Xtandi® Capsules for Prostate Cancer

Xtandi is an oral androgen receptor inhibitor used for certain stages of prostate cancer. This page explains how it works, who it is for, and how to manage access with US delivery from Canada. It also outlines options for patients evaluating Xtandi price without insurance.

What Xtandi Is and How It Works

Xtandi® contains enzalutamide, a targeted therapy in the androgen receptor inhibitor class. It binds to the androgen receptor, blocks receptor activation, and reduces signaling that can drive prostate cancer growth. It may also prevent the receptor from moving into the cell nucleus and binding DNA. Effects are based on the official product labeling and major clinical trials.

YouDrugstore is a licensed Canadian pharmacy in Manitoba. Pharmacists review prescriptions before dispensing.

This medicine is taken by mouth and does not require infusion. It is used across several disease states alongside ongoing androgen deprivation therapy when directed by your prescriber.

For background on modern oncology treatments, see our overview in Cancer Drugs List.

Who It’s For

Enzalutamide is approved for adult men with:

• Non-metastatic castration-resistant prostate cancer
• Metastatic castration-resistant prostate cancer
• Metastatic castration-sensitive prostate cancer

It is not indicated for use in women or children. People with a history of seizures or conditions that raise seizure risk should discuss suitability with a healthcare professional. Those with significant liver impairment or prior severe neurologic events need careful evaluation before starting therapy.

Learn more about the condition in our category page for Prostate Cancer.

Dosage and Usage

The typical adult dose is 160 mg once daily, taken at about the same time each day. It can be taken with or without food. Swallow capsules whole; do not open, crush, or chew them. Continue your gonadotropin-releasing hormone therapy if you have not had surgical castration, per label guidance.

General administration tips:

• Take consistently each day, using a reminder or pill organizer.
• If vomiting occurs after a dose, do not take an extra dose that day.
• Keep a simple dosing log to share with your clinician.

Always follow your prescriber’s instructions and the official label for your region.

Strengths and Forms

Commonly supplied presentations include 40 mg capsules. Some markets also have tablet presentations. Availability may vary by region and by supply. Ask our team about current Xtandi 40 mg capsules price.

Missed Dose and Timing

If you miss a dose, take it as soon as you remember on the same day. If it is almost time for the next dose, skip the missed dose and take the next dose at the regular time. Do not take more than the prescribed daily amount.

Storage and Travel Basics

Store at room temperature in the original container with the cap tightly closed. Keep away from moisture. Do not remove the desiccant from the bottle. Keep out of reach of children and pets.

When traveling, keep your medicine in your carry-on bag with the original labeled bottle and a copy of your prescription. For longer trips, pack enough supply plus a small buffer as permitted by your prescriber. Avoid leaving the bottle in a parked car or near heat sources. If your itinerary includes multiple climates, keep the bottle in a protective case and minimize temperature swings.

Benefits

This treatment is designed to block androgen signaling that can drive tumor growth. It can be used across multiple disease settings along with ongoing androgen deprivation therapy. In studies, this class has helped delay disease progression, reduce risk of new metastases in earlier settings, and improve time before chemotherapy is needed. Individual results vary, and monitoring guides whether therapy continues.

Side Effects and Safety

• Fatigue or weakness
• Hot flushes
• High blood pressure
• Headache
• Back or joint pain
• Decreased appetite
• Diarrhea or constipation
• Dizziness or falls

Serious risks can include seizure, posterior reversible encephalopathy syndrome, falls with fractures, ischemic heart disease, and rare allergic reactions. Seek urgent help for fainting, seizure-like activity, chest pain, severe headache, or sudden changes in thinking or vision. Your prescriber may monitor blood pressure and assess fall risk. Report new medicines or supplements before starting them.

Drug Interactions and Cautions

Enzalutamide can interact with a range of medicines. It is a strong inducer of CYP3A4 and can also induce CYP2C9 and CYP2C19, potentially lowering levels of medicines metabolized by these pathways. Caution is needed with drugs that have a narrow therapeutic index, such as warfarin or certain anticonvulsants. Strong CYP2C8 inhibitors (for example, gemfibrozil) may raise enzalutamide exposure; your prescriber will advise if adjustments are appropriate.

Alcohol can increase dizziness or fall risk. Use caution with activities where sudden loss of consciousness would be dangerous. Share a complete list of your prescription drugs, OTC products, and herbal supplements with your healthcare professional.

For broader oncology context, see Common Types Of Cancer.

What to Expect Over Time

Your care team may track symptoms, blood pressure, and lab markers such as PSA. It can take time to assess response, and plans are often individualized. If side effects occur, your prescriber may suggest supportive measures. Staying consistent with daily dosing supports continuity of care. Bring questions to appointments and keep an updated medication list.

Compare With Alternatives

Two other approved oral therapies are commonly considered in similar settings. Abiraterone acetate is taken with prednisone and targets androgen synthesis; see Zytiga®. Darolutamide is another androgen receptor inhibitor with a different interaction profile; see Nubeqa®. Choice depends on your clinical scenario, comorbidities, and prescriber guidance.

Pricing and Access

We support US delivery from Canada. You can review options and discuss Enzalutamide price questions with our pharmacy team before ordering. We aim to provide clear estimates so you can compare options and understand Xtandi Canadian pricing alongside your local pharmacy quotes.

If you use manufacturer support or benefits through your insurer, our team can explain how that may apply. For site savings, check current Promotions. Browse related items within our Cancer category.

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Availability and Substitutions

Supply can vary by market and package size. If your preferred pack is unavailable, your prescriber may recommend a comparable alternative or a temporary substitution that maintains your treatment plan. Contact our pharmacy if you need to coordinate timing or confirm stock, especially when moving between facilities or care settings. If you compare offers, you may also look at Enzalutamide price from Canada across different package counts.

Patient Suitability and Cost-Saving Tips

Not everyone is a candidate for this therapy. Those with uncontrolled hypertension, a history of seizures, or significant liver issues require careful assessment. Your prescriber weighs benefits and risks in the context of your cancer stage and prior treatments.

Cost planning tips:

• Multi-month fills: reduce per-refill fees and simplify adherence.
• Calendar reminders: help you order refills before travel or holidays.
• Paperwork ready: keep your prescription and insurer details available.
• Pharmacy chat: ask about Canadian pricing for enzalutamide and billing steps.

Some patients compare programs or ask about Enzalutamide generic price in markets where generics launch at different times. You can also discuss “cash price” estimates, self-pay options, and approximate cost per month with our team to plan ahead without committing to an order.

Questions to Ask Your Clinician

• Treatment goal: control disease, delay progression, or both
• Appropriate duration: how continuation is evaluated over time
• Monitoring plan: labs, blood pressure, and follow-up visits
• Drug interactions: medicines to avoid or time apart
• Symptom support: managing fatigue, hot flushes, or dizziness
• Activity guidance: driving, operating tools, or fall precautions

Authoritative Sources

FDA DailyMed Prescribing Information

Health Canada Drug Product Database

Astellas Official Product Page

Drug Interactions and Cautions

Additional reading on immunotherapies and supportive options is available in Bavencio Avelumab. This is provided for general education.

Ready to proceed? You can place an order for refill-friendly packs and request pharmacist support. For any final comparisons, our team can discuss Canadian pricing for enzalutamide and assist with documentation.

For patients planning budgets, you can ask about enzalutamide cash price, self pay price, and cost per month. If you use insurance benefits, we can outline whether enzalutamide cost with insurance may change your out-of-pocket responsibilities.

To summarize access, our pharmacy supports predictable steps, clinician-verified prescriptions, and careful coordination if your prescriber adjusts your plan.

Storage and Travel Basics

Before checkout, review your address and travel dates if you will be away. Keep your labeled bottle accessible during trips, and store in a dry place. Do not share your medicine with others.

If you need more context about hormone-related therapies for men, see our article on Mens Health Month for general wellness considerations.

When you are ready, place your order with confidence in our process for US delivery from Canada.

Order from YouDrugstore for prompt shipping with temperature-controlled handling when required and US delivery from Canada. This information is educational and does not replace medical advice from your clinician.