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Availability of over-the-counter (OTC) alternatives to Casodex While Casodex is a prescription medication that requires a doctor's supervision and approval, there are currently no over-the-counter (OTC) alternatives available that can be used as a substitute for this medication. Patients should inform their physician of any other medication they are taking (whether prescription or over-the-counter, including vitamins, herbs, etc.) as they may interfere with treatment. Patients should check with their physician before starting any new drug or nutritional supplement. Treatment with Casodex may interfere with the drug … Casodex is prescribed to treat prostate cancer. It belongs to the class of drugs known as anti-androgens, which work by blocking the action of male hormones like testosterone, which can stimulate the growth of prostate cancer cells. 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Since caffeine, alcohol, the nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them.
