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Screen for hepatitis B virus in all cancer patients starting systemic treatment. Find out more about hepatitis B virus screening and management.

flutamide

( FLUTE-am-eyed )
Other Name(s): Euflex®
Appearance: tablet

flutamide

Pronunciation:

FLUTE-am-eyed

Other Name(s):

Euflex®

Appearance:

tablet

This handout gives general information about this cancer medication.

You will learn:

  • who to contact for help

  • what the medication is

  • how it is given

  • what to expect while on medication

People Talking

This handout was created by Ontario Health (Cancer Care Ontario) together with patients and their caregivers who have also gone through cancer treatment. It is meant to help support you through your cancer treatment and answer some of your questions.

This information does not replace the advice of your health care team. Always talk to your health care team about your treatment.

 

Who do I contact if I have questions or need help?

 

My cancer health care provider is: _____________________________________________

During the day I should contact: _______________________________________________

Evenings, weekends and holidays: _____________________________________________

 

This page gives general information about this cancer medication.

You will learn:

  • who to contact for help

  • what the medication is

  • how it is given

  • what to expect while on this medication

People Talking

This information was created by Ontario Health (Cancer Care Ontario) together with patients and their caregivers who have also gone through cancer treatment. It is meant to help support you through your cancer treatment and answer some of your questions.

This information does not replace the advice of your health care team. Always talk to your health care team about your treatment.

What is this treatment for?
  • For treating prostate cancer, usually used with another family of drugs that reduce testosterone production
What should I do before I start this treatment?
  • Tell your doctor and pharmacist if you have/had significant medical condition(s), especially if you have / had liver or heart problems (including irregular heartbeat), diabetes, bone loss/osteoporosis or any allergies.

  • This drug contains a small amount of lactose. If you cannot tolerate lactose, talk to your doctor or pharmacist.

  • People who have cancer or leukemia are at a higher risk of developing other cancers/leukemias (usually some years later) or blood clots. Some cancer medications may increase these risks, especially if used for a prolonged period of time. You should discuss any concerns with your doctor.

How is this treatment given?
  • This medication is usually taken three times a day (every 8 hours) by mouth.

  • Take it exactly as directed by your doctor. Make sure you understand the instructions.

  • Take the dose at about the same time(s) each day.

  • Swallow whole with a glass of water, with or without food.

  • If a dose is missed, skip this and take the next dose as scheduled. Never double the dose to make up for the missed one.

  • Drinking alcohol while taking flutamide may produce excessive facial flushing. Avoid drinking alcohol if this becomes bothersome.

Will this treatment interact with other medications or natural health products?

This medication can interact with other medications and can result in the treatment not working as well or cause severe side effects.

Make sure your health care team knows about all your medications (prescription, over-the-counter, herbals and supplements). Check with your health care team before starting or stopping any of them.

How will this treatment affect sex, pregnancy and breastfeeding?
  • Flutamide is only used to treat prostate cancer.

  • In the laboratory, this drug may harm or affect the embryos/offspring of animals exposed to it.

  • While this may not be directly applicable to you, if there is ANY chance that your partner may become pregnant, you and your partner together must: ► Use 2 effective forms of birth control at the same time while taking this drug: Keep using birth control until at least 6 months (general recommendation) after the last dose. Discuss with your healthcare team.

  • Effects on Fertility: Probable

How to safely store and handle this medication

Keep this medication in the original packaging at room temperature in a dry place, away from heat and light. Keep out of sight and reach of children and pets.

Do not throw out any unused medications at home. Bring them to your pharmacy to be thrown away safely.

What are the side effects of this treatment?

The following side effects are common or severe. You may not have all of the side effects listed, while others not on this list may also occur. Discuss with your doctor if you have any unusual or bothersome symptoms.
 


Most Common Side Effects
Side effects and what to do When to contact health care team

Diarrhea

  • Drink plenty of clear fluids. Limit hot, spicy, fried foods, foods/drinks with caffeine, orange or prune juice. Try a low-fiber BRAT diet (Bananas, white Rice, Apple sauce, Toast made with white bread).
  • Take anti-diarrhea drug(s) if given to you by your doctor.
  • Also see Diarrhea pamphlet.*
     
Contact your health care team if no improvement or if severe

Increased sweating, feelings of warmth (hot flashes)

  • Avoid triggers such as alcohol, caffeine (tea, coffee, cola), chocolate, hot & spicy food, stress and heat.
  • Exercise regularly. Keep cool; dress lightly, drink plenty of water. May improve over time.

Other symptoms of having low testosterone levels

  • Impotence
  • Breast swelling or tenderness
  • Decrease in sexual desire
  • Bladder infections
     
Contact your health care team if no improvement or if severe

Nausea and vomiting (generally mild)

  • Drink clear fluids and avoid large meals. Get fresh air and rest.
  • Limit spicy, fried foods or foods with a strong smell.
  • Take anti-nausea drug(s) exactly as directed by your doctor. It is easier to prevent nausea than to treat it.
  • Contact your doctor if nausea lasts more than 48 hours or vomiting for more than 24 hours.
  • Also see Nausea & Vomiting pamphlet.*
Contact your health care team if no improvement or if severe

 

Less Common Side Effects, but may be Severe
Side effects and what to do When to contact health care team

Abnormal liver lab tests

  • Your doctor will monitor these regularly.  Call your doctor if you have yellowish skin or eyes, or unusual dark urine.
Contact your health care team if no improvement or if severe

Blockage of an artery (blood vessel) in your heart, brain, chest, belly, or limbs; this may result in stroke (sudden loss of vision, speech, or the use of your limb(s)) or heart attack (chest pain, shortness of breath), or pain in chest, belly or limb

Blood clot (limb pain or swelling, hardened vein in limb), may occur in lungs (sudden start of coughing, breathing problems, chest pain, coughing blood)

Get emergency medical help right away

Lupus-like syndrome (an immune disorder with skin rash, may also affect joints (swelling/tenderness) and other organs such as kidneys

Contact your health care team as soon as possible (office hours)

Heart problems
(irregular heartbeat, chest pain, fainting, swelling in legs/ankles/belly, shortness of breath)

Get emergency medical help right away

Rapid breakdown of red blood cells
(yellowing of the skin or eyes and/or red-brown urine)

Get emergency medical help right away

Bone pain; Bone loss

Contact your health care team if no improvement or if severe

Lung problems
(increased cough, breathing problems, chest pain, coughing blood)

Get emergency medical help right away

Severe rash, may occur on the body/limbs with blistering or peeling of skin

Get emergency medical help right away

For more information on how to manage your symptoms ask your health care provider, or visit: https://www.cancercareontario.ca/symptoms.

Notes

August 2025 Updated/revised information sheet

The information set out in the medication information sheets, regimen information sheets, and symptom management information (for patients) contained in the Drug Formulary (the "Formulary") is intended to be used by health professionals and patients for informational purposes only. The information is not intended to cover all possible uses, directions, precautions, drug interactions or side effects of a certain drug, nor should it be used to indicate that use of a particular drug is safe, appropriate or effective for a given condition.

A patient should always consult a healthcare provider if he/she has any questions regarding the information set out in the Formulary. The information in the Formulary is not intended to act as or replace medical advice and should not be relied upon in any such regard. All uses of the Formulary are subject to clinical judgment and actual prescribing patterns may not follow the information provided in the Formulary.