Bicalutamide

Prostatic Neoplasms

Drug Status

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Government Approvals

US(FDA), UK(BNF)

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WHO Essential Medicine

YES

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Known Teratogen

Possible

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Pharmaceutical Class

Androgen Receptor Inhibitor

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Controlled Drug Substance

No

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Drug Ingredient

bicalutamide

Summary

  • Bicalutamide is used to treat prostate cancer, which is a type of cancer that occurs in the prostate gland in men. It helps slow or stop the growth of cancer cells by blocking male hormones that can promote cancer growth.

  • Bicalutamide works by blocking the action of male hormones, which are called androgens, in the body. These hormones can promote the growth of prostate cancer cells. By blocking them, Bicalutamide helps slow or stop the growth of these cancer cells.

  • The usual starting dose of Bicalutamide for adults is 50 mg once daily. It is typically taken as a pill in the morning, with or without food. Do not crush the tablet, and follow your doctor's specific dosing instructions.

  • Common side effects of Bicalutamide include hot flashes, which are sudden feelings of warmth, breast tenderness, and nausea, which is a feeling of sickness with an inclination to vomit. These effects are generally mild to moderate and may improve over time.

  • Bicalutamide can cause liver problems, so regular liver function tests are recommended. It is not for use in women, especially during pregnancy, as it can harm the unborn baby. It is also not recommended for people with severe liver problems.

Indications and Purpose

How does Bicalutamide work?

Bicalutamide works by blocking the action of male hormones, which are called androgens, in the body. These hormones can promote the growth of prostate cancer cells. By blocking them, Bicalutamide helps slow or stop the growth of these cancer cells. Think of it like turning off a switch that fuels cancer growth. This action makes Bicalutamide effective in managing prostate cancer.

Is Bicalutamide effective?

Bicalutamide is effective in treating prostate cancer. It works by blocking the action of male hormones, which can slow or stop the growth of cancer cells. Clinical studies show that Bicalutamide improves survival rates and delays disease progression in prostate cancer patients. It is often used in combination with other treatments for better outcomes. Always follow your doctor's advice for the best results.

What is Bicalutamide?

Bicalutamide is a medication used to treat prostate cancer. It belongs to a class of drugs called anti-androgens, which block the action of male hormones that can promote cancer growth. Bicalutamide is often used in combination with other treatments, such as surgery or radiation, to improve outcomes. It helps slow or stop the growth of cancer cells, making it an important part of prostate cancer management.

Directions for Use

For how long do I take Bicalutamide?

Bicalutamide is usually a long-term medication for managing prostate cancer. You'll typically take it every day as part of your ongoing treatment unless your doctor suggests otherwise. Stopping this medication without medical advice could cause your condition to worsen. How long you'll need this medication depends on your body's response, any side effects you experience, and changes in your overall health. Always talk with your doctor before changing or stopping your Bicalutamide treatment.

How do I dispose of Bicalutamide?

Dispose of Bicalutamide by taking it to a drug take-back program or collection site at a pharmacy or hospital. They will dispose of it properly to prevent harm to people or the environment. If you can't find a take-back program, you can throw it in the trash at home. First, mix it with something undesirable like used coffee grounds, seal it in a plastic bag, and then throw it away.

How do I take Bicalutamide?

Take Bicalutamide as a once-daily pill, usually in the morning. You can take it with or without food. Do not crush the tablet. If you miss a dose, take it as soon as you remember unless it's almost time for your next dose. In that case, skip the missed dose and continue your regular schedule. Never take two doses at once. There are no specific dietary restrictions, but always follow your doctor's advice regarding diet and fluid intake.

How long does it take for Bicalutamide to start working?

Bicalutamide starts working in your body shortly after you take it, but the full therapeutic effects may take several weeks to become noticeable. The time it takes to see results can vary based on individual factors like your overall health and the stage of your cancer. Regular monitoring by your doctor, including PSA tests, will help determine how well the medication is working for you.

How should I store Bicalutamide?

Store Bicalutamide tablets at room temperature, away from moisture and light. Keep them in a tightly closed container to protect them from damage. Don't store your medicine in humid places like bathrooms, where moisture in the air could affect how well the medication works. Always store Bicalutamide out of children's reach to prevent accidental swallowing. Check the expiration date regularly and properly dispose of any unused or expired medication.

What is the usual dose of Bicalutamide?

The usual starting dose of Bicalutamide for adults is 50 mg once daily. It is typically taken in the morning, with or without food. There are no specific dose adjustments for children or the elderly, but always follow your doctor's specific dosing instructions. Your doctor may adjust your dose based on your response to the treatment and any side effects you experience.

Warnings and Precautions

Can Bicalutamide be taken safely while breastfeeding?

Bicalutamide is not recommended while breastfeeding. There is limited information on whether it passes into human breast milk, but it can affect hormone levels, which may impact milk production. If you're taking Bicalutamide and want to breastfeed, talk with your doctor about safer medication options that would allow you to nurse your baby safely.

Can Bicalutamide be taken safely while pregnant?

Bicalutamide is not safe to use during pregnancy. It can harm the unborn baby, as it affects hormone levels. There is limited evidence on its safety during pregnancy, but it is contraindicated for women. If you are pregnant or planning to become pregnant, talk with your doctor about safer treatment options. Your doctor can help create a treatment plan that protects both you and your baby.

Can I take Bicalutamide with other prescription drugs?

Bicalutamide can interact with certain medications, increasing the risk of adverse effects. It may interact with blood thinners like warfarin, which can increase bleeding risk. Bicalutamide can also affect liver enzymes, altering the effectiveness of other medications. Always inform your doctor about all the medicines you take to prevent interactions. Your doctor can adjust your treatment plan to ensure safety and effectiveness.

Does Bicalutamide have adverse effects?

Adverse effects are unwanted reactions to a medication. Common adverse effects of Bicalutamide include hot flashes, breast tenderness, and nausea. These effects vary in frequency and severity. Serious side effects can include liver problems and allergic reactions. If you notice any new or worsening symptoms, contact your doctor. They can help determine if these symptoms are related to Bicalutamide and suggest appropriate actions.

Does Bicalutamide have any safety warnings?

Yes, Bicalutamide has important safety warnings. It can cause liver problems, so regular liver function tests are recommended. If you experience symptoms like yellowing of the skin or eyes, dark urine, or severe fatigue, seek medical help immediately. Bicalutamide can also cause breast tenderness or enlargement in men. Not adhering to these warnings can lead to serious health issues. Always follow your doctor's advice and report any unusual symptoms.

Is Bicalutamide addictive?

Bicalutamide is not addictive or habit-forming. It does not cause dependency or withdrawal symptoms when you stop taking it. Bicalutamide works by blocking certain hormones in the body, which does not affect brain chemistry in ways that could lead to addiction. You won't experience cravings for this medication or feel compelled to take more than prescribed.

Is Bicalutamide safe for the elderly?

Bicalutamide is generally safe for the elderly, but they may be more vulnerable to side effects like liver problems and fatigue. Regular monitoring of liver function and overall health is important. The elderly may also experience more pronounced side effects, so it's crucial to follow the doctor's advice and report any unusual symptoms. Your doctor can help adjust the treatment plan to ensure safety and effectiveness.

Is it safe to drink alcohol while taking Bicalutamide?

It's best to avoid alcohol while taking Bicalutamide. Alcohol can increase the risk of liver problems, which is a known side effect of Bicalutamide. Drinking alcohol may also worsen side effects like dizziness or nausea. If you choose to drink occasionally, limit your alcohol intake and watch for warning signs like fatigue or jaundice. Talk with your doctor about alcohol use while taking Bicalutamide for personalized advice.

Is it safe to exercise while taking Bicalutamide?

You can exercise while taking Bicalutamide, but be mindful of your body's response. This medication can cause fatigue, which might affect your exercise capacity. If you feel unusually tired or weak during workouts, slow down or stop and rest. Drink plenty of water before, during, and after physical activity. Most people can maintain their regular exercise routine while taking Bicalutamide, but check with your doctor if you have concerns.

Is it safe to stop Bicalutamide?

Stopping Bicalutamide suddenly can affect your treatment. It's used long-term for conditions like prostate cancer. Stopping without medical advice could worsen your condition. Always talk with your doctor before stopping Bicalutamide. They might suggest gradually reducing your dose or switching to a different medication to keep your condition under control. Your doctor will help you make any medication changes safely.

What are the most common side effects of Bicalutamide?

Side effects are unwanted reactions to a medication. Common side effects of Bicalutamide include hot flashes, breast tenderness, and nausea. These effects are generally mild to moderate and may improve over time. If you notice new symptoms after starting Bicalutamide, they might be temporary or unrelated to the medication. Talk with your doctor before stopping any medication.

Who should avoid taking Bicalutamide?

Bicalutamide should not be used if you are allergic to it or its ingredients. Serious allergic reactions require immediate medical help. It is not for use in women, especially during pregnancy, as it can harm the unborn baby. Bicalutamide is also not recommended for people with severe liver problems. Always consult your doctor about these concerns before starting Bicalutamide.