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Bicalutamide

A hormone therapy tablet used with other treatment for advanced prostate cancer.

Clinical information

Common uses

  • metastatic prostate cancer, combined with an LHRH analog

Common side effects

  • hot flushes
  • pain (back, pelvic or stomach)
  • weakness and tiredness
  • constipation or diarrhoea
  • feeling sick

Cautions

  • can cause severe liver injury — liver tests needed
  • not for women; must never be used in pregnancy
  • breast swelling and pain can occur
  • blood sugar may need monitoring with LHRH treatment

Interactions

  • warfarin-type blood thinners (monitor INR closely)
  • midazolam and other CYP3A4 drugs (levels may rise)

Pregnancy: must not be used — not indicated for women

Reference information, not medical advice — always follow your doctor or pharmacist. Source: DailyMed, dailymed.nlm.nih.gov, bicalutamide tablet label, setid 26e30155-a50b-df14-e063-6394a90a9be4 (accessed 2026-08-16)

Approved brands & formulations1

Brand nameDosage formStrengthImporterCategory
CasodexTablet ( Film coated )50mgState Trading Organization PlcPOM
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