness
- pain in the pelvis
- pain or tenderness around the eyes and cheekbones
- passing of gas
- sleepiness or unusual drowsiness
- stomach pain or fullness
- stuffy or runny nose
- swelling of the breasts or breast soreness in both females and males
Inform your healthcare provider immediately if you experience any serious side effects:
- bloating or swelling of the face, arms, hands, lower legs, or feet
- blood in the urine
- blurred vision
- body aches or pain
- cough producing mucus
- difficult or labored breathing
- dryness or soreness of the throat
- lower back or side pain
- painful or difficult urination
- pounding in the ears
- rapid weight gain
- slow or fast heartbeat
- tender, swollen glands in the neck
- tightness in the chest
- tingling of the hands or feet
- trouble with swallowing
- unusual weight gain or loss
- voice changes
Prior to taking bicalutamide, inform your physician or pharmacist of any allergies you have, including allergies to this medication or any other substances. This product may contain inactive ingredients that can cause an allergic reaction or other complications.
Prior to using this medication, inform your physician or pharmacist of your medical history, particularly if you have a history of liver disease, diabetes, or heart disease.
This medication may cause dizziness or drowsiness. The use of alcohol or marijuana can exacerbate these side effects. Refrain from driving, operating machinery, or engaging in activities that require mental alertness until you are capable of performing them safely.
This medication may heighten your sensitivity to sunlight. Reduce your exposure to sunlight, avoid tanning booths and sunlamps, and wear protective clothing and sunscreen when outside. Contact your physician immediately if you experience sunburn or skin blisters/redness.
This medication is not intended for use by women, particularly during pregnancy or while breastfeeding, as it may harm an unborn or breastfeeding baby. Male patients and their female partners must use reliable forms of birth control throughout treatment with bicalutamide and for 130 days afterward since this medication may damage sperm.
Form and Strength
Casodex is available in the following forms and strengths:
Is Casodex a form of chemotherapy?
No, Casodex is not a form of chemotherapy, Casodex is an anti-androgen which is a type of hormone therapy used to treat prostate cancer.
Can Casodex cure prostate cancer?
No. Using Casodex with an LHRH analog can slow down or stop the growth of prostate cancer.