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Abirateron för prostatacancer

Zytiga

The usual dose is two 500 mg tablets taken together, once a day. Swallow the tablets whole, with water.

Take the tablets when your stomach is empty. This means taking your dose at least an hour before a mealtime, or waiting for two hours afterwards.

You will also be prescribed another medicine (either prednisone or prednisolone) to take alongside abiraterone. It is important that you take it regularly every day.

Överblick

  • Abiraterone is a tablet medicine for advanced prostate cancer.

  • It reduces male sex hormones, which slows cancer growth.

  • Take it once a day on an empty stomach, an hour before or two hours after food.

  • It is prescribed with prednisone or prednisolone to reduce side-effects.

  • You will need regular blood tests and blood pressure checks.

  • Common side-effects include swollen legs, diarrhoea, and urinary issues.

About abiraterone

Typ av medicin

An anti-androgen medicine

Används för

Advanced prostate cancer

Även kallad

Zytiga®

Tillgänglig som

Tabletter

In some men with prostate cancer, the cancer cells spread to parts of the body other than the prostate. When this happens, it is referred to as late, advanced or metastatic prostate cancer. Treatment options for this type of cancer typically include hormone treatment, surgery, radiotherapy and chemotherapy.

Abiraterone is a hormone treatment - it belongs to a group of medicines known as anti-androgens. This means that it reduces the amount of male sex hormones (called androgens) that your body produces. In prostate cancer, androgens are produced by your testicles (testes), by your adrenal glands, and in the tumour cells. Abiraterone reduces the amount of androgens produced by each of these, and this slows the growth of the cancer.

Abiraterone will be prescribed for you alongside another medicine, either prednisone eller prednisolone. These medicines reduce the risk of unwanted effects from abiraterone treatment.

Before taking abiraterone

Sometimes a medicine may only be used in people with certain conditions if extra care is taken. For this reason, before you start taking abiraterone it is important that your doctor knows:

  • If you have been told you have high blood pressure, or low levels of potassium in your blood.

  • If you have heart or blood vessel problems.

  • Om du har diabetes.

  • If you have any problems with the way your kidneys work, or any problems with the way your liver works.

  • Om du tar eller använder några andra läkemedel. Detta inkluderar alla läkemedel du tar som finns att köpa utan recept, samt växtbaserade och komplementära läkemedel.

  • Om du någonsin har haft en allergisk reaktion mot en medicin.

How to take abiraterone

  • Before you start the treatment, read the manufacturer's printed information leaflet from inside the pack. It will give you more information about abiraterone and will provide you with a full list of the side-effects which you may experience from taking it.

  • Take abiraterone exactly as your doctor tells you to. The usual dose is two 500 mg tablets (1000 mg in total) taken together, once a day. Your dose will be printed on the label of the pack to remind you about what the doctor said to you.

  • You must take the tablets when your stomach is empty. This means that you should take abiraterone at least an hour before a mealtime, or wait until at least two hours after you have eaten. This is because taking abiraterone with food will increase the amount of the medicine in your blood in a way that isn't predictable, and this is likely to cause side-effects.

  • Take the tablets with a drink of water. Swallow the tablets whole - do not crush or break the tablets in order to swallow them.

  • Try to take abiraterone at the same time of day each day as this will help you to remember to take your doses regularly.

  • If you do forget to take a dose, take it as soon as you remember. If you do not remember until the following day, skip the forgotten dose. Do not take two doses together to make up for a missed dose.

Få ut det mesta av din behandling

  • Try to keep your regular appointments with your doctor. This is so your doctor can check on your progress. You will need to have regular blood tests to check on the amount of potassium in your blood and how well your liver is working. Your doctor will also want to check your blood pressure routinely.

  • It is important that you continue to take the prednisone or prednisolone tablets that you will be prescribed alongside abiraterone. You should take these tablets regularly every day. Do not stop taking them unless your doctor tells you to.

  • If you have diabetes you will need to check your blood glucose more frequently as these tablets can increase the level of sugar in your blood. Your doctor will advise you about this.

  • If you are having an operation or dental treatment, tell the person carrying out the treatment which medicines you are taking. This is important because your dose of prednisone or prednisolone may need to be increased for a short while.

  • Abiraterone may harm an unborn child. This means that if you are having sex with a woman who could become pregnant, you must use a condom along with another effective birth control method. If you are having sex with a woman who is already pregnant, you must use a condom to protect the unborn child.

  • Om du köper några mediciner, kontrollera med en apotekare att de är säkra att ta tillsammans med dina andra mediciner.

Can abiraterone cause problems?

Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the most common ones associated with abiraterone. You will find a full list in the manufacturer's information leaflet supplied with your medicine. Speak with your doctor or pharmacist if you experience any symptoms which you think may be due to abiraterone.

Very common abiraterone side-effects (these affect more than 1 in 10 men)


Vad kan jag göra om jag upplever detta?

Feeling pain on passing urine or needing to pass urine more frequently

These may be signs that you have a urinary tract infection

Swollen legs, feet, or ankles (due to fluid retention)

Keep your feet elevated as much as possible

Diarré

Drink plenty of water

High blood pressure, low levels of potassium in your blood, increased levels of fats (triglycerides) in your blood, changes to your liver function test results

Your doctor will be monitoring your progress and will check for these

Common abiraterone side-effects

(these affect fewer than 1 in 10 men)

Vad kan jag göra om jag upplever detta?

Chest pain, feeling of a fast heartbeat, other heart problems

Let your doctor know

Indigestion

Stick to simple foods - avoid rich or spicy meals

Infections, muscle pain, skin rash, blood in your urine

Let your doctor know

How to store abiraterone

  • Förvara alla läkemedel utom räckhåll och synhåll för barn.

  • Förvara på en sval, torr plats, borta från direkt värme och ljus.

Viktig information om alla läkemedel

Viktig information om alla läkemedel

Ta aldrig mer än den föreskrivna dosen. Om du misstänker att du eller någon annan kan ha tagit en överdos av denna medicin, gå till akutmottagningen på ditt lokala sjukhus. Ta med behållaren, även om den är tom.

Denna medicin är för dig. Ge den aldrig till andra människor även om deras tillstånd verkar vara detsamma som ditt.

Behåll inte föråldrade eller oönskade mediciner. Ta dem till ditt lokala apotek som kommer att ta hand om dem åt dig.

Om du har några frågor om denna medicin, fråga din apotekare.

Rapportera biverkningar av ett läkemedel eller vaccin

Om du upplever biverkningar kan du rapportera dem online via Yellow Card webbplats.

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Kontrollera möjliga interaktioner mellan läkemedel, kosttillskott och livsmedel innan du tar dem tillsammans.

Vanliga frågor

What is the specific role of the prednisone or prednisolone I take with abiraterone?

Abiraterone is prescribed alongside another medicine, either prednisone or prednisolone. These medicines are given to reduce the risk of unwanted effects that can arise from abiraterone treatment.

If I am diabetic, how might abiraterone treatment affect my blood sugar?

If you have diabetes, it is important to know that the prednisone or prednisolone tablets taken with abiraterone can increase the level of sugar in your blood. Your doctor will advise you to check your blood glucose more frequently to monitor this.

Can I crush or break abiraterone tablets if I find them difficult to swallow whole?

No, you must swallow the abiraterone tablets whole. Do not crush or break them in order to swallow them.

What should I do if I normally take abiraterone on an empty stomach but accidentally eat soon after?

The article states that you must take the tablets when your stomach is empty, at least an hour before a meal or two hours after eating. Taking abiraterone with food increases the amount of medicine in your blood in an unpredictable way, which is likely to cause side-effects. If you have accidentally eaten soon after taking it, you should consult your doctor or pharmacist for advice.

What should I do if I need to have an operation or dental work while taking abiraterone?

It is important to inform the person carrying out the operation or dental treatment about all the medicines you are taking, including abiraterone and the accompanying prednisone or prednisolone. This is because your dose of prednisone or prednisolone may need to be temporarily increased for a short period.

How should I dispose of any leftover or expired abiraterone tablets?

Do not keep out-of-date or unwanted medicines at home. You should take them to your local pharmacy, which will dispose of them for you safely.

Vidare läsning och referenser

Om författarenVisa fullständig biografi

Författarbild

Michael Stewart, MRPharmS

Ansvarig för granskning av medicinbroschyrer – Konsult, Apotekare

BPharm (Hons), MRPharmS

Michael är en apotekare som arbetar i Midlands och South Yorkshire med mer än 20 års erfarenhet av att ge råd om läkemedel och medicinska tillstånd. Han har en stark bakgrund inom vårdutbildning och har producerat och levererat utbildningskurser för apoteksteam och personal inom vårdboenden, inklusive sjuksköterskor. Han har också bidragit till apoteksrådgivande styrelser för hantering av mindre allvarliga tillstånd i samhället.

Om recensenten

Författarbild

Sid Dajani

Sultan Dajani tog examen vid London School of Pharmacy 1994 och blev den yngsta valda medlemmen i Royal Pharmaceutical Society-rådet sedan dess grundande 1842.

Artikelhistorik

Informationen på denna sida är skriven och granskad av kvalificerade kliniker.

  • Next review due: 24 Apr 2027
  • 18 May 2024 | Senaste versionen

    Senast uppdaterad av

    Michael Stewart, MRPharmS

    Granskad av

    Sid Dajani
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