Xtandi 40mg Soft Capsule (ENZALUTAMIDE)
What is Xtandi soft capsule?
Xtandi soft capsule is a medication used to treat prostate cancer that has spread or no longer responds to standard hormone therapy. It works by blocking androgens (male hormones) like testosterone from attaching to cancer cells, slowing down or stopping cancer growth. It is typically prescribed for advanced prostate cancer and is taken as an oral capsule.
What is the usual dose of Xtandi soft capsule?
For adults, the usual dose is 160 mg (four 40 mg capsules) once daily, taken by mouth. This dosage may be adjusted by a doctor based on individual response and side effects. It is not typically used in children. Patients should follow their doctor’s instructions carefully and not exceed the recommended dose.
How do I take Xtandi soft capsule?
Take Xtandi soft capsule once daily with or without food, swallowing the capsules whole with water. Do not crush, chew, or open the capsules. Avoid grapefruit or grapefruit juice, as it may increase side effects. If a dose is missed, take it as soon as possible unless it is close to the next dose—never double the dose.
For how long do I take Xtandi soft capsule?
Xtandi soft capsule is usually taken long-term as prescribed by a doctor, often until the cancer progresses or severe side effects occur. Regular medical check-ups are required to monitor the effectiveness and manage any side effects. Stopping the medicine suddenly without a doctor’s advice is not recommended.
What disease or symptom is Xtandi soft capsule used for?
It is used for treating advanced or metastatic prostate cancer, particularly in men whose cancer has spread or become resistant to standard hormone therapy. It helps slow down cancer progression and can improve survival rates in patients with castration-resistant or hormone-sensitive prostate cancer.
How long does it take for Xtandi soft capsule to start working?
Xtandi soft capsule starts working within days of starting treatment, but visible benefits like tumor shrinkage or PSA level reduction may take several weeks to months. It does not provide an immediate cure but helps control cancer growth over time.
Is Xtandi soft capsule effective?
Yes, studies show that Xtandi soft capsule significantly improves survival in men with prostate cancer. It has been proven to delay cancer progression and increase overall survival in patients with advanced disease. Clinical trials confirm its effectiveness, especially when used before or after chemotherapy.
How do I know if Xtandi soft capsule is working?
Doctors monitor PSA levels, imaging scans (MRI, CT), and symptoms to check if Xtandi soft capsule is effective. If PSA levels decrease and symptoms like bone pain improve, it means the medicine is working. Regular check-ups help assess progress and necessary adjustments.
How does Xtandi soft capsule work?
It is an androgen receptor inhibitor, meaning it blocks male hormones like testosterone from fueling prostate cancer growth. By preventing these hormones from attaching to cancer cells, Xtandi soft capsule helps slow or stop tumor progression.
Who should avoid taking Xtandi soft capsule?
Men with a history of seizures, liver disease, or heart problems should use caution. Pregnant women must avoid handling this drug, as it can harm an unborn baby. It is also not recommended for women or children.
Can I take Xtandi soft capsule with other prescription drugs?
Xtandi soft capsule interacts with many drugs, including blood thinners (warfarin), seizure medications, heart drugs, and some antibiotics. Always inform your doctor about all medications you are taking to avoid serious interactions.
Can Xtandi soft capsule be taken safely while pregnant?
No, Xtandi soft capsule is strictly for men. Pregnant women must not take or handle this medicine as it can harm the baby or cause birth defects. Men taking this drug should use contraception to prevent pregnancy in their partners.
Can Xtandi soft capsule be taken safely while breastfeeding?
This medicine is not intended for women, especially those breastfeeding. There is no need for lactation-related safety concerns as it is strictly used for prostate cancer treatment in men.
Is Xtandi soft capsule safe for the elderly?
Yes, but elderly men may be more sensitive to side effects, especially dizziness, falls, and heart-related issues. Regular monitoring is necessary to ensure safety, as older adults are at higher risk of drug interactions and complications.
How should I store Xtandi soft capsule?
Store at room temperature (20-25°C), away from moisture, heat, and direct sunlight. Keep it in its original packaging and out of reach of children. Do not store in the bathroom where it may be exposed to moisture.
Does Xtandi soft capsule make people tired or drowsy?
Yes, fatigue and drowsiness are common side effects. If you feel extremely tired, avoid driving or operating heavy machinery. Get plenty of rest and consult a doctor if fatigue becomes severe or persistent.
Does Xtandi soft capsule cause stomach upset?
Some people experience nausea, diarrhea, or stomach pain. Eating light meals and staying hydrated can help. If severe vomiting or diarrhea occurs, seek medical advice to prevent dehydration.
Does Xtandi soft capsule affect sleep?
Yes, some men report trouble sleeping or insomnia. Taking it in the morning may help reduce sleep disturbances. If sleep problems persist, consult a doctor for possible adjustments or medications to aid sleep.
Does Xtandi soft capsule make it hard to think or concentrate?
Some users experience brain fog, memory problems, or difficulty concentrating. If this affects daily life, discuss it with a doctor. Avoid important tasks or driving if cognitive issues occur.
Does Xtandi soft capsule affect mood?
Mood changes such as anxiety, depression, or irritability may occur. If severe mood swings or suicidal thoughts arise, seek medical attention immediately.
Does Xtandi soft capsule interfere with sexual function?
Yes, it may reduce libido (sex drive) and cause erectile dysfunction. This happens because Xtandi soft capsule blocks testosterone, which plays a role in sexual function.
Does Xtandi soft capsule affect appetite?
Some patients experience reduced appetite, leading to weight loss. If appetite loss is severe, consult a doctor for dietary advice.
Does Xtandi soft capsule cause weight gain?
Weight changes are possible, though weight gain is less common. A healthy diet and exercise can help manage any fluctuations.
Does Xtandi soft capsule cause headaches?
Yes, some patients report headaches as a side effect. Drinking plenty of water and avoiding stress may help. If headaches are frequent or severe, consult a doctor.
Does Xtandi soft capsule limit driving?
It may impair alertness, balance, or coordination, increasing the risk of accidents. If you feel dizzy or confused, avoid driving or operating machinery.
Is it safe to drink alcohol while taking Xtandi soft capsule?
It is best to limit alcohol, as it can worsen side effects like dizziness, confusion, and liver problems. Always consult your doctor before drinking alcohol while on Xtandi soft capsule.
Is it safe to drink coffee or tea while taking Xtandi soft capsule?
Caffeine is generally safe, but excessive intake may worsen anxiety or insomnia. Moderation is key—if caffeine increases restlessness or heart rate, reduce consumption.
Is it safe to exercise while taking Xtandi soft capsule?
Yes, light to moderate exercise is beneficial. However, avoid strenuous activity if experiencing fatigue, dizziness, or weakness. Consult a doctor before starting a new workout routine.
What are Xtandi soft capsule possible harms and risks?
Common side effects include fatigue, hot flashes, joint pain, high blood pressure, dizziness, and swelling. Serious risks include seizures, heart problems, and increased risk of falls. If severe symptoms occur, such as chest pain, weakness, or confusion, seek immediate medical attention.
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