Before you begin using a medication, be sure to inform your doctor of any medical conditions or Allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use Anandron (Nilutamide).
Alcohol consumption: Anandron (Nilutamide) may cause nausea and flushing if consumed at the same time as alcohol.
Anemia: Anandron (Nilutamide) may cause low levels of red blood cells. If you experience symptoms of anemia (reduced red blood cell count) such as shortness of breath, feeling unusually tired, or pale skin, contact your doctor as soon as possible. Your doctor will do blood tests regularly to monitor the number of specific types of blood cells, including red blood cells, in your blood.
Bone health: Long-term use of Anandron (Nilutamide) may cause your bones to be less dense and increase the risk of fractures. Your doctor will monitor you for this while you are using Anandron (Nilutamide). If you have Osteoporosis or are at risk for it (e.g., have been smoking or drinking excessive amounts of alcohol for a long time, have a family history of osteoporosis, or are taking medications such as Prednisone or anti-seizure medications), discuss with your doctor how Anandron (Nilutamide) may affect your medical condition and whether any special monitoring is needed.
Diabetes: Anandron (Nilutamide) may cause a loss of blood glucose control, and glucose tolerance may change. People with diabetes may find it necessary to monitor their blood sugar more frequently while using Anandron (Nilutamide). If you have diabetes or are at risk for developing diabetes, discuss with your doctor how Anandron (Nilutamide) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Anandron (Nilutamide), and whether any special monitoring is needed.
Drowsiness/reduced alertness: Anandron (Nilutamide) may make you feel more tired or may make it more difficult for the eyes to adapt when moving from a well lit area to a more dimly lit area. This effect can be reduced by the use of sunglasses.
Heart disease: Anandron (Nilutamide) may increase the risk for heart disease. Anandron (Nilutamide) can also cause changes to the normal rhythm of the heart, including an irregular heartbeat called QT prolongation. QT prolongation is a serious life-threatening condition that can cause fainting, seizures, and sudden death. If you are at risk for heart rhythm problems (e.g., if you have heart failure, Angina, or low potassium or magnesium levels), discuss with your doctor how Anandron (Nilutamide) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Anandron (Nilutamide), and whether any special monitoring is needed.
Your doctor will monitor your heart rhythm regularly with a test called an electrocardiogram (ECG) while you are taking Anandron (Nilutamide). You should not take Anandron (Nilutamide) if your ECG already shows that you have QT prolongation or if you are taking a medication that can cause QT prolongation.
Lactose: Anandron (Nilutamide) contains lactose. If you have galactose intolerance (galactosemia, glucose-galactose malabsorption, or Lapp lactase deficiency), you should not take Anandron (Nilutamide).
Liver function: Liver disease or reduced liver function may cause Anandron (Nilutamide) to build up in the body, causing side effects. If you have liver problems, discuss with your doctor how Anandron (Nilutamide) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Anandron (Nilutamide), and whether any special monitoring is needed. Your doctor may want to test your liver function regularly with blood tests while you are taking Anandron (Nilutamide).
If you experience symptoms of liver problems such as fatigue, feeling unwell, loss of appetite, nausea, yellowing of the skin or whites of the eyes, dark urine, pale stools, abdominal pain or swelling, and itchy skin, contact your doctor immediately.
Lung inflammation: Lung inflammation (interstitial lung disease) causing difficulty breathing has occurred rarely in some people taking Anandron (Nilutamide). This complication can be serious and sometimes fatal. If you experience new or worsening shortness of breath or cough (with or without Fever) at any time while you are taking Teriflunomide contact your doctor immediately.
