Casodex 50mg Tablet
Rx- FDA Approved
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Prescription Required
Overview
Casodex 50mg Tablet contains bicalutamide 50mg, a non-steroidal anti-androgen used in the management of advanced prostate cancer, usually together with a luteinising hormone-releasing hormone (LHRH) analogue as directed by a specialist. This medicine must be prescribed and monitored by a doctor experienced in cancer care.
Bicalutamide works by blocking androgen receptors in prostate tissue, preventing testosterone and other androgens from binding and driving the growth of prostate cancer cells. When started together with an LHRH analogue, it also helps block the temporary testosterone surge (“tumour flare”) that can occur in the first weeks of LHRH analogue therapy.
How it Works
Bicalutamide competitively binds to androgen receptors in prostate tumour cells, blocking the action of testosterone and dihydrotestosterone without itself activating the receptor. This deprives androgen-sensitive prostate cancer cells of the hormonal signal they need to grow, slowing disease progression when used as part of a specialist-directed treatment plan.
Directions for Use
Take Casodex 50mg Tablet once daily at about the same time each day, with or without food, swallowing the tablet whole with water. Continue taking it exactly as prescribed by your specialist, and do not stop treatment abruptly even if you feel well, unless instructed to do so by your doctor.
Dosage
The dose and duration of Casodex 50mg Tablet will be individualised and closely monitored by your treating doctor as part of your overall prostate cancer treatment plan, commonly one tablet once daily alongside an LHRH analogue. Never change your dose or stop this medicine without first discussing it with your specialist, and attend all scheduled monitoring appointments and blood tests.
Shelf Life
Use this product before the expiry date stated on the packaging. Do not use the medicine if the expiry date has passed.
Storage Instructions
Store below 30°C in a dry place, away from direct sunlight and out of reach of children.
Side Effects
- Hot flashes
- Breast tenderness or enlargement
- Diarrhea
- Nausea
- Fatigue
- Rash
- Dizziness
- Liver function changes
Contraindications
- Known hypersensitivity to bicalutamide or any ingredient in this product
- Use in women (this medicine is indicated for men with prostate cancer only)
- Severe hepatic impairment (requires specialist assessment)
- Concomitant use with terfenadine, astemizole, or cisapride
Drug / Food Interactions
- Warfarin and other anticoagulants may have an enhanced blood-thinning effect, requiring closer INR monitoring by your doctor
- Bicalutamide can inhibit CYP3A4 and may increase blood levels of certain other medicines metabolised by this enzyme, including midazolam-type sedatives
- Other medicines affecting liver enzyme function may alter bicalutamide levels and should be reviewed by your specialist
Quick Tips
- Attend all scheduled specialist appointments and blood tests for liver function monitoring
- Contact your doctor immediately if you notice yellowing of the skin/eyes, dark urine, or unusual tiredness
- Do not stop or adjust this medicine without your specialist’s advice, even during an LHRH analogue course
- Tell every doctor and pharmacist you see that you are taking this medicine, especially before starting anything new
Frequently Asked Questions
What is Casodex 50mg Tablet used for?
Casodex 50mg Tablet is used in the treatment of advanced prostate cancer, usually together with an LHRH analogue, as part of a treatment plan directed by a urologist or oncologist.
Why is bicalutamide often combined with another injection?
It is commonly combined with an LHRH analogue to block the temporary testosterone surge that can occur when LHRH analogue therapy is first started, and to provide more complete androgen blockade during treatment.
Will this medicine cause breast changes?
Breast tenderness or enlargement (gynaecomastia) is a recognised effect of anti-androgen therapy. Discuss any bothersome breast changes with your doctor, who can advise on management.
Do I need regular blood tests while taking Casodex 50mg Tablet?
Yes, your specialist will schedule periodic liver function tests and other monitoring, as this medicine can affect the liver in some patients – always attend these appointments.
What should I do if I miss a dose of Casodex 50mg Tablet?
Take the missed dose as soon as you remember, unless it is almost time for your next dose – in that case, skip the missed dose and continue your regular schedule. Do not double the dose, and inform your specialist if you miss doses frequently.
Can I buy Casodex 50mg Tablet from DoctorOnCall?
Yes, Casodex 50mg Tablet is available through DoctorOnCall, a licensed online pharmacy serving our Malaysian and Singaporean customers. As this is a prescription medicine, you will need to complete an online consultation so a doctor can assess your suitability and issue a valid prescription before the order is processed. This ensures the medicine is appropriate for your condition and used under proper medical supervision, whether you are ordering from Malaysia or Singapore.
Is the medication provided by DoctorOnCall genuine and safe to use?
DoctorOnCall sources its medicines through appropriate licensed pharmacy supply channels for our Malaysian and Singaporean customers. All orders are dispensed and checked by a registered pharmacist before delivery. Always use Casodex 50mg Tablet according to your doctor’s instructions and the information provided with the product.
What payment methods does DoctorOnCall accept?
We accept payment via Online Banking, Credit Card, and e-Wallets (Boost, GrabPay) for our Malaysian and Singaporean customers, so you can choose whichever method is most convenient for you at checkout.
Does DoctorOnCall provide an installment payment plan for Casodex 50mg Tablet?
DoctorOnCall provides an installment payment plan for eligible Malaysian and Singaporean customers, where applicable. Available plans, eligibility, and terms can vary by market, so please contact DoctorOnCall Customer Service for the latest information on installment options for your order.
Is delivery free, and how much does shipping for Casodex 50mg Tablet cost?
Delivery charges may vary for our Malaysian and Singaporean customers depending on your delivery location and the applicable order terms at the time of purchase. For the most accurate and up-to-date delivery fee information, please contact DoctorOnCall Customer Service before placing your order.
How long does delivery take for Casodex 50mg Tablet?
Our Malaysian customers can generally expect delivery within 3-5 working days, while our Singaporean customers generally receive their orders within 5-7 working days. These are expected timeframes rather than guarantees, and actual delivery time may vary depending on your delivery location, order processing time, courier operations, and whether the order falls on a weekend or public holiday.
What is DoctorOnCall’s shipping, return, or cancellation policy for Casodex 50mg Tablet?
Shipping, return, and cancellation terms may vary for our Malaysian and Singaporean customers depending on the product and your order details. Please refer to DoctorOnCall’s Shipping & Delivery Policy and Return, Refund & Exchange Policy, or contact Customer Service, for the specific terms that apply to your order.
Ingredients / Active Ingredients
- Bicalutamide 50mg
Safety Advice
Pregnancy
This medicine is not considered safe during pregnancy and should be avoided.
Breastfeeding
This medicine is not safe during breastfeeding and should be avoided.
Kidney
Generally safe, but caution may be required in some patients.
Liver
Use cautiously. Liver function monitoring may be required.
Alcohol
It is not advisable to consume alcohol while taking this medicine.
Driving
It is not advisable to drive if you experience side effects from this medicine.
Medical Review
