Skip to main content

Why do you need to take Xeloda with food?

Medically reviewed by Sally Chao, MD. Last updated on Jan 9, 2025.

Official Answer by Drugs.com

Xeloda (capecitabine), an oral chemotherapy medication, should be taken within 30 minutes after eating a meal in order to get the proper dosage of medication in your blood.

Xeloda should not be taken on an empty stomach. Clinical studies have shown that food influences the pharmacokinetics of the medication and thus affects its metabolites (the result of the metabolization of a medication).

Food helps slow the rate and extent of absorption of Xeloda, which is important because it is rapidly absorbed by the gastrointestinal tract upon ingestion. Rapid absorption can lead to high concentrations of the medication within the liver, which then can result in a toxicity. Delaying the rate of absorption with food will ensure the proper dosage is being metabolized within the body. Taking Xeloda with food can also help to decrease the occurrence of adverse events.

References

U.S. Food and Drug Administration (FDA). Prescribing Information: Xeloda (capecitabine). March 2015. Available at: https://www.accessdata.fda.gov/drugsatfda_docs/label/2015/020896s037lbl.pdf. [Accessed January 12, 2022].
Segal EM, Flood MR, Mancini RS, et al. Oral chemotherapy food and drug interactions: A comprehensive review of the literature. Journal of Oncology Practice. 2014. July; 10(4): e255-e268. https://ascopubs.org/doi/full/10.1200/jop.2013.001183.

Read next

How long does chemo take? Sessions, cycles, and recovery time?

The duration of chemotherapy varies significantly based on cancer type, treatment goals, and individual patient health. Some patients may complete treatment in a few months, while others require therapy for a year or longer.

Continue reading

What is the CAPOX (XELOX) chemotherapy regimen?

The CAPOX chemotherapy regimen includes capecitabine and oxaliplatin. It is a widely used and effective chemotherapy protocol for advanced colorectal and other gastrointestinal cancers. It combines oral capecitabine and intravenous oxaliplatin, administered in 3-week cycles.

Continue reading

What medications are known to cause hair loss?

Medication-induced hair loss represents a significant concern for patients across multiple therapeutic categories. While chemotherapy drugs are most commonly associated with severe hair loss, many commonly prescribed medications-including antibiotics, psychiatric drugs, cardiovascular agents, and hormonal therapies-can also cause this distressing side effect.

Continue reading

See also:

Related medical questions

Drug information

Related support groups