Enzamide Tablets — Enzalutamide 40 mg (30 Tabs) Everest

Prescribed by oncologists for the treatment of adult men with:

• 🔹 Metastatic Castration-Resistant Prostate Cancer (mCRPC): For patients whose disease has progressed despite androgen deprivation therapy (both pre- and post-chemotherapy settings).
• 🔹 Non-Metastatic Castration-Resistant Prostate Cancer (nmCRPC): For patients at high risk of developing metastasis.
• 🔹 Metastatic Hormone-Sensitive Prostate Cancer (mHSPC).

Sales Unit: Bottle containing 30 film-coated tablets (40 mg strength).

⚠️ APPLICATION INSTRUCTIONS:

• Standard Daily Dosage: 160 mg (which equals 4 tablets of 40 mg) taken once daily.
• Administration: Take all 4 tablets at the same time, once a day. Can be taken with or without food.
• Method: Swallow tablets whole with water. Do not chew, dissolve, or break the tablets.
• ✋ Missed Dose: If you miss a dose, take it as soon as you remember on the same day. If you forget for the whole day, resume your normal schedule the next day. Do not take a double dose to make up for the missed one.

• ⛔ Women and Children: Strictly indicated for men only. Contraindicated in pregnant women (fetal toxicity).
• Hypersensitivity to Enzalutamide.
• History of Seizures: Use with caution (drug may lower seizure threshold).
• Severe renal impairment.

Patients are advised to maintain physical activity to manage fatigue. Potential side effects include:

• 💤 General: Fatigue (asthenia), weakness.
• 🥵 Vascular: Hot flushes (very common), hypertension (high blood pressure).
• 🦴 Musculoskeletal: Increased risk of falls and fractures.
• 🧠 Neurological: Headache, anxiety, memory impairment, rarely — seizures.
• 🤢 Gastrointestinal: Decreased appetite, constipation, or diarrhea.