Casodex

Bicalutamide

Casodex is bicalutamide, a 50mg once-daily tablet for prostate cancer that blocks testosterone at its receptor; generic bicalutamide 50mg tablets are what you order here.

All strengths and pack prices
Casodex: price of every strength and pack size
Strength Pack Price
50mg 10 tablets $60.50
50mg 30 tablets $169.20
50mg 60 tablets $333.60
50mg 90 tablets $478.80
Category
Oncology Support
Active ingredient
Bicalutamide
Route
Oral
Form
Tablet
Strengths
50mg

You will receive a quality generic equivalent, depending on stock.

Shipped in a discreet, unmarked envelope.

Details

Conditions
Prostate cancer
Therapeutic Class
Antiandrogen
Pharmacological Class
Non-steroidal antiandrogen
Minor Side Effects
Hot flashes, Breast tenderness, Pelvic pain
Moderate Side Effects
Fatigue, Nausea, Constipation
Dosage Forms
Tablet
Administration Route
Oral
Originator
AstraZeneca
Duration
24 hours
Storage Instructions
Store at room temperature.
Drug Interactions
Warfarin, Terfenadine, Astemizole
Age Restrictions
For adult men only.

What you will receive

Casodex is the originator brand name, made by AstraZeneca. We use it to identify the medicine; the pack you receive is a generic equivalent, not the original Casodex.

  • The same active ingredient (Bicalutamide) at the same strength.
  • The exact brand supplied depends on what is in stock when your order ships.

FAQ

What pack sizes does Casodex 50mg come in?

Generic bicalutamide tablets come in 50mg, with packs of 10 to 90 tablets. The pack contains generic bicalutamide, not the original Casodex. Larger packs cost less per tablet.

How discreet is delivery for Casodex to Hong Kong?

Generic bicalutamide orders ship in plain, unbranded packaging with nothing outside about the contents. If a parcel does not arrive within the delivery window, or arrives damaged, it is sent again free; if that is not possible, the order is refunded. You can pay by Visa, Mastercard or American Express on a secure, encrypted page.

Can I drink alcohol with Casodex?

Bicalutamide is not known to react with alcohol, so an occasional drink is unlikely to cause trouble. What it does do is add to the fatigue that hormone treatment often brings, so a heavy night can leave you flatter than it used to.

How long does Casodex take to work?

The blocking effect starts with the first tablet and builds within hours. What takes longer is the visible response in the cancer, which is measured over weeks and months of continuous treatment rather than days, usually through blood tests such as PSA.

Does Casodex affect mood or sleep?

It can. Blocking androgen signalling leaves some men feeling flat or irritable, and broken sleep often comes with hot flushes. Mood and sleep changes are common enough to be expected on hormone treatment rather than a rare reaction.

How long do people stay on bicalutamide?

There is no fixed course. Treatment continues while it is holding the cancer in check — for some men that means several years — and the position is reviewed at check-ups along the way. Because it only works while it is taken, a gap in supply is the thing to avoid.

About Casodex

Where Casodex fits in prostate cancer treatment

Prostate cancer usually needs testosterone to grow, and bicalutamide is given to work against that. The 50mg tablet blocks the androgen receptor — the point on a cancer cell where testosterone attaches and delivers its growth signal. Testosterone is still produced; bicalutamide simply holds the receptor so the hormone has nowhere to land. It is used for prostate cancer, most often alongside an LHRH agonist injection such as goserelin or after the testes have been removed surgically, and it is taken daily for as long as it is doing its job.

One tablet, once a day

People usually fit the 50mg tablet to a habit they already have, such as the morning cup of tea or the last thing before bed. The hour matters less than keeping it regular, and meals do not change how it works. A tablet forgotten in the morning can still be taken that evening, but a double dose the next day is never the fix. The strips store well in an ordinary drawer, out of direct sun.

Side effects to expect

Because bicalutamide changes hormone signalling rather than attacking cells directly, its effects tend to creep up gradually. Breast tenderness or swelling and hot flushes are the ones men notice first, along with tiredness, weight gain, lower sex drive and low mood. Diarrhoea, dry or itchy skin and thinning hair affect some. The liver is rarely affected, and yellowing of the eyes or skin, dark urine or pain in the upper abdomen are the signs that point to it; liver blood tests are normally taken before treatment starts and repeated at intervals. Rarely, a cough that will not settle or unexplained breathlessness points to a lung reaction.

Is Casodex the same as bicalutamide?

Casodex is the brand under which bicalutamide was first sold. Bicalutamide is the active ingredient, and whichever name you search, you arrive at the same 50mg once-daily tablet.

Other medicines worth knowing about

Bicalutamide strengthens warfarin and similar blood thinners, so anyone on one needs closer monitoring of the blood. Ketoconazole, cimetidine and some HIV treatments slow the liver's handling of drugs and can push bicalutamide levels higher.

Sources

  1. Bicalutamide: MedlinePlus Drug Information — MedlinePlus / U.S. National Library of Medicine
  2. Hormone therapy for prostate cancer | Cancer Research UK — cancerresearchuk.org