Castramid Tablet is used in the treatment of cancer of the prostate gland. It may be also used to treat other conditions, as determined by the doctor. It works by blocking the effects of male hormones such as testosterone.
Castramid Tablet should be taken with or without food, preferably at a fixed time every day. Your doctor will decide what dose is necessary and how often you need to take it. This will depend on what you are being treated for and may change from time to time. You should take it exactly as your doctor has advised. Taking it in the wrong way or taking too much can cause very serious side effects. It may take several weeks or months for you to see or feel the benefits but do not stop taking it unless your doctor tells you to.
Anemia (low number of red blood cells) is very common side effect of this medicine. Other than this, yellowing of skin, loss of appetite, shortness of breath, abdominal pain, dark urine, and skin rashes are some side effects which require immediate action. Regular blood tests are required to check your blood cells along with liver function during treatment with this medicine. It makes your skin more sensitive towards sunlight, hence take extra caution while going out.
Before taking it, tell your doctor if have diabetes, liver, or kidney problems or are taking any medicines to treat infections. Many other medicines can affect, or be affected by, this medicine so let your doctor know all medications you are using. This medicine is not recommended during pregnancy or while breastfeeding. It may harm your baby. The use of effective contraception by both males and females during treatment is important to avoid pregnancy. You may be asked for regular monitoring of blood glucose level while on treatment.
Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them
Common side effects of Castramid
Anemia (low number of red blood cells)
Rash
Abdominal pain
Constipation
Decreased appetite
Dizziness
Hot flashes
Nausea
Weakness
Nocturia (increased urge to urinate during the night)
Edema (swelling)
How to use Castramid Tablet
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Castramid Tablet may be taken with or without food, but it is better to take it at a fixed time.
How Castramid Tablet works
Castramid Tablet blocks the effect of the natural male hormones on the growth of prostate cells. Castramid Tablet also blocks the undesired effects of androgens in females such as excessive hair growth and acne.
Safety advice
Alcohol
CONSULT YOUR DOCTOR
It is not known whether it is safe to consume alcohol with Castramid Tablet. Please consult your doctor.
Pregnancy
UNSAFE
Castramid Tablet is highly unsafe to use during pregnancy. Seek your doctor's advice as studies on pregnant women and animals have shown significant harmful effects to the developing baby.
Breast feeding
CONSULT YOUR DOCTOR
Information regarding the use of Castramid Tablet during breastfeeding is not available. Please consult your doctor.
Driving
CONSULT YOUR DOCTOR
It is not known whether Castramid Tablet alters the ability to drive. Do not drive if you experience any symptoms that affect your ability to concentrate and react.
Kidney
SAFE IF PRESCRIBED
Castramid Tablet is safe to use in patients with kidney disease. No dose adjustment of Castramid Tablet is recommended.
Liver
CAUTION
Castramid Tablet should be used with caution in patients with liver disease. Dose adjustment of Castramid Tablet may be needed. Please consult your doctor. Regular monitoring of liver function tests is advisable while you are taking this medicine.
What if you forget to take Castramid Tablet?
If you miss a dose of Castramid Tablet, skip it and continue with your normal schedule. Do not double the dose.
All substitutes
For informational purposes only. Consult a doctor before taking any medicines.
You have been prescribed Castramid Tablet for the treatment of prostate cancer.
Take it with or without food, preferably at the same time every day.
It may cause your skin to become light sensitive. Avoid direct exposure to excessive sunlight and use sunscreen when outdoors.
If you are diabetic, monitor your blood glucose regularly while taking Castramid Tablet.
Your doctor may want you to have regular blood tests to monitor your liver function while you are taking this medicine. Inform your doctor if you notice yellowing of eyes or skin, dark urine, or stomach pain.
Do not stop taking the medication without talking to your doctor first.
Fact Box
Chemical Class
Trifluoromethylbenzenes Derivative
Habit Forming
No
Therapeutic Class
ANTI NEOPLASTICS
Action Class
Androgen Receptor Antagonists
Interaction with drugs
Taking Castramid with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
No need to worry for this. Nothing needs to be done if you are not having symptoms of delayed cycle, excessive weight gain, excessive hair growth or acne
PCOD is a condition of hormonal imbalance. get your PCOD profile done on the 2 nd day of your cycle along with an ultrasound and then take treatment acc.
I have unwanted facial hairs, in cheast which is increasing day by day. it started Since 6 yr ago. But suddenly it is occupying more part of Skin.Also i have observed that if i will not do phsical workout my periods will be irregular. I am also having continuous white discharge, Sometimes it is yellow but anothertime it is brown. I feel much anxiety in any stress situation. And suffering from a serious back problem.I am worrying since i am 25 yrs old. A year ago i consulted a homeopathic doctor . And he asked me that it may be case of Polycystic ovary Syndrome and started medication for next 6 months. what should i do now sometimes oi fear that which doctor should i go Since my past experience with a dermatologist was not good.
Dr. Suman Rao
Obstetrics and Gynaecology
You should see a Gynae. Your problem could be because of polycystic ovarian syndrome. Get all investigations done related to that and then take treatment
In every month I had a late periods. in every month it will be delayed by 10-12 days. It will be happen sometimes not in every month
Dr. Suman Rao
Obstetrics and Gynaecology
You could be having hormonal imbalance. Get your serum prolactin and thyroid profile done. These hormones when raised can lead to delayed periods. If these come normal then get your PCOS profile done on the second day of your cycle to rule out polycystic ovarian syndrome. Visit a gynae nearby to guide you.
Mc not on time after marriage plz give me best solution
Dr. Suman Rao
Obstetrics and Gynaecology
You could be having hormonal imbalance. Get your serum prolactin and thyroid profile done. These hormones when raised can lead to delayed periods. If these come normal then get your PCOS profile done on the second day of your cycle to rule out polycystic ovarian syndrome. Visit a gynae nearby to guide you.
There is limited data to support that Castramid Tablet causes infertility. Castramid Tablet has been shown to affect fertility in animals and therefore it is assumed that it may cause fertility on humans. Some studies have shown that it affects spermatogenesis (origin and development of the sperm cells).
What should I avoid while taking Castramid Tablet?
Skin sensitivity has been observed in some patients while taking Castramid Tablet. Therefore, you should avoid direct sun exposure, sunlamps, and tanning beds. It is advised to use a sunscreen during treatment with Castramid Tablet.
Is Castramid Tablet a form of chemotherapy?
No, Castramid Tablet is not a form of chemotherapy medicine, it is anti-androgen medicine. Androgens such as testosterone are natural male sex hormones. Castramid Tablet works by blocking the effect of androgens (testosterone) in order to stop the growth and spread of cancer cells.
Does Castramid Tablet cause hair loss?
Yes, Castramid Tablet may cause hair loss as it is a common side effect. However, this does not affect everyone. Consult your doctor, if hair loss is worrying you.
What is Castramid Tablet prescribed for?
Castramid Tablet is used with another medication (gonadotropin-releasing hormone (GnRH) agonists; such as leuprolide or goserelin) to treat metastatic prostate cancer (prostate cancer that has spread to other parts of the body). Other than that, Castramid Tablet has been effective in treating hirsutism in patients with polycystic ovarian disease, though this is not an approved use.
When should I take Castramid Tablet?
Castramid Tablet should be taken at the same time every day either in the morning or in the evening. Take it exactly as directed by your doctor.
Can Castramid Tablet cause diarrhea?
Yes, Castramid Tablet can cause diarrhea though it is rare. Generally, constipation is more common with this medicine. Consult your doctor if it worries you.
How long do I need to take Castramid Tablet?
Castramid Tablet tablets should be taken continuously for a minimum of 2 years or until the disease persists. Do not stop taking it without consulting your doctor.
Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.
References
Moy B, Lee RJ, Smith M. Natural Products in Cancer Chemotherapy: Hormones and Related Agents. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 12th ed. New York, New York: McGraw-Hill Medical; 2011. p. 1766.
Chrousos GP. The Gonadal Hormones & Inhibitors. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. p. 724.
Bicalutamide. Sellersville, PA: TEVA Pharmaceutical; 1995 [revised Jun. 2009]. [Accessed 26 Mar. 2019] (online) Available from:
Bicalutamide. Capability Green: AstraZeneca UK; 2000 [revised 08 Feb. 2018]. [Accessed 26 Mar. 2019] (online) Available from:
Central Drugs Standard Control Organisation (CDSCO). [Accessed 27 Mar. 2019] (online) Available from:
Bicalutamide [Prescribing Information]. Wilmington, DE: AstraZeneca Pharmaceuticals LP; 2017. [Accessed 20 Feb. 2024] (online) Available from:
Country of origin: India Expires on or after: December, 2026
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