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Xtandi

Xtandi

Enzalutamide

Enzalutamide capsules for prostate cancer. They block male hormones like testosterone from helping cancer grow.

Active ingredient
Enzalutamide
Route
Oral use
Form
Capsule, soft; Film-coated tablet
Strengths
40mg

This listing uses Xtandi as a reference name. A generic equivalent is supplied; its exact brand and manufacturer are confirmed before supply.

Prescription and consultation requirements for Xtandi vary by destination and are determined by the fulfilment partner.

Xtandi details

Therapeutic class
Hormone antagonists and related agents
Pharmacological class
Androgen receptor inhibitor
Minor side effects
fatigue; asthenia; hot flush; hypertension; falls; fracture
Moderate side effects
headache; dry skin; pruritus; muscle spasms; back pain; haematuria
Dosage forms
Capsule, soft; Film-coated tablet
Administration route
Oral use
Supply category
Prescription-only medicine (POM)
Originator
Astellas Pharma Europe B.V.
Storage instructions
This medicinal product does not require any special storage conditions.
Contraindications

hypersensitivity to enzalutamide or any excipients; women who are or may become pregnant

Precautions and warnings

risk of seizure; consider discontinuation if seizure occurs; posterior reversible encephalopathy syndrome has been reported; discontinue if confirmed; concomitant use with strong CYP2C8 inhibitors should be avoided or enzalutamide dose should be reduced; caution with CYP3A4, CYP2C9 or CYP2C19 substrates with narrow therapeutic index; ischaemic heart disease has been reported; falls and fractures reported; risk factors such as osteoporosis should be assessed; hypertension has been reported; blood pressure should be monitored; not to be handled by women who are or may become pregnant

Serious side effects

seizure, requires immediate medical attention; posterior reversible encephalopathy syndrome, requires immediate medical attention; myocardial infarction, requires immediate medical attention; ischaemic heart disease, requires immediate medical attention; severe hypersensitivity reaction, requires immediate medical attention

Patient summary

Enzalutamide capsules for prostate cancer. They block male hormones like testosterone from helping cancer grow.

Mechanism of action

Xtandi contains enzalutamide, a medicine that blocks the action of male hormones called androgens, including testosterone. Prostate cancer cells need androgens to grow. Enzalutamide works at multiple steps in the androgen receptor signalling pathway by preventing androgens from attaching to their receptors on cancer cells and blocking the receptors from sending growth signals to the cell nucleus. This helps slow the growth of prostate cancer and delay the spread of the disease.

Drug interactions

strong CYP2C8 inhibitors; CYP3A4 inducers; CYP3A4 substrates with narrow therapeutic index; CYP2C9 substrates with narrow therapeutic index; CYP2C19 substrates with narrow therapeutic index; warfarin; clopidogrel

Age restrictions

Not for use in children and adolescents. Safety and efficacy have not been established in paediatric population.

Pregnancy and breastfeeding

Pregnancy: Contraindicated in women who are or may become pregnant. Not indicated for use in women. May cause harm to the unborn child. Effective contraception required for male patients with female partners of childbearing potential. Breastfeeding: Confirm breastfeeding suitability with a qualified clinician or pharmacist before use.

What you will receive

Xtandi is used here as a reference originator brand name to identify the medicine. We are not affiliated with the brand owner, and this listing does not offer the originator product.

  • The supplied product is a generic equivalent containing Enzalutamide, not the originator brand shown as the reference.
  • The exact generic brand, manufacturer and dispatch location are confirmed based on the product, destination and available manufacturer or partner warehouse.
  • Check the final product details at checkout before confirming an order.

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