Proper Use

Drug information provided by: Merative, Micromedex®

Take this medicine only as directed by your doctor to benefit your condition as much as possible. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered.

This medicine comes with a patient information leaflet. Read and follow the instructions carefully. Ask your doctor if you have questions.

Swallow the tablet whole. Do not break, crush, or chew it.

If you cannot swallow the 60 mg tablet whole:

  • You may place the medicine in a container with 4 ounces (120 mL) of applesauce and stir. Do not crush the tablets.
  • Wait for 15 minutes and stir the mixture.
  • Wait for another 15 minutes and stir the mixture well until there are no chunks of tablets remaining.
  • Swallow the mixture right away with a spoon.
  • Rinse the container with 2 ounces (60 mL) of water and drink it right away. Repeat this step to make sure that you take the full dose.
  • Swallow the mixture within 1 hour of preparing. Do not store this mixture.

If you cannot swallow the 240 mg tablet whole:

  • Place the tablet in a cup. Do not crush or split the tablet.
  • Add 2 teaspoons (10 mL) of non-carbonated water to make sure the tablet is completely covered in water.
  • Wait for 2 minutes until the tablet has broken up, then stir the mixture well.
  • Add 2 tablespoons (30 mL) of orange juice, applesauce, or non-carbonated water to the cup and stir the mixture.
  • Swallow the mixture right away.
  • Rinse the cup with enough non-carbonated water to make sure you that you take your full dose and drink it right away.
  • Do not store this mixture.

You may also give the 240 mg tablet through feeding tube:

  • Place the tablet in the barrel of the syringe (at least 20 mL syringe) and draw up 10 mL of non-carbonated water.
  • Wait for 10 minutes and shake the syringe well until the tablet is completely broken up.
  • Attach the syringe to the feeding tube and give the mixture right away.
  • Add non-carbonated water into the same syringe and flush through the feeding tube.
  • Repeat this step until no pieces of tablet are left in the syringe or feeding tube.

You may take this medicine with or without food.

Your doctor may give you other medicines (eg, a gonadotropin-releasing hormone) unless you had a surgery to lower the amount of testosterone in your body.

Dosing

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

  • For oral dosage form (tablets):
    • For metastatic castration-sensitive prostate cancer and castration-resistant prostate cancer:
      • Adults—The usual dose is 240 milligrams (mg) once a day. Your doctor may adjust your dose as tolerated.
      • Children—Use is not recommended.

Missed Dose

If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Storage

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep this medicine in its original package.

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