Casodex® 50mg Tablets (Bicalutamide) – Hormone Therapy (Rx)

Quick answer: Casodex 50mg (bicalutamide) is an anti-androgen tablet used with other hormone treatment for advanced prostate cancer. It blocks male hormones that feed the cancer. You take it by mouth, as your doctor directs. MedHub supplies it on prescription and delivers across Pakistan.

For patients and families

What is Casodex 50mg?

Casodex 50mg is a tablet of bicalutamide made by AstraZeneca in the United Kingdom. Prostate cancer cells often depend on androgens, the male hormones, to grow. Bicalutamide sits on the androgen receptor and stops those hormones from reaching the cancer cell. It is a hormone treatment, so it does not work like chemotherapy.

What is it used for?

Urologists and oncologists prescribe bicalutamide 50 mg for advanced prostate cancer, together with an injection that lowers testosterone, such as goserelin, or after surgery to remove the testes. Your doctor may use it:

• when the cancer has spread beyond the prostate
• as part of the first hormone treatment plan

Many men on Casodex also receive Zoladex 3.6mg (goserelin). A Bitamid 50mg tablet contains the same medicine under another brand. Our oncology page has more prostate cancer options.

How is it taken?

You swallow one tablet at about the same time each day, with or without food, and you usually keep taking it long term. Your doctor or pharmacist explains how to take it alongside your injection. Do not stop it on your own, even if you feel well, because your doctor needs blood tests to check how the treatment is working.

Common side effects

• Hot flushes
• Breast tenderness or swelling
• Tiredness, itching and dry skin
• Constipation or stomach upset
• Reduced interest in sex

Tell your doctor straight away if you notice yellow eyes or skin, dark urine, severe itching, new breathlessness or a persistent cough.

Storage

Keep the tablets in the original pack below 30°C, away from damp. A cupboard in a cool room works well. Keep them out of children’s reach, and women who are pregnant should not handle crushed or broken tablets.

How to order from MedHub

1. Send a photo of your prescription on WhatsApp.
2. Our pharmacist confirms the price and stock with you.
3. We deliver the pack to your home or hospital.

Sons and daughters in the UAE, UK and Saudi Arabia often arrange this medicine for a father back home, because treatment continues for months or years. We can send a reminder before each pack runs out.

For healthcare professionals

• Composition: bicalutamide 50 mg per film-coated tablet
• Drug class: non-steroidal anti-androgen
• Indications: treatment of advanced prostate cancer in combination with LHRH analogue therapy or surgical castration
• Mechanism: competitive inhibitor of the androgen receptor, with no agonist activity
• Label dose: adult men, including the elderly, 50 mg orally once daily; start at the same time as LHRH analogue treatment or surgical castration
• Monitoring / key precautions: check liver function before treatment and at regular intervals, especially in the first 6 months; stop if ALT exceeds 2 times the upper limit of normal or jaundice appears; monitor PSA; caution in moderate to severe hepatic impairment; may raise warfarin effect, so monitor INR; contraindicated in women and children
• Storage: below 30°C, protect from moisture
• Manufacturer: AstraZeneca UK Ltd, United Kingdom
• Marketed in Pakistan by: AstraZeneca Pharmaceuticals Pakistan
• Pack: 28 tablets

Frequently asked questions

What is Casodex 50mg used for?

Casodex 50mg treats advanced prostate cancer, taken together with an injection or surgery that lowers testosterone.

What is the Casodex 50mg price in Pakistan?

Casodex 50mg costs Rs 18,500 to Rs 23,223 per pack of 28 tablets. Prices can change with supply, so message us on WhatsApp for today’s price before you order.

Is Casodex 50mg available in Lahore, Karachi or Peshawar?

Yes. We deliver to Islamabad, Rawalpindi, Lahore, Karachi, Peshawar, Multan and Faisalabad, and to other cities on request.

Do I need a prescription for Casodex 50mg?

Yes. It is a prescription-only medicine. Send a clear photo of the prescription on WhatsApp, and our pharmacist checks it before confirming the order.

How is Casodex 50mg taken?

Take one tablet by mouth at about the same time every day, as your doctor directs, with or without food.

How should Casodex 50mg be stored?

Store it below 30°C in the original pack, away from moisture. It does not need a fridge.

Is Casodex 50mg the same as the 150mg tablet?

No. The 50mg strength is the one used for advanced prostate cancer with testosterone-lowering treatment. A 150mg tablet has a different use and is not interchangeable, so follow your prescription exactly.

Can I order Casodex 50mg for my father in Pakistan from abroad?

Yes. Many families in the UAE, UK and Saudi Arabia order through MedHub. Share the prescription on WhatsApp, and we arrange payment and delivery to his home.

Last updated: 3 October 2026

This information is for general awareness only and is not medical advice. Always consult your doctor before starting, stopping or changing any medicine.