What is XTANDI?
XTANDI is a prescription medicine used to treat men with castration-resistant prostate cancer (prostate cancer that is resistant to medical or surgical treatments that lower testosterone) that has spread to other parts of the body and who have received treatment with docetaxel.
It is not known if XTANDI is safe and effective in children
What is the most important information I should know about XTANDI?
XTANDI can cause serious side effects. These serious side effects include:
- XTANDI may cause serious side effects including:
- Seizure. Some people have had seizures during treatment with XTANDI. If you take XTANDI you may be at risk of having a seizure. You should avoid activities where a sudden loss of consciousness could cause serious harm to yourself or others. Tell your healthcare provider right away if you have loss of consciousness or seizure
- The most common side effects of XTANDI include
- Weakness or feeling more tired than usual
- Back pain
- Diarrhea
- Pain in your joints
- Hot flashes
- Swelling in your hands, arms, legs or feet
- Muscle or bone pain
- Headache
- Cold like symptoms
- Muscle weakness
- Dizziness
- Trouble falling or staying asleep (insomnia)
- Trouble breathing (pneumonia)
- Back pain with nerve problems in the lower body, including leg numbness or weakness
- Sensation of tingling, burning, pricking, or numbness of skin (paresthesia)
- High blood pressure (hypertension)
- Anxiety
These are not all the possible side effects of XTANDI. For more information, ask your healthcare provider or pharmacist
How should I take XTANDI?
- Take XTANDI capsules exactly as your healthcare provider tells you.
- Take your prescribed dose of XTANDI one time a day.
- Your healthcare provider may change your dose if needed.
- Do not stop taking your prescribed dose of XTANDI without talking with your healthcare provider first.
- XTANDI capsules can be taken with or without food.
- Swallow XTANDI capsules whole. Do not chew, dissolve, or open the capsules.
- If you miss a dose of XTANDI, take your prescribed dose as soon as you remember that day. If you miss your daily dose, take your prescribed dose at your regular time the next day. Do not take more than your prescribed dose of XTANDI.
- If you take too much XTANDI, call your healthcare provider or go to the nearest emergency room right away.

Important Safety Information
- XTANDI is not for use in women.
- Do not take XTANDI if you are pregnant or may become pregnant. XTANDI may harm your unborn baby.
Ask your healthcare provider if you do not know.
What should I tell my healthcare provider before taking XTANDI?
Before you take XTANDI, tell your healthcare provider if you:
- Have a history of seizures, brain injury, stroke, or brain tumors
- Have any other medical conditions
- Have a partner who is pregnant or plans to become pregnant. Men who are sexually active with a pregnant woman must use a condom during and for 3 months after treatment with XTANDI. If their sexual partner may become pregnant, a condom and another form of birth control must be used during and for 3 months after treatment. Talk with your healthcare provider if you have questions about birth control
- Tell your healthcare provider about all the medicines you take, including prescription and non-prescription medicines, vitamins, and herbal supplements. XTANDI can interact with many other medicines
- You should not start or stop any medicine before you talk with the healthcare provider that prescribed XTANDI
General information about XTANDI?
Medicines are sometimes prescribed for purposes other than those listed in a Patient Information leaflet. Do not use XTANDI for a condition for which it was not prescribed. Do not give XTANDI to other people, even if they have the same symptoms that you have. It may harm them
What are the ingredients in XTANDI?
Active ingredient: Enzalutamide
Inactive ingredient: caprylocaproyl polyoxylglycerides , butylated hydroxyanisole, butylated hydroxytoluene, gelatin, sorbitol sorbitan solution, glycerin, purified water, titanium dioxide, black iron oxide.
