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Drug Notebook

FDA Alerts

    Interstitial Pneumonitis
  • Interstitial pneumonitis, rarely resulting in hospitalization or death, reported. Manifestations generally occurred within the first 3 months of therapy and resolved following discontinuance of the drug.
  • Immediately discontinue therapy if dyspnea or worsening of preexisting dyspnea occurs. (See Interstitial Pneumonitis under Cautions.)

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nilutamide
(nye LOO ta mide)

What is this medicine?
NILUTAMIDE (nye LOO ta mide) blocks the effect of the male hormone called testosterone. It is used with surgery to treat prostate cancer.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

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What is the price of this medication and similar alternatives?

This pricing information is subject to change at the sole discretion of DS Pharmacy. This pricing information was updated 09/2009. For the most current and up-to-date pricing information, please visit www.drugstore.com. Actual costs to patients will vary depending on the use of specific retail or mail-order locations and health insurance copays.

Nilandron 150MG Tablets AVENTIS30/$438.76 or 90/$1286.66

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What side effects may I notice from receiving this medicine?
Side effects that you should report to your doctor or health care professional as soon as possible:

  • allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
  • breathing problems
  • dark urine
  • general ill feeling or flu-like symptoms
  • high blood pressure
  • loss of appetite
  • nausea, vomiting
  • right upper belly pain
  • trouble passing urine or change in the amount of urine
  • unusually weak or tired
  • yellowing of the eyes or skin

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

  • change in sex drive or performance
  • changes in vision
  • constipation
  • dizziness
  • dry skin
  • hot flashes
  • trouble sleeping

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

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How should I use this medicine?
Take this medicine by mouth with a glass of water. Follow the directions on the prescription label. Take with food or on an empty stomach. Take your medicine at regular intervals. Do not take it more often than directed. Do not stop taking except on your doctor's advice.

Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
NOTE: This medicine is only for you. Do not share this medicine with others.

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What if I miss a dose?
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

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What may interact with this medicine?

  • alcohol
  • phenytoin
  • theophylline
  • warfarin

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

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Who should NOT use this medication?

  • Severe hepatic impairment.
  • Severe respiratory insufficiency.
  • Known hypersensitivity to nilutamide or any ingredient in the formulation.

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What should I watch for while using this medicine?
Visit your doctor or health care professional for regular checks on your progress. Tell your doctor or healthcare professional if your symptoms do not start to get better or if they get worse.

This medicine may affect your vision. Your eyes may have trouble adjusting from light to dark. Be careful driving at night or through tunnels. Wearing tinted glasses may help.

Drinking alcohol with this medicine may cause facial flushing, low blood pressure, and tiredness. Avoid alcoholic drinks if you have such effects.

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What should I tell my health care provider before I take this medicine?
They need to know if you have any of these conditions:

  • liver disease
  • lung disease
  • an unusual or allergic reaction to nilutamide, other medicines, foods, dyes, or preservatives
  • pregnant or trying to get pregnant
  • breast-feeding

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Can I stop taking the medication if I feel better?
As a general rule, you should always take your medications exactly as prescribed and do not change the dosage or stop taking the medication without first discussing it with your healthcare provider.

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I am on so many medications; do I have to take them all?
This is called polypharmacy—many different medications being used at the same time by one person. Sometimes, being on multiple medications is acceptable and appropriate but at other times it may be problematic. If you are receiving your medications from multiple physicians you need to ensure that they all know what medications you are taking. The best way to do this is to make a list of all the medications you are currently using, including all nutritional supplements, homeopathic remedies, vitamins and over-the-counter drugs (if possible, also include all the diseases you have been diagnosed with). Give a copy to every doctor who takes care of you so they have it on file, this way they can avoid duplicating medications and perhaps even try to consolidate some. After every doctor's visit remember to update the list accordingly. Also, as much as you possibly can, try to use the same pharmacy to fill all your prescriptions, this way any potential drug interactions can be caught and averted.

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Where can I get more information?
More Information

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