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Bicalutamide

Bicalutamide Side Effects

Allison Baxley, PharmD, BCOPConnie Zheng, PharmD
Reviewed by Allison Baxley, PharmD, BCOP, Connie Zheng, PharmD
Last reviewed on February 20, 2024

The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.

Common Side Effects

  • Hot flashes (53%)
  • Whole body pain (35%)
  • Back pain (25%)
  • Weakness (22%)
  • Constipation (22%)
  • Pelvic (area below your belly and above your legs) pain (21%)
  • Infection (18%)
  • Nausea (15%)
  • Swelling in arms or legs (13%)
  • Difficulty breathing (13%)
  • Urinating a lot at night (12%)
  • Blood in the urine (12%)
  • Diarrhea (12%)
  • Stomach pain (11%)
  • Dizziness (10%)

Note: These side effects are from people taking [[EDITOR|DRUG_DISPLAY_NAME]] with a LHRH agonist, and might not be from [[EDITOR|DRUG_DISPLAY_NAME]] alone

Less Common Side Effects

  • Rash
  • Bone pain
  • Cough
  • Pain while urinating and other symptoms of a urinary tract infection
  • Breast enlargement or tenderness
  • Feeling of “pins and needles”
  • Weight loss
  • Heartburn
  • Chest pain
  • Headache
  • Flu-like symptoms

Bicalutamide serious side effects

Contact your healthcare provider immediately if you experience any of the following.

  • Severe liver problems: yellowing of the skin or eyes (jaundice), dark urine, right upper stomach pain, nausea, vomiting, tiredness, loss of appetite, chills, fever
  • Serious bleeds: bleeding or bruising that doesn’t stop or go away, large amount of bleeding, blood in the urine, throwing up blood, bloody or black and tarry stools

Source: DailyMed

The following Bicalutamide side effects have also been reported

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

More common

Bloating or swelling of the face, arms, hands, lower legs, or feet

blood in the urine

blurred vision

body aches or pain

chills

congestion

cough

cough producing mucus

difficult or labored breathing

dizziness

dryness or soreness of the throat

fever

headache

hoarseness

lower back or side pain

nervousness

painful or difficult urination

pounding in the ears

rapid weight gain

runny nose

slow or fast heartbeat

sweating

tender, swollen glands in the neck

tightness in the chest

tingling of the hands or feet

trouble with swallowing

unusual weight gain or loss

voice changes

Less common

Abnormal growth filled with fluid or semisolid material

ankle, knee, or great toe joint pain

arm, back, or jaw pain

bleeding from the rectum or bloody stools

blindness

bloody nose

burning feeling while urinating

burning, tingling, numbness, or pain in the hands, arms, feet, or legs

change in bowel habits

chest pain, discomfort, tightness or heaviness

confusion

decrease in frequency of urination

decrease in urine volume

decreased vision

difficulty in passing urine (dribbling)

difficulty with swallowing or eating

dilated neck veins

dry mouth

fainting

irregular breathing or heartbeat

joint stiffness or swelling

lightheadedness

loss of appetite

lump or swelling in the abdomen or stomach

nausea

no blood pressure or pulse

noisy breathing

pain or discomfort in the arms, jaw, back, or neck

painful blisters on the trunk of the body

persistent, non-healing sore

rapid, shallow breathing

reddish patch or irritated area

sensation of pins and needles

shiny bump

stabbing pain

stomach discomfort

stopping of the heart

sunken eyes

thirst

tumor

unconsciousness

unexplained weight loss

unusual tiredness or weakness

vomiting

weight gain

white, yellow, or waxy scar-like area

wrinkled skin

yellow skin or eyes

Incidence not known

Bleeding gums

coughing up blood

hives or welts, itching, skin rash

increased menstrual flow or vaginal bleeding

large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs

paralysis

prolonged bleeding from cuts

red or black, tarry stools

red or dark brown urine

redness of the skin

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

Belching

breast pain

constipation

decreased interest in sexual intercourse

diarrhea

difficulty with moving

dry skin

hair loss or thinning of the hair

heartburn

inability to have or keep an erection

indigestion

leg cramps

loss in sexual ability, desire, drive, or performance

loss of strength or energy

muscle ache, cramp, pain, or weakness

pain in the pelvis

pain or tenderness around the eyes and cheekbones

passing of gas

sleepiness or unusual drowsiness

stomach pain or fullness

stuffy or runny nose

swelling of the breasts or breast soreness in both females and males

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

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