药物信息为CASODEX (bicalutamide) TABLETS (AstraZeneca Pharnaceuticals LP): ADVERSE REACTIONS
- DESCRIPTION
- INDICATIONS AND USAGE
- CONTRAINDICATIONS
- ADVERSE REACTIONS
- OVERDOSAGE
- DOSAGE AND ADMINISTRATION
- HOW SUPPLIED
- Diseases/Conditions Related to CASODEX (bicalutamide) TABLETS (AstraZeneca Pharnaceuticals LP)
- 外部链接相关的CASODEX (bicalutamide) TABLETS (AstraZeneca Pharnaceuticals LP)
In patients with advanced prostate cancer treated with CASODEX in combination with an LHRH analogue, the most frequent adverse experience was hot flashes (53%).
In the multicenter, double-blind, controlled clinical trial comparing CASODEX 50 mg once daily with flutamide 250 mg three times a day, each in combination with an LHRH analogue, the following adverse experiences with an incidence of 5% or greater, regardless of causality, have been reported.
Table 2 Incidence of Adverse Events (≥ 5% in Either Treatment Group) Regardless of Causality Body System
Adverse Event
Treatment Group
Number of Patients (%)
CASODEX Plus
LHRH Analogue
(n=401)
Flutamide Plus
LHRH Analogue
(n=407)
Body as a Whole
Pain (General)
142(35)
127(31)
Back Pain
102(25)
105(26)
Asthenia
89(22)
87(21)
Pelvic Pain
85(21)
70(17)
Infection
71(18)
57(14)
Abdominal Pain
46(11)
46(11)
Chest Pain
34(8)
34(8)
Headache
29(7)
27(7)
Flu Syndrome
28(7)
30(7)
Cardiovascular
Hot Flashes
211(53)
217(53)
Hypertension
34(8)
29(7)
Digestive
Constipation
87(22)
69(17)
Nausea
62(15)
58(14)
Diarrhea
49(12)
107(26)
Increased Liver Enzyme TestIncreased liver enzyme test includes increases in AST, ALT or both.
30(7)
46(11)
Dyspepsia
30(7)
23(6)
Flatulence
26(6)
22(5)
Anorexia
25(6)
29(7)
Vomiting
24(6)
32(8)
Hemic and Lymphatic
AnemiaAnemia includes anemia, hypochronic- and iron deficiency anemia.
45(11)
53(13)
Metabolic and
Nutritional
Peripheral Edema
53(13)
42(10)
Weight Loss
30(7)
39(10)
Hyperglycemia
26(6)
27(7)
Alkaline Phosphatase Increased
22(5)
24(6)
Weight Gain
22(5)
18(4)
Muscoloskeletal
Bone Pain
37(9)
43(11)
Myasthenia
27(7)
19(5)
Arthritis
21(5)
29(7)
Pathological Fracture
17(4)
32(8)
Nervous System
Dizziness
41(10)
35(9)
Paresthesia
31(8)
40(10)
Insomnia
27(7)
39(10)
Anxiety
20(5)
9(2)
Depression
16(4)
33(8)
Respiratory System
Dyspnea
51(13)
32(8)
Cough Increased
33(8)
24(6)
Pharyngitis
32(8)
23(6)
Bronchitis
24(6)
22(3)
Pneumonia
18(4)
19(5)
Rhinitis
15(4)
22(5)
Skin and Appendages
Rash
35(9)
30(7)
Sweating
25(6)
20(5)
Urogenital
Nocturia
49(12)
55(14)
Hematuria
48(12)
26(6)
Urinary Tract Infection
35(9)
36(9)
Gynecomastia
36(9)
30(7)
Impotence
27(7)
35(9)
Breast Pain
23(6)
15(4)
Urinary Frequency
23(6)
29(7)
Urinary
Retention
20(5)
14(3)
Urinary
Impaired
19(5)
15(4)
Urinary
Incontinence
15(4)
32(8)
Other adverse experiences (greater than or equal to 2%, but less than 5%) reported in the CASODEX-LHRH analogue treatment group are listed below by body system and are in order of decreasing frequency within each body system regardless of causality.
Body as a Whole: Neoplasm; Neck pain; Fever; Chills; Sepsis; Hernia; Cyst
Cardiovascular: Angina pectoris; Congestive heart failure; Myocardial infarct; Heart arrest; Coronary artery disorder; Syncope
Digestive: Melena; Rectal hemorrhage; Dry mouth; Dysphagia; Gastrointestinal disorder; Periodontal abscess; Gastrointestinal carcinoma
Metabolic and Nutritional: Edema; Bun increased; Creatinine increased; Dehydration; Gout; Hypercholesteremia
Musculoskeletal: Myalgia; Leg cramps
Nervous: Hypertonia; Confusion; Somnolence; Libido decreased; Neuropathy; Nervousness
Respiratory: Lung disorder; Asthma; Epistaxis; Sinusitis
Skin and Appendages: Dry skin; Alopecia; Pruritus; Herpes zoster; Skin carcinoma; Skin disorder
Special Senses: Cataract specified
Urogenital: Dysuria; Urinary urgency; Hydronephrosis; Urinary tract disorder
Abnormal Laboratory Test Values:
Laboratory abnormalities including elevated AST, ALT, bilirubin, BUN, and creatinine and decreased hemoglobin and white cell count have been reported in both CASODEX-LHRH analogue treated and flutamide-LHRH analogue treated patients.
Postmarketing Experience:
Uncommon cases of hypersensitivity reactions, including angioneurotic edema and urticaria, and uncommon cases of interstitial lung disease, including interstitial pneumonitis and pulmonary fibrosis, have been reported with CASODEX.
- Drug Information Provided by National Library of Medicine (NLM).
