Xtandi 40 mg Capsule
Clinical Summary
Quick overview from the medicine insert
Indication
Treatment of metastatic hormone-sensitive and castration-resistant prostate cancer in adult men.
Dosage (summary)
160 mg once daily; reduce to 120 mg or 80 mg if toxicity occurs.
Special Populations
- Elderly
- Hepatic impairment
- Renal impairment
Pregnancy & Breastfeeding
Contraindicated in women; may impair male fertility.
Key Drug Interactions
- Strong CYP2C8 inhibitors
- Warfarin
- CYP3A4 inhibitors
Contraindications
- Hypersensitivity
- Uncontrolled seizures
- Not for use in women
Common side effects
- Fatigue
- Hot flushes
- Hypertension
- Fractures
- Cognitive disorder
Counselling Points
- Take capsules whole with water
- Use contraception during and for 3 months after treatment
- Monitor for signs of gastrointestinal bleeding
Serious warnings
- Risk of seizure
- Posterior reversible encephalopathy syndrome
- Second primary malignancies
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