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Bicalutamide (Casodex, Bicamide): Uses, Dosage, Side Effects & FAQs

January 29, 2026 by
Bicalutamide (Casodex, Bicamide): Uses, Dosage, Side Effects & FAQs
Harees Ul Eman
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Bicalutamide is an anti-androgen medicine commonly used in the treatment of prostate cancer. It works by blocking the action of male hormones (androgens), especially testosterone, which can stimulate the growth of prostate cancer cells.

Bicalutamide is available under brand names such as Casodex and Bicamide.

Uses of Bicalutamide

Bicalutamide is primarily used for:

  • Treatment of advanced prostate cancer
  • Used along with LHRH analogs (hormonal therapy)
  • Slowing down the growth and spread of prostate cancer cells
  • Reducing symptoms related to prostate cancer

Dosage of Bicalutamide

  • The usual recommended dose is 50 mg once daily
  • It is usually taken orally with or without food
  • Dose duration depends on the patient’s condition and doctor’s advice

Important:

Always take Bicalutamide exactly as prescribed by your doctor. Do not increase or stop the dose on your own.

How Bicalutamide Works

Bicalutamide blocks androgen receptors in the body. By preventing testosterone from binding to these receptors, it helps slow or stop the growth of prostate cancer cells that depend on male hormones.

Side Effects of Bicalutamide

Like all medicines, Bicalutamide may cause some side effects.

Common Side Effects

  • Hot flashes
  • Breast tenderness or enlargement
  • Reduced sexual desire
  • Weakness or fatigue
  • Nausea

Less Common Side Effects

  • Liver function changes
  • Skin rash
  • Weight gain
  • Diarrhea

Seek medical help immediately if you notice yellowing of skin/eyes, severe abdominal pain, or unusual bleeding.

Precautions & Warnings

  • Not recommended for women or children
  • Patients with liver disease should use with caution
  • Regular liver function tests may be required
  • Inform your doctor about all medicines you are taking

FAQs

Q: What is Bicalutamide used for?

A: Bicalutamide is used to treat prostate cancer by blocking male hormones that help cancer cells grow.

Q: Who can use Bicalutamide?

A: Bicalutamide is prescribed for adult men diagnosed with prostate cancer. It should only be used under medical supervision.

Q: How to use Bicalutamide?

A: Take Bicalutamide once daily by mouth, with or without food, exactly as advised by your doctor.

Q: Is Bicalutamide safe?

A: Yes, Bicalutamide is considered safe when used as prescribed. Regular monitoring is important to avoid potential side effects.

Q: What are the side effects of Bicalutamide?

A: Common side effects include hot flashes, fatigue, breast tenderness, and reduced libido. Serious side effects are rare but possible.

Q: Are there alternatives to Bicalutamide?

A: Yes, alternatives may include other hormonal therapies such as Flutamide, Nilutamide, or GnRH analogs, depending on the patient’s condition.

Q: Is Bicalutamide available in Pakistan?

A: Yes, Bicalutamide (Casodex, Bicamide) is available at Mr Medicine Mart in Pakistan, with home delivery and best prices.

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