Nilandron |
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What is Nilandron and why is it prescribed? Nilandron is used for advanced prostate cancer, cancer that has begun to spread beyond the prostate gland. An "antiandrogen" drug, it blocks the effects of the male hormone testosterone, which is known to encourage prostate cancer. The drug is part of a treatment program that begins with removal of the testes, a major, but not the only, source of testosterone. Nilandron treatment must begin on the same day as, or on the day after, surgical removal of the testes. You should not interrupt the doses or stop taking Nilandron without consulting your doctor. How should you take Nilandron? Follow your doctors directions for taking Nilandron. You may take Nilandron with or without food. If you miss a dose take the forgotten dose as soon as you remember. If it is almost time for your next dose, skip the one you missed and go back to your regular schedule. Never take two doses at the same time. Store Nilandron at room temperature away from light. Are there any Nilandron side effects? Nilandron side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. More common Nilandron side effects may include abnormal vision, alcohol intolerance, constipation, decreased sex drive, difficulty breathing, dizziness, heart failure, hot flashes, impotence, increase in blood pressure, lung problems, nausea, poor adaptation to the dark, tingling feeling, and urinary tract infection. Less common Nilandron side effects may include abdominal bleeding or discomfort, angina (chest pain), arthritis, cataracts, coughing, diarrhea, dry mouth, fainting, general feeling of discomfort, high sensitivity to light, inflammation of the nasal passages, itching, nervousness, swelling, tarry stools, and weight loss. What are the possible food and drug interactions when taking Nilandron? If Nilandron is taken with certain other drugs, the effects of either could be increased, decreased, or altered. Be sure to inform your doctor of all the prescription and over the counter medications you are taking. Nilandron can cause a reaction to alcohol. If you develop a facial flush, flu-like symptoms, and a decrease in blood pressure after drinking alcohol, you'll need to give up alcoholic beverages while taking this drug. It is especially important to check with your doctor before combining Nilandron with Phenytoin (Dilantin), Theophylline (Theo-Dur), or Vitamin K antagonists (Coumadin). If you are already taking Coumadin, you will need to be monitored especially closely after treatment with Nilandron begins. Your doctor may need to lower your dosage of Coumadin. Are there any special warnings about Nilandron? Nilandron occasionally causes inflammation of the lungs; and if a problem does develop, you may have to stop taking the drug. Report any symptoms that might suggest a lung problem to your doctor right away. Warning signs include difficulty breathing upon exertion or worsening of a pre-existing problem, cough, chest pain, and fever. This lung condition almost always goes away when Nilandron treatment is stopped. Nilandron may also cause liver damage in some people. Your doctor will do blood tests to check your liver function before you start treatment and periodically thereafter. If a liver problem does develop, you may have to stop taking Nilandron. Report any symptoms of liver damage to your doctor immediately. Warning signs include dark urine, jaundice, fatigue, abdominal pain, tenderness in the upper right part of the stomach, loss of appetite, nausea, or vomiting. While taking Nilandron, you may also find that your eyes are slow to adapt to the dark when you leave a lighted area. Be careful when driving at night or through tunnels. Tinted glasses will help this problem. |
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