Xofigo Therapy
Treatment for Prostate Cancer That Has Spread to the Bones
Xofigo is used for prostate cancer that has spread to the bones but is not known to have spread to soft tissues. Xofigo acts like calcium, so it naturally travels to areas where there is increased activity in the bones. Once there, it delivers radiation directly to those areas. This can help slow the cancer and reduce bone pain.
| How is it given? | Through an IV |
|---|---|
| Injection time | About 5 minutes |
| Total visit time | About 30 to 60 minutes |
| How often? | Every 4 weeks |
| Typical course | Six treatments |
| Can I be around other people? | Your care team will explain any precautions for your treatment. |
| Can I work? | Yes, while following good hygiene practices. |
Checking Your Blood Counts
Your blood counts need to be checked before every dose. These tests make sure your blood counts are high enough for you to safely receive treatment.
After Xofigo
Your care team will give you written instructions specific to your treatment. Follow those instructions for the duration of each precaution and call if anything is unclear.
Bathroom and Hygiene
- Use a toilet whenever possible.
- Flush the toilet several times with the lid down.
- Wash your hands frequently, including after each toilet use.
- Drink plenty of liquids and monitor fluid intake and urine output.
Caregivers and Laundry
- Caregivers should wear gloves and gowns when handling body fluids.
- Clothing soiled with urine or stool should be washed promptly and separately from other clothing.
Contact and Follow-Up
- Your care team will explain any precautions around children and pregnant women.
- Blood counts need to be checked before every dose.
- Follow your written treatment instructions for how long to continue hygiene precautions.
When to Call Your Care Team
- Signs of bleeding or infection.
- Dehydration, lightheadedness, reduced urine output or inability to urinate.
Pregnancy Prevention
If you are sexually active, discuss ways to prevent pregnancy with your healthcare provider.
Partners of men receiving Xofigo should not become pregnant for at least 6 months after Xofigo treatment is completed.
What to Watch For
- Nausea, diarrhea or vomiting.
- Swelling or swelling-related pain in the legs or feet.
- Bone pain or soreness.
- Lower blood cell counts, which may increase the risk of infection, anemia or bleeding.
Tell your healthcare provider promptly about new, worsening or unusual symptoms or side effects.
Questions About Your Treatment?
Have a question about your treatment, your appointment or your instructions at home? Call the New Mexico Cancer Center Radiation Oncology Department.