FDA Video: Mixups between Kapidex and Casodex



The Institute for Safe Medication Practices (ISMP) has reported medication errors due to name confusion between Kapidex (dexlansoprazole) and Casodex (bicalutamide). Kapidex is used to treat erosive esophagitis and gastroesophageal reflux disease. Casodex is used in combination therapy to treat metastatic prostate carcinoma, and is contraindicated in women. Patients who receive either drug because of a name mixup could experience unintended drug effects or adverse events.

ISMP suggests several ways to avoid these name mixups:
  • First, take the time to verify written or verbal orders.
  • Also, build an alert into your computer system, and consider adding this pair of drugs to your list of confusing drug names.
  • Finally, ISMP recommends that prescribers include the drug's purpose when writing prescriptions.