Monograph Details
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Neoplasms
> Hormones and antagonists
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NILANDRON |
| Manufacturer |
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Sanofi Aventis |
| Legal Classification |
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Rx
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| Pharmacological Class |
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Antiandrogen. |
| Generic Name |
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Nilutamide 150mg; tabs. |
| Indications |
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Metastatic prostate cancer (Stage D2), as an adjunct to surgical castration. |
| Children |
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Not applicable. |
| Adults |
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300mg once daily for 30 days then 150mg once daily, starting day of or day after surgical castration. |
| Contraindications |
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Severe hepatic impairment or respiratory insufficiency. |
| Precautions |
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Obtain baseline liver and pulmonary function tests and chest X-ray. Monitor for interstitial pneumonitis; discontinue if occurs. Monitor liver function for first 4 months then periodically; discontinue if ALT > 2xULN or jaundice occurs. May discolor urine or sclera. Pregnancy (Cat.C): not for use in women. Nursing mothers. |
| Interactions |
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Monitor drugs metabolized by CYP450 (eg, Vit. K antagonists, theophylline, phenytoin); may need to adjust dose. May cause alcohol intolerance. |
| Adverse Reactions |
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Hot flushes, impaired night vision, GI upset, increased liver enzymes, constipation, dizziness, abnormal vision, hypertension, hepatitis, interstitial pneumonitis. |
| How Supplied |
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Tabs—30 |
| Additional Resources |
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• Related Prescribing Note |
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