Xofigo, illustration of injection vial form (not a photo of the actual pack)

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Xofigo

Radium‑223 Dichloride

Prescription required

$8475.00

1000BQ/ML · 1 vial

BrandBranded medicine· By Bayer

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About Xofigo

Overview

Xofigo contains radium-223 dichloride, a radioactive medicine given by injection into a vein. It treats prostate cancer that no longer responds to treatment that lowers testosterone, has spread to the bones and causes symptoms, with no known spread to internal organs. It acts like calcium and collects in areas of increased bone activity, where it releases radiation that damages nearby cancer cells.

What it treats

Prostate cancer that no longer responds to treatment to lower testosterone, has spread to the bones and is causing symptoms, with no known spread to internal organs.

Safety information

Side effects

Common side effects of Xofigo include nausea, diarrhea, vomiting and swelling of the arms or legs. Common blood test abnormalities include low levels of red blood cells (anemia), white blood cells, including lymphocytes and neutrophils, and platelets. Xofigo can suppress bone marrow function, reducing blood cell production and potentially causing life-threatening complications. Contact your doctor if blood tests show low blood cell counts. Blood counts must be checked before treatment starts and before every dose. Combining Xofigo with abiraterone acetate plus prednisone or prednisolone increases the risk of fractures and death and is not recommended. Contact your doctor if you are taking these medicines. Xofigo can harm an unborn baby. Men with female partners who could become pregnant should use effective contraception.

When to call your doctor

• Seek medical attention immediately for severe nausea, vomiting or diarrhea. • Seek medical attention immediately for severe swelling in your arms or legs.

If symptoms are severe or getting worse quickly, seek emergency care rather than waiting.

Interactions

No formal drug interaction studies have been carried out with Xofigo. In subgroup analyses from a randomized clinical trial, using bisphosphonates or calcium channel blockers alongside Xofigo did not affect its safety or effectiveness.

Using Xofigo

Dosing

Dosing is set by your prescriber. Each health care professional may prescribe medication differently according to a patient's medical history and condition, so follow the directions on your prescription label and speak to your doctor or pharmacist before changing anything.

Storage

Store in the original carton below 25°C, protected from light, unless the pack states refrigeration. Do not freeze. Keep all medicines out of the sight and reach of children.

Clinical information on this page is summarised from the US FDA label XOFIGO (RADIUM RA 223 DICHLORIDE) INJECTION [BAYER HEALTHCARE PHARMACEUTICALS INC.] (DailyMed, retrieved 19 September 2026).

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