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Nubeqa® Tablets for Prostate Cancer
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Applies to all products originating from Canada. Maximum allowable quantity equal to a 90-day supply per single order.
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$4,188.99
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Darolutamide is a prescription therapy for certain prostate cancers. This page explains how it works, who it may suit, and safe use basics. We support US delivery from Canada, helping you compare options even if paying without insurance.
What Nubeqa Is and How It Works
Border Free Health connects U.S. patients with licensed Canadian partner pharmacies; prescriptions are verified with prescribers before dispensing.
Nubeqa® is darolutamide, an androgen receptor inhibitor used with ongoing androgen deprivation therapy. It blocks androgen receptors, which can slow cancer cell growth. In some cases of metastatic hormone-sensitive disease, a prescriber may add docetaxel to this regimen based on the approved label.
This medicine acts mainly in peripheral tissues and is designed to have low penetration into the central nervous system. That may reduce certain neurologic side effects compared with some other agents in this class. Always follow your clinician’s plan and the official prescribing information.
You can read more about the condition it treats in our Prostate Cancer hub and explore other oncology options in Cancer.
Who It’s For
This treatment is indicated for adults with non-metastatic castration-resistant prostate cancer and, in combination with docetaxel, for metastatic hormone-sensitive prostate cancer. It is used together with ongoing androgen deprivation therapy or after surgical castration. People with severe liver disease, severe renal impairment, or a history of significant hypersensitivity to any component should discuss suitability with their prescriber.
It is not intended for women or children. Before starting, share your full medication list and medical history, including cardiovascular conditions and any planned chemotherapy, with your healthcare professional.
Dosage and Usage
The standard adult regimen is taken by mouth twice daily with food. Swallow the tablets whole with water. Do not crush, split, or chew them unless your prescriber directs otherwise. Continue background androgen deprivation therapy during treatment unless your clinician advises a change. If you are prescribed docetaxel, your team will coordinate timing.
Because other medicines and certain organ conditions can affect exposure, your prescriber may adjust dosing in specific circumstances. Follow the official label and your care plan. If you experience new or worsening symptoms, contact your healthcare professional promptly.
Strengths and Forms
The product is supplied as film-coated tablets for oral use. Commonly available presentations include Nubeqa 300 mg tablets. Availability can vary by supplier and country of origin. Check product details at checkout for the exact pack size provided in your shipment.
If you prefer to source by origin, see our country tag for Canada. Packaging and markings may differ by manufacturer locale, while maintaining the same approved active ingredient.
Missed Dose and Timing
If you miss a dose, take it as soon as you remember on the same day. If it is almost time for your next scheduled dose, skip the missed dose and resume your regular schedule. Do not take two doses at once to make up for a missed dose. If you vomit after taking a dose, do not take an extra dose; resume with the next one at the usual time.
Storage and Travel Basics
Store tablets at room temperature in the original container. Keep the bottle tightly closed and away from moisture and excessive heat. Place it out of reach of children and pets. When traveling, pack your prescription in your carry-on along with a copy of your medication list. Keep the product in its labeled container for security screening and to help pharmacists verify details if needed.
For longer trips, bring enough for the entire period plus a small buffer, as approved by your prescriber. If you will cross time zones, keep a simple dosing schedule by anchoring your timing to your home routine or ask your clinician for guidance. Avoid storing tablets in a car or other places with temperature extremes.
Benefits
This therapy targets androgen receptor signaling, a key driver in many prostate cancers. When used with androgen deprivation therapy, it can delay disease progression and help maintain disease control. In appropriate cases, the regimen may be combined with docetaxel to improve outcomes in metastatic hormone-sensitive settings.
Oral dosing offers convenience for many adults. Regular follow-up lets your care team monitor response, adjust supportive care, and coordinate any additional treatments as needed.
Side Effects and Safety
- Fatigue or low energy
- Pain in extremities or musculoskeletal discomfort
- Rash or skin irritation
- Diarrhea or decreased appetite
- Elevated liver enzymes on blood tests
- Hypertension in some patients
Serious effects are less common but can include significant liver issues, cardiovascular events, or severe hypersensitivity. Report chest pain, new shortness of breath, yellowing of the skin or eyes, or severe rash immediately. When given with docetaxel, your team will also monitor for chemotherapy-related effects such as low blood counts. This medicine does not typically cause low blood sugar, but always discuss any symptoms with a clinician.
Drug Interactions and Cautions
Darolutamide is affected by certain enzymes and transporters. Strong CYP3A4 inducers such as rifampin and St. John’s wort can reduce its levels. Strong or moderate CYP3A4 inhibitors and P-gp inhibitors can increase exposure. The treatment can increase levels of BCRP and OATP substrates, including some statins like rosuvastatin; your prescriber may adjust those medicines or monitor more closely.
Tell your healthcare professional about all prescription drugs, over-the-counter products, supplements, and herbal remedies. Avoid starting new medicines without checking for interactions. Alcohol intake should be discussed, especially if you have liver concerns.
What to Expect Over Time
Many people continue therapy long term while their care team monitors disease status. Your clinician may check PSA, imaging, and general health markers at intervals. Some side effects may appear early, such as fatigue, while others may be seen on routine labs. If combined with docetaxel, schedules are coordinated to balance effectiveness and tolerability. Keep a simple medication log, bring it to each visit, and note any new symptoms.
Results vary. The aim is to maintain control of cancer growth and delay progression. Your prescriber will revisit goals and supportive care as needs change. Adhering to the dosing schedule and keeping appointments help your team guide care safely.
Compare With Alternatives
Several androgen pathway therapies are approved for related indications. For example, Xtandi (enzalutamide) is an oral androgen receptor inhibitor used in multiple prostate cancer settings. Zytiga (abiraterone) is a CYP17 inhibitor taken with prednisone and is used across different stages, including metastatic disease. Your prescriber will consider disease stage, comorbidities, and prior treatments when recommending an option.
Pricing and Access
We list transparent options so you can review Nubeqa price and compare pack sizes before checkout. If you are looking for a Nubeqa coupon, check our site first for any posted offers. We provide Canadian pricing with US shipping from Canada, with encrypted checkout to help protect your information. For time-limited site offers, see our Promotions page.
Final costs can vary by supplier, quantity, and prescriber requirements. Add the item to your cart to see current availability and options. Your prescription will be verified before fulfilment.
Availability and Substitutions
Supply can vary by market and manufacturer lot. If a selected pack is temporarily unavailable, your prescriber may recommend another appropriate option in the same class or a different approach. Some patients compare Darolutamide 300 mg tablets price across pack sizes when planning longer fills. Your care team can help prioritize continuity of therapy first and cost planning second.
Patient Suitability and Cost-Saving Tips
This therapy may suit adults who can adhere to a twice-daily schedule with food and continue background androgen deprivation therapy. It may not suit those with certain severe liver or kidney issues, or people with significant drug interactions that cannot be managed. It is not for women or children.
- Multi-month fills: lowers per-shipment fees and reduces refill gaps
- Plan labs and refills: align refill dates with clinic visits
- Carry documentation: keep a medication list for pharmacy questions
- Ask about generics: availability can change by market
- Discuss budgets: align care plans with coverage and goals
To plan out-of-pocket spending, discuss Darolutamide cost without insurance with your care team and our support. If your clinician approves a larger supply and you can store it safely, it may reduce per-order fees over time.
Questions to Ask Your Clinician
- Treatment goal: disease control metrics and monitoring plan
- Combining therapies: whether chemotherapy or other agents add benefit
- Side-effect plan: what to report right away and what can wait
- Interactions: managing statins, anticoagulants, or seizure-threshold medicines
- Liver checks: timing of lab tests and thresholds for changes
- Affordability: how Darolutamide cost compares to alternatives for you
Authoritative Sources
Label and safety details are available from:
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How does darolutamide work in prostate cancer?
Darolutamide inhibits the androgen receptor, a key driver of prostate cancer growth. By blocking receptor signaling, it can slow the ability of cancer cells to use and respond to androgens. It is taken by mouth with food and typically combined with ongoing androgen deprivation therapy. In some cases, it is also given with docetaxel in metastatic hormone-sensitive disease. Your clinician will monitor PSA, imaging, and labs during treatment to track response and safety.
What are common side effects with this treatment?
Common effects include fatigue, musculoskeletal discomfort, rash, decreased appetite, diarrhea, and hypertension. Your care team may monitor liver enzymes through routine blood tests. Serious reactions are less common but can include significant liver issues, cardiovascular events, or severe hypersensitivity. If you notice chest pain, trouble breathing, yellowing of the skin or eyes, or severe rash, seek medical help. Report new or worsening symptoms to your clinician promptly.
How should I take the tablets each day?
Most adults take the medicine twice daily with food, swallowing the tablets whole with water. Do not crush or chew unless your prescriber gives specific instructions. Keep taking your background androgen deprivation therapy unless told otherwise. If you miss a dose, take it as soon as you remember that day; if it is nearly time for the next dose, skip the missed one and resume your usual schedule. Do not double up doses.
Can I take this therapy with my statin or blood thinner?
Drug interactions can occur. Darolutamide can affect the levels of some medicines transported by BCRP or OATP, such as certain statins. Strong CYP3A4 inducers can reduce darolutamide exposure, and some inhibitors may increase it. Anticoagulants and antiplatelets require careful review. Share your full medication list, including supplements and herbals, with your prescriber so they can check for interactions and adjust therapy or monitoring if needed.
What if I need chemotherapy as well?
For some patients with metastatic hormone-sensitive disease, clinicians may combine darolutamide with docetaxel. Your oncology team will plan timing and supportive care to balance effectiveness and tolerability. Let them know about any side effects early, especially if you also receive chemotherapy, since additional monitoring may be needed. Decisions about combinations depend on disease stage, overall health, and treatment goals.
How is this medicine stored during travel?
Store tablets at room temperature in the original labeled container. Keep them dry and out of heat and sunlight. For flights, carry the prescription in your hand luggage to avoid temperature extremes; bring enough supply for the entire trip plus a buffer if your prescriber agrees. Keep a medication list for security checks and pharmacy questions. Do not store tablets in a hot car, and keep them away from children and pets.
How soon will I notice a difference?
Responses vary. Some patients notice changes only on lab tests or imaging, while symptoms may remain stable for a time. Your clinician will set expectations, track PSA and clinical markers, and adjust supportive care as needed. It is important to take the medicine consistently with food and to keep follow‑up appointments. Contact your care team if you experience new or worsening symptoms or have concerns about tolerability.
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