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Nilutamide

Nilutamide Side Effects

Lauren Morton, PharmD, BCPSConnie Zheng, PharmD
Reviewed by Lauren Morton, PharmD, BCPS, Connie Zheng, PharmD
Last reviewed on July 22, 2022

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

Side effects experienced by people who took [[EDITOR|DRUG_DISPLAY_NAME]] after surgical castration:

  • Hot flashes (28%)
  • Difficulty of eyes adjusting to dark (13%)
  • Nausea (10%)
  • Pain or burning while urinating, needing to urinate more often, and other symptoms of a urinary tract infection (8%)

Side effects experienced by people who took [[EDITOR|DRUG_DISPLAY_NAME]] with leuprolide (a LHRH agonist):

  • Hot flashes (67%)
  • Difficulty of eyes adjusting to dark (57%)
  • Nausea (24%)
  • Constipation (20%)
  • Weakness (20%)
  • Shrinking of testicles (16%)
  • Trouble sleeping (16%)
  • Headache (14%)

Less Common Side Effects

Side effects experienced by people who took [[EDITOR|DRUG_DISPLAY_NAME]] after surgical castration:

  • High blood pressure
  • Constipation
  • Higher levels of certain liver enzymes
  • Trouble breathing
  • Dizziness

Side effects experienced by people who took [[EDITOR|DRUG_DISPLAY_NAME]] with leuprolide (a LHRH agonist):

  • Loss of appetite
  • Lower sex drive
  • Trouble breathing
  • Stomach pain
  • Larger breast tissue
  • Difficulty of eyes adjusting to light
  • Pain or burning while urinating, needing to urinate more often, and other symptoms of a urinary tract infection

Nilutamide serious side effects

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

  • Severe liver problems: nausea, vomiting, stomach pain, tiredness, loss of appetite, yellowing of the skin or eyes (jaundice), dark urine, right upper stomach pain
  • Serious lung problems: fever, trouble breathing, cough, or chest pain
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Source: DailyMed

The following Nilutamide 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

Blood in the urine

blurred vision

chest pain

chills

cough

diarrhea

difficult or labored breathing

dizziness

fever or chills

general feeling of discomfort or illness

headache

joint pain

loss of appetite

muscle aches and pains

nausea

nervousness

pale skin

pounding in the ears

runny nose

shivering

shortness of breath

slow or fast heartbeat

sneezing

sore throat

sweating

tightness in the chest

trouble with sleeping

troubled breathing with exertion

unusual bleeding or bruising

unusual tiredness or weakness

vomiting

wheezing

Less common

Arm, back, or jaw pain

blindness

bloody, black, or tarry stools

change in color vision

decreased urine output

decreased vision

difficulty seeing at night

dilated neck veins

fainting

fast or irregular heartbeat

increased cough

increased sensitivity of the eyes to sunlight

irregular breathing

swelling of the face, fingers, feet, or lower legs

vomiting of blood or material that looks like coffee grounds

weight gain or loss

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

Acid or sour stomach

belching

body hair loss

bone pain

burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings

changes in vision

decrease in testicle size

decreased interest in sexual intercourse

depression

difficulty having a bowel movement (stool)

dizziness

dry skin

feeling of warmth

heartburn

inability to have or keep an erection

increased urge to urinate during the night

indigestion

loss in sexual ability, desire, drive, or performance

pain

rash

redness of the face, neck, arms and occasionally, upper chest

sleeplessness

stomach discomfort, upset, or pain

sudden sweating

unable to sleep

waking to urinate at night

Less common

Difficulty with moving

dry mouth

general feeling of discomfort or illness

itching

muscle pain or stiffness

pain, swelling, or redness in the joints

passing of gas

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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Why trust our experts?

Lauren Morton, PharmD, BCPS received her doctorate in pharmacy from Samford University. She completed a first-year postgraduate residency at St. Joseph's/Candler Health System, followed by a second-year residency in drug information at South University.
Connie Zheng, PharmD, is a drug information pharmacist at GoodRx and a licensed pharmacist in California. She has over 6 years of experience working in independent pharmacies.

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