Cosudex (Bicalutamide)
Complete patient guide for uses, dosage, side effects, and safety information
Quick Facts
What Is Cosudex Used For?
Cosudex contains bicalutamide, which is used in combination with other medications to treat advanced prostate cancer. It works by interfering with the actions of male sex hormones that can promote the growth of cancer cells.
Primary Uses
Advanced prostate cancer
How It Works
Bicalutamide blocks the effects of androgens like testosterone, which can help slow the growth of cancer cells.
Good to know: Cosudex is not addictive.
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How to Take Cosudex
Take Cosudex exactly as prescribed by your doctor. It is important to follow the dosage instructions carefully.
Dosage Instructions
The typical adult dose is one 50 mg tablet taken once daily, swallowed whole with a full glass of water.
What If You Miss a Dose?
If you miss a dose, take it as soon as you remember, provided it is at least 12 hours before your next scheduled dose. If it is less than 12 hours, skip the missed dose and continue with your regular schedule.
Important: Never double the dose to make up for a missed one.
Available Tablet Strengths
Side Effects
Like all medications, this medicine can cause side effects. Most are mild and temporary, but some require medical attention.
Common Side Effects
These side effects occur relatively frequently and usually don’t require emergency care:
- hot flushes or sweating
- breast tenderness or changes in breast size
- stomach pain or indigestion
- nausea or vomiting
- diarrhoea or constipation
- unusual tiredness or weakness
- dizziness or light-headedness
- headache
- chills
Seek immediate medical attention if you experience:
- chest pain
- yellowing of the skin or eyes and dark coloured urine
- rash, hives or severe itching of the skin
- swelling of the face, lips, tongue and/or throat
- swelling of other parts of the body including hands, feet or ankles
- serious breathlessness or sudden worsening of breathlessness
- shortness of breath, wheezing or trouble breathing
- frequent urination
- dizziness when exercising and looking pale (anaemia)
- excessive thirst with weight loss and passing large amounts of urine
Important Warnings
There are several important considerations to keep in mind when using Cosudex.
Who Should Not Take Cosudex
Do not take Cosudex if you are allergic to bicalutamide or any of its ingredients, if you are a woman, or if you are taking certain medications such as cisapride or specific antihistamines.
Medical Conditions to Discuss
Inform your doctor if you have liver problems, heart conditions, or if you are taking other medications.
Pregnancy and Breastfeeding
Cosudex should not be taken by women. It may affect fertility in men, so effective contraception is advised during treatment and for at least 130 days after stopping.
Drug Interactions
Certain medications may interact with Cosudex and affect its effectiveness.
- cisapride
- terfenadine
- astemizole
- warfarin
- midazolam
- ciclosporin
- cholesterol medications
- calcium channel blockers
- carbamazepine
- quinidine
- antiviral medications for HIV
Alcohol & Driving
Be cautious with alcohol consumption and operating machinery while taking Cosudex.
Alcohol
Consult your doctor about alcohol consumption while on Cosudex.
Driving and Operating Machinery
Be careful when driving or using machinery until you know how Cosudex affects you.
Storage
Store Cosudex tablets in their blister packaging until you are ready to take them. Keep them in a cool, dry place below 30°C, away from moisture and sunlight, and out of reach of children.
Overdose Information
If you suspect an overdose of Cosudex, seek immediate medical attention. Contact your doctor or the Poisons Information Centre at 13 11 26, or go to the nearest hospital emergency department.
Frequently Asked Questions
The onset of action can vary; consult your doctor for specific timelines.
It does not matter if you take Cosudex before, with, or after food.
No, Cosudex is not considered addictive.
Do not stop taking Cosudex without consulting your doctor.
Consult your doctor regarding alcohol consumption while on Cosudex.
Weight changes can occur; discuss any concerns with your doctor.
Elderly patients should discuss their health conditions with their doctor before taking Cosudex.
Important Disclaimer
This information is intended for general educational purposes only and should not be considered medical advice. Always consult your healthcare provider or pharmacist before starting, stopping, or changing any medication.
If you think you may have a medical emergency, call your doctor or emergency services immediately.