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Generic Name: Nilutamide (ni LOO ta mide)
Brand Name: Nilandron

Medically reviewed by Last updated on Aug 28, 2020.


  • Some people have had lung problems with nilutamide. Sometimes, this has been deadly. Call your doctor right away if you have signs of lung problems like shortness of breath or other trouble breathing, cough that is new or worse, or fever.
  • Most of the time, lung problems have happened within the first 3 months of taking nilutamide. Most of the time, but not always, lung problems have gone back to normal after nilutamide was stopped. You must have a chest x-ray before starting nilutamide. You may need to have lung function tests while taking nilutamide. Talk with your doctor.

Uses of Nilutamide:

  • It is used to treat prostate cancer.
  • It may be given to you for other reasons. Talk with the doctor.

What do I need to tell my doctor BEFORE I take Nilutamide?

  • If you have an allergy to nilutamide or any other part of nilutamide.
  • If you are allergic to nilutamide; any part of nilutamide; or any other drugs, foods, or substances. Tell your doctor about the allergy and what signs you had.
  • If you have liver disease.
  • If you have lung disease.
  • If you are a woman. This medicine is not approved for use in women. If you are a woman using nilutamide, talk with your doctor if you are pregnant, plan on getting pregnant, or are breast-feeding.

This is not a list of all drugs or health problems that interact with nilutamide.

Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take nilutamide with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor.

What are some things I need to know or do while I take Nilutamide?

  • Tell all of your health care providers that you take nilutamide. This includes your doctors, nurses, pharmacists, and dentists.
  • People taking nilutamide have had slower times getting used to the dark when going from a lighted area to a dark area. It may take seconds to a few minutes. Sometimes, this does not go away while taking nilutamide. If you have this effect, do not drive at night or in tunnels. It may help to wear tinted glasses. Talk with your doctor.
  • Have blood work checked as you have been told by the doctor. Talk with the doctor.
  • Drinking alcohol while taking nilutamide may cause flushing of the face, feeling tired or weak, and very bad dizziness or passing out in some people. If any of these reactions happen, avoid drinking alcohol while taking nilutamide.

How is this medicine (Nilutamide) best taken?

Use nilutamide as ordered by your doctor. Read all information given to you. Follow all instructions closely.

  • Take with or without food.
  • Do not stop taking nilutamide without calling the doctor who ordered it for you.

What do I do if I miss a dose?

  • Take a missed dose as soon as you think about it.
  • If it is close to the time for your next dose, skip the missed dose and go back to your normal time.
  • Do not take 2 doses at the same time or extra doses.

What are some side effects that I need to call my doctor about right away?

WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect:

  • Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
  • Signs of high blood pressure like very bad headache or dizziness, passing out, or change in eyesight.
  • Signs of a urinary tract infection (UTI) like blood in the urine, burning or pain when passing urine, feeling the need to pass urine often or right away, fever, lower stomach pain, or pelvic pain.
  • Chest pain or pressure.
  • Fever.
  • Change in eyesight.
  • Feeling very tired or weak.
  • Pale skin.
  • Any unexplained bruising or bleeding.
  • Low mood (depression).
  • Numbness or tingling.
  • Swelling in the arms or legs.
  • Very bad and sometimes deadly liver problems have happened with nilutamide. Call your doctor right away if you have signs of liver problems like dark urine, feeling tired, not hungry, upset stomach or stomach pain, light-colored stools, throwing up, or yellow skin or eyes.

What are some other side effects of Nilutamide?

All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away:

  • Hot flashes.
  • Upset stomach or throwing up.
  • Dizziness.
  • Hair loss.
  • Not able to get or keep an erection.
  • Lowered interest in sex.
  • Constipation.
  • Headache.
  • Feeling tired or weak.
  • Back pain.
  • Belly pain.
  • Flu-like signs.
  • Not hungry.
  • Bone pain.
  • Not able to sleep.
  • Sweating a lot.
  • Dry skin.
  • Breast enlargement.

These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects.

You may report side effects to the FDA at 1-800-332-1088. You may also report side effects at

If OVERDOSE is suspected:

If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

How do I store and/or throw out Nilutamide?

  • Store at room temperature.
  • Store in a dry place. Do not store in a bathroom.
  • Protect from light.
  • Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
  • Throw away unused or expired drugs. Do not flush down a toilet or pour down a drain unless you are told to do so. Check with your pharmacist if you have questions about the best way to throw out drugs. There may be drug take-back programs in your area.

Consumer information use

  • If your symptoms or health problems do not get better or if they become worse, call your doctor.
  • Do not share your drugs with others and do not take anyone else's drugs.
  • Some drugs may have another patient information leaflet. Check with your pharmacist. If you have any questions about nilutamide, please talk with your doctor, nurse, pharmacist, or other health care provider.
  • If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.