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Nilandron Side Effects

Generic Name: nilutamide

Note: This document contains side effect information about nilutamide. Some of the dosage forms listed on this page may not apply to the brand name Nilandron.

For the Consumer

Applies to nilutamide: oral tablet

Along with its needed effects, nilutamide (the active ingredient contained in Nilandron) may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur while taking nilutamide:

More common
  • Blood in the urine
  • blurred vision
  • chest pain
  • chills
  • cough
  • diarrhea
  • difficult or labored breathing
  • dizziness
  • fever or chills
  • general feeling of discomfort or illness
  • headache
  • joint pain
  • loss of appetite
  • muscle aches and pains
  • nausea
  • nervousness
  • pale skin
  • pounding in the ears
  • runny nose
  • shivering
  • shortness of breath
  • slow or fast heartbeat
  • sneezing
  • sore throat
  • sweating
  • tightness in the chest
  • trouble with sleeping
  • troubled breathing with exertion
  • unusual bleeding or bruising
  • unusual tiredness or weakness
  • vomiting
  • wheezing
Less common
  • Arm, back, or jaw pain
  • blindness
  • bloody, black, or tarry stools
  • change in color vision
  • decreased urine output
  • decreased vision
  • difficulty seeing at night
  • dilated neck veins
  • fainting
  • fast or irregular heartbeat
  • increased cough
  • increased sensitivity of the eyes to sunlight
  • irregular breathing
  • swelling of the face, fingers, feet, or lower legs
  • vomiting of blood or material that looks like coffee grounds
  • weight gain or loss

Some side effects of nilutamide may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common
  • Acid or sour stomach
  • belching
  • body hair loss
  • bone pain
  • burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings
  • changes in vision
  • decrease in testicle size
  • decreased interest in sexual intercourse
  • depression
  • difficulty having a bowel movement (stool)
  • dizziness
  • dry skin
  • feeling of warmth
  • heartburn
  • inability to have or keep an erection
  • increased urge to urinate during the night
  • indigestion
  • loss in sexual ability, desire, drive, or performance
  • pain
  • rash
  • redness of the face, neck, arms and occasionally, upper chest
  • sleeplessness
  • stomach discomfort, upset, or pain
  • sudden sweating
  • unable to sleep
  • waking to urinate at night
Less common
  • Difficulty with moving
  • dry mouth
  • general feeling of discomfort or illness
  • itching
  • muscle pain or stiffness
  • pain, swelling, or redness in the joints
  • passing of gas

For Healthcare Professionals

Applies to nilutamide: oral tablet


Very common (10% or more): Dyspnea (up to 10.5%)
Common (1% to 10%): Interstitial pneumonitis, lung disorder, upper respiratory infection, pneumonia, increased cough, rhinitis
Postmarketing reports: Interstitial or alveolo-interstitial changes (e.g. pulmonary fibrosis)[Ref]


Very common (10% or more): Increased AST (up to 12.9%)
Common (1% to 10%): Increased ALT, increased alkaline phosphatase, increased BUN, increased creatinine
Uncommon (0.1% to 1%): Hepatitis
Rare (less than 0.1%): Mixed hepatocellular-fulminant hepatitis[Ref]


Very common (10% or more): Impaired adaptation to dark (up to 57%)
Common (1% to 10%): Chromatopsia, impaired adaptation to light, abnormal vision, cataract, photophobia[Ref]


Common (1% to 10%): Hypertension, angina, heart failure
Frequency not reported: QT prolongation[Ref]


Common (1% to 10%): Anemia, hematuria, melena, increased haptoglobin, leukopenia
Rare (less than 0.1%): Aplastic anemia[Ref]


The most common adverse events (especially nausea, alcohol intolerance, impairment of dark or light adaptation and dizziness) occur early during treatment and usually lessen after one month following dose reduction.[Ref]


Very common (10% or more): Hot flushes (up to 66.5%), impotence (up to 11%), decreased libido (up to 11%), gynecomastia (up to 10.5%)
Common (1% to 10%): Sweating, body hair loss[Ref]


Very common (10% or more): Testicular atrophy (up to 16.3%)
Common (1% to 10%): Urinary tract infection, urinary tract disorder, nocturia[Ref]


Very common (10% or more): Pain (up to 26.8%), asthenia (up to 19.1%), peripheral edema (up to 12.4%), alcohol intolerance (up to 10%)
Common (1% to 10%): Chest pain, fever, flu syndrome, malaise, syncope[Ref]

Nervous system

Very common (10% or more): Headache (up to 13.9%), dizziness (up to 10%)
Common (1% to 10%): Hypesthesia, paresthesia, nervousness[Ref]


Very common (10% or more): Anorexia (up to 11%)
Common (1% to 10%): Weight loss, hyperglycemia[Ref]


Very common (10% or more): Back pain (up to 11.5%)
Common (1% to 10%): Bone pain, arthritis[Ref]


Very common (10% or more): Insomnia (up to 16.3%)
Common (1% to 10%): Depression[Ref]


Very common (10% or more): Nausea (up to 23.9%), constipation (up to 19.6%), abdominal pain (up to 10%)
Common (1% to 10%): Dyspepsia, vomiting, diarrhea, gastrointestinal disorder, gastrointestinal hemorrhage, dry mouth[Ref]


Common (1% to 10%): Dry skin, rash, pruritus[Ref]


1. "Product Information. Nilandron (nilutamide)." Hoechst Marion-Roussel Inc, Kansas City, MO.

2. Cerner Multum, Inc. "Australian Product Information." O 0

Some side effects of Nilandron may not be reported. Always consult your doctor or healthcare specialist for medical advice. You may also report side effects to the FDA.

Disclaimer: Every effort has been made to ensure that the information provided is accurate, up-to-date and complete, but no guarantee is made to that effect. In addition, the drug information contained herein may be time sensitive and should not be utilized as a reference resource beyond the date hereof. This material does not endorse drugs, diagnose patients, or recommend therapy. This information is a reference resource designed as supplement to, and not a substitute for, the expertise, skill , knowledge, and judgement of healthcare practitioners in patient care. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate safety, effectiveness, or appropriateness for any given patient. does not assume any responsibility for any aspect of healthcare administered with the aid of materials provided. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the substances you are taking, check with your doctor, nurse, or pharmacist.