Monograph Details

Neoplasms > Hormones and antagonists
NILANDRON
Manufacturer
Sanofi Aventis
Legal Classification
Rx
Pharmacological Class
Antiandrogen.
Generic Name
Nilutamide 150mg; tabs.
Indications
Metastatic prostate cancer (Stage D2), as an adjunct to surgical castration.
Children
Not applicable.
Adults
300mg once daily for 30 days then 150mg once daily, starting day of or day after surgical castration.
Contraindications
Severe hepatic impairment or respiratory insufficiency.
Precautions
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
Monitor drugs metabolized by CYP450 (eg, Vit. K antagonists, theophylline, phenytoin); may need to adjust dose. May cause alcohol intolerance.
Adverse Reactions
Hot flushes, impaired night vision, GI upset, increased liver enzymes, constipation, dizziness, abnormal vision, hypertension, hepatitis, interstitial pneumonitis.
How Supplied
Tabs—30
Additional Resources
Related Prescribing Note