Abirateron bei Prostatakrebs
Zytiga
Begutachtet von Sid DajaniZuletzt aktualisiert von Michael Stewart, MRPharmSLast updated 18 May 2024
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The usual dose is two 500 mg tablets taken together, once a day. Swallow the tablets whole, with water.
Take the tablets when your stomach is empty. This means taking your dose at least an hour before a mealtime, or waiting for two hours afterwards.
You will also be prescribed another medicine (either prednisone or prednisolone) to take alongside abiraterone. It is important that you take it regularly every day.
At a glance
Abiraterone is an anti-androgen medicine used for advanced prostate cancer.
It reduces male sex hormones, slowing cancer growth.
Take tablets on an empty stomach, at least one hour before food or two hours after.
Abiraterone is prescribed with prednisone or prednisolone to reduce side-effects.
You will need regular blood tests and blood pressure checks.
Common side-effects include urinary issues, swollen legs, diarrhoea, and high blood pressure.
If you have diabetes, heart problems, or kidney/liver issues, tell your doctor.
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About abiraterone
Art des Medikaments | An anti-androgen medicine |
Verwendet für | Advanced prostate cancer |
Auch genannt | Zytiga® |
Verfügbar als | Tabletten |
In some men with prostate cancer, the cancer cells spread to parts of the body other than the prostate. When this happens, it is referred to as late, advanced or metastatic prostate cancer. Treatment options for this type of cancer typically include hormone treatment, surgery, radiotherapy and chemotherapy.
Abiraterone is a hormone treatment - it belongs to a group of medicines known as anti-androgens. This means that it reduces the amount of male sex hormones (called androgens) that your body produces. In prostate cancer, androgens are produced by your testicles (testes), by your adrenal glands, and in the tumour cells. Abiraterone reduces the amount of androgens produced by each of these, and this slows the growth of the cancer.
Abiraterone will be prescribed for you alongside another medicine, either prednisone oder Prednisolon. These medicines reduce the risk of unwanted effects from abiraterone treatment.
Before taking abiraterone
Zurück zum InhaltSometimes a medicine may only be used in people with certain conditions if extra care is taken. For this reason, before you start taking abiraterone it is important that your doctor knows:
If you have been told you have high blood pressure, or low levels of potassium in your blood.
If you have heart or blood vessel problems.
Wenn Sie Diabetes haben.
Wenn Sie Probleme mit der Funktion Ihrer Nieren oder Ihrer Leber haben.
Wenn Sie andere Medikamente einnehmen oder verwenden. Dazu gehören alle Medikamente, die Sie einnehmen und die ohne Rezept erhältlich sind, sowie pflanzliche und ergänzende Medikamente.
Wenn Sie jemals eine allergische Reaktion auf ein Medikament hatten.
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How to take abiraterone
Zurück zum InhaltBefore you start the treatment, read the manufacturer's printed information leaflet from inside the pack. It will give you more information about abiraterone and will provide you with a full list of the side-effects which you may experience from taking it.
Take abiraterone exactly as your doctor tells you to. The usual dose is two 500 mg tablets (1000 mg in total) taken together, once a day. Your dose will be printed on the label of the pack to remind you about what the doctor said to you.
You must take the tablets when your stomach is empty. This means that you should take abiraterone at least an hour before a mealtime, or wait until at least two hours after you have eaten. This is because taking abiraterone with food will increase the amount of the medicine in your blood in a way that isn't predictable, and this is likely to cause side-effects.
Take the tablets with a drink of water. Swallow the tablets whole - do not crush or break the tablets in order to swallow them.
Try to take abiraterone at the same time of day each day as this will help you to remember to take your doses regularly.
If you do forget to take a dose, take it as soon as you remember. If you do not remember until the following day, skip the forgotten dose. Do not take two doses together to make up for a missed dose.
Das Beste aus Ihrer Behandlung herausholen
Zurück zum InhaltTry to keep your regular appointments with your doctor. This is so your doctor can check on your progress. You will need to have regular blood tests to check on the amount of potassium in your blood and how well your liver is working. Your doctor will also want to check your blood pressure routinely.
It is important that you continue to take the prednisone or prednisolone tablets that you will be prescribed alongside abiraterone. You should take these tablets regularly every day. Do not stop taking them unless your doctor tells you to.
If you have diabetes you will need to check your blood glucose more frequently as these tablets can increase the level of sugar in your blood. Your doctor will advise you about this.
If you are having an operation or dental treatment, tell the person carrying out the treatment which medicines you are taking. This is important because your dose of prednisone or prednisolone may need to be increased for a short while.
Abiraterone may harm an unborn child. This means that if you are having sex with a woman who could become pregnant, you must use a condom along with another effective birth control method. If you are having sex with a woman who is already pregnant, you must use a condom to protect the unborn child.
Wenn Sie Medikamente kaufen, fragen Sie einen Apotheker, ob sie sicher mit Ihren anderen Medikamenten eingenommen werden können.
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Can abiraterone cause problems?
Zurück zum InhaltAlong with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the most common ones associated with abiraterone. You will find a full list in the manufacturer's information leaflet supplied with your medicine. Speak with your doctor or pharmacist if you experience any symptoms which you think may be due to abiraterone.
Very common abiraterone side-effects (these affect more than 1 in 10 men) | Was kann ich tun, wenn ich das erlebe? |
Feeling pain on passing urine or needing to pass urine more frequently | These may be signs that you have a urinary tract infection |
Swollen legs, feet, or ankles (due to fluid retention) | Keep your feet elevated as much as possible |
Durchfall | Trinke viel Wasser |
High blood pressure, low levels of potassium in your blood, increased levels of fats (triglycerides) in your blood, changes to your liver function test results | Your doctor will be monitoring your progress and will check for these |
Common abiraterone side-effects (diese betreffen weniger als 1 von 10 Männern) | Was kann ich tun, wenn ich das erlebe? |
Chest pain, feeling of a fast heartbeat, other heart problems | Let your doctor know |
Verdauungsstörungen | Halten Sie sich an einfache Speisen - vermeiden Sie reichhaltige oder scharfe Mahlzeiten |
Infections, muscle pain, skin rash, blood in your urine | Let your doctor know |
How to store abiraterone
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An einem kühlen, trockenen Ort aufbewahren, fern von direkter Hitze und Licht.
Wichtige Informationen über alle Medikamente
Zurück zum InhaltWichtige Informationen über alle Medikamente
Nehmen Sie niemals mehr als die vorgeschriebene Dosis ein. Wenn Sie vermuten, dass Sie oder jemand anderes eine Überdosis dieses Medikaments eingenommen haben könnte, gehen Sie in die Notaufnahme Ihres örtlichen Krankenhauses. Nehmen Sie den Behälter mit, auch wenn er leer ist.
Dieses Medikament ist für Sie. Geben Sie es niemals an andere Personen weiter, auch wenn deren Zustand ähnlich erscheint wie Ihrer.
Bewahren Sie keine abgelaufenen oder unerwünschten Medikamente auf. Bringen Sie sie zu Ihrer örtlichen Apotheke, die sie für Sie entsorgt.
Wenn Sie Fragen zu diesem Medikament haben, fragen Sie Ihren Apotheker.
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Häufig gestellte Fragen
Why do I need to take prednisone or prednisolone with abiraterone?
You will be prescribed either prednisone or prednisolone to take alongside abiraterone. These medicines are important because they help to reduce the risk of certain unwanted effects that can occur from abiraterone treatment. It's crucial to continue taking them regularly every day unless your doctor advises you otherwise.
What happens if I miss a dose of abiraterone?
If you forget to take a dose, you should take it as soon as you remember. However, if you don't remember until the following day, you should skip the forgotten dose completely. It's important never to take two doses together to try and make up for a missed one.
Why is it so important to take abiraterone on an empty stomach?
Abiraterone must be taken when your stomach is empty. This means you should take it at least one hour before eating a meal, or wait until at least two hours after you have eaten. Taking abiraterone with food can increase the amount of medicine in your blood in an unpredictable way, which could lead to more side-effects.
What kind of monitoring will I need while taking abiraterone?
Your doctor will schedule regular appointments to check on your progress. You will need to have routine blood tests to monitor the levels of potassium in your blood and to assess how well your liver is functioning. Your blood pressure will also be checked routinely during your treatment.
Can abiraterone affect blood sugar levels if I have diabetes?
Yes, if you have diabetes, you will need to check your blood glucose levels more frequently while taking abiraterone. This is because these tablets can increase the level of sugar in your blood. Your doctor will provide you with specific advice on how to manage this.
Are there any specific precautions if I need an operation or dental treatment?
Yes, if you are planning to have an operation or dental treatment, it's very important to inform the person carrying out the treatment about all the medicines you are taking, including abiraterone and the prednisone or prednisolone. This is because your dose of prednisone or prednisolone may need to be temporarily increased for a short period.
What should I do if my legs, feet, or ankles become swollen while taking abiraterone?
Swelling in your legs, feet, or ankles due to fluid retention is a very common side-effect of abiraterone. If you experience this, you should try to keep your feet elevated as much as possible to help reduce the swelling.
Weiterführende Literatur und Referenzen
- Manufacturer's PIL, Zytiga® 500 mg tablets; Janssen-Cilag Ltd, The electronic Medicines Compendium. Dated September 2021.
- Medikamente Komplett BNF 89. Ausgabe; Britische Ärztevereinigung und Königliche Pharmazeutische Gesellschaft von Großbritannien, London.
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About the authorView full bio

Michael Stewart, MRPharmS
Manager für die Überprüfung von Beipackzetteln – Auftragnehmer, Apotheker
BPharm (Hons), MRPharmS
Michael ist ein Gemeindapotheker, der in den Midlands und South Yorkshire praktiziert und über mehr als 20 Jahre Erfahrung in der Beratung zu Medikamenten und medizinischen Bedingungen verfügt. Er hat einen starken Hintergrund in der Gesundheitsausbildung, da er Schulungskurse für Apothekenteams und Mitarbeiter von Pflegeeinrichtungen, einschließlich Krankenschwestern, erstellt und durchgeführt hat. Er hat auch zu Apothekenbeiräten für das Management von geringfügigen Erkrankungen in der Gemeinschaft beigetragen.
About the reviewer

Sid Dajani
Sultan Dajani qualified at the London School of Pharmacy in 1994 and became the youngest elected member of the Royal Pharmaceutical Society council since its founding in 1842.
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18 May 2024 | Neueste Version

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