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Zoladex Implant — prescription drug image

Zoladex

Zoladex 3.6MG

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What is Zoladex?

Zoladex (goserelin) is a synthetic hormone that acts as a gonadotropin-releasing hormone (GnRH) agonist, used primarily in the treatment of hormone-sensitive cancers such as prostate cancer in men and breast cancer in pre- and peri-menopausal women. It works by suppressing the production of sex hormones (testosterone and estrogen), thereby inhibiting the growth of hormone-dependent tumors. Zoladex is administered via a subcutaneous implant that gradually releases medication over a 1-month or 3-month period.

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What is Zoladex ?

Zoladex (goserelin) is a synthetic hormone that acts as a gonadotropin-releasing hormone (GnRH) agonist, used primarily in the treatment of hormone-sensitive cancers such as prostate cancer in men and breast cancer in pre- and peri-menopausal women. It works by suppressing the production of sex hormones (testosterone and estrogen), thereby inhibiting the growth of hormone-dependent tumors. Zoladex is administered via a subcutaneous implant that gradually releases medication over a 1-month or 3-month period.
  • Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
  • Change in how much or how often you urinate, bloody or cloudy urine, painful urination
  • Chest pain that may spread, trouble breathing, nausea, unusual sweating, fainting
  • Depression, mood, or behavior changes
  • Fast, pounding, or uneven heartbeat, dizziness, lightheadedness
  • Numbness or weakness on one side of your body, sudden or severe headache, problems with vision, speech, or walking
  • Rapid weight gain, swelling in your hands, ankles, or feet
  • Stomach pain or bloating, dizziness, trouble breathing, confusion
  • Your doctor will check your progress and the effects of this medicine at regular visits. Keep all appointments.
  • This medicine may cause the following problems:Loss of bone densityIncreased risk of diabetes, heart attack, or stroke in menHeart rhythm problems, including QT prolongationChanges in mood or behavior
  • For women: You will stop having monthly periods during treatment with this medicine. This is not an effective form of birth control. Tell your doctor if you continue to have normal periods while receiving this medicine.
  • Injection routeMedicines used to treat cancer are very strong and can have many side effects. Before receiving this medicine, make sure you understand all the risks and benefits. It is important for you to work closely with your doctor during your treatment.
  • Tell any doctor or dentist who treats you that you are using this medicine. This medicine may affect certain medical test results.
  • Injection routeIt is not safe to take this medicine during pregnancy. It could harm an unborn baby. Tell your doctor right away if you become pregnant.
  • Use a nonhormonal form of birth control (including condoms, vaginal spermicides, cervical caps, or a diaphragm) to prevent pregnancy while you are receiving this medicine and for at least 12 weeks after treatment.
  • Tell your doctor if you are breastfeeding, or if you have bone cancer, diabetes, heart or blood vessel problems, heart rhythm problems (including long QT syndrome), a history of depression, or a family history of osteoporosis. Tell your doctor if you drink alcohol or use tobacco. Tell your doctor if you have any unusual vaginal bleeding.
What is Zoladex used for?
Zoladex (goserelin acetate) is FDA-approved for advanced prostate cancer (as palliative treatment, and — combined with flutamide, starting 8 weeks before and continuing through radiation therapy — for locally confined prostate cancer), advanced breast cancer in pre- or perimenopausal women, management of endometriosis for up to 6 months, and thinning the uterine lining before endometrial ablation for abnormal uterine bleeding.
How does the Zoladex implant work and how is it given?
Zoladex is a small biodegradable implant that a healthcare provider injects just under the skin of the abdomen. It comes in two FDA-approved strengths for prostate cancer: a 3.6 mg implant given every 28 days, and a separately approved 10.8 mg implant given every 12 weeks. It's a GnRH agonist, meaning it gradually suppresses the hormone signal that drives testosterone production in men and estrogen production in women.
What are the side effects of Zoladex (goserelin)?
Because Zoladex lowers testosterone or estrogen, common effects relate to hormone suppression (such as hot flashes). The label also warns about an initial temporary flare in hormone levels that can worsen symptoms in the first weeks, hypercalcemia in patients with bone metastases, bone density loss with long-term use, injection-site reactions, possible QT prolongation, and increased blood sugar and cardiovascular risk in men. Talk to your provider about the full list of possible side effects and warnings.
How much does Zoladex cost without insurance?
Cost varies by pharmacy and location, and there is no generic version to compare it to. Enter your ZIP code above to see current pharmacy pricing near you, and ask your pharmacist about the manufacturer's savings program if you have commercial insurance.
Is there a generic version of Zoladex?
No. As of now, there is no FDA-approved generic equivalent of the Zoladex (goserelin acetate) implant available in the US — it is only sold as the brand-name product.
How long do you stay on Zoladex for endometriosis?
For endometriosis, Zoladex is FDA-approved for use for up to 6 months in women 18 and older, with or without other therapy. Your provider will determine the right duration and any follow-up treatment for your situation.
How much does Zoladex cost without insurance?
The price of Zoladex without insurance varies by pharmacy, dosage, and quantity. Rx.com compares cash prices at more than 60,000 US pharmacies so you can find the lowest price near you. Many people save up to 32% off retail prices with a free Rx.com coupon.
What are the common side effects of Zoladex?
Common side effects of Zoladex may include: Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing, Change in how much or how often you urinate, bloody or cloudy urine, painful urination, Chest pain that may spread, trouble breathing, nausea, unusual sweating, fainting, Depression, mood, or behavior changes, Fast, pounding, or uneven heartbeat, dizziness, lightheadedness. This is not a complete list — consult your pharmacist or doctor for full side effect information.
Is there a generic version of Zoladex?
Generic versions may be available for Zoladex. Generics contain the same active ingredients as brand-name drugs and are typically 80–90% cheaper. Search Zoladex on Rx.com to compare generic and brand prices at pharmacies near you.
What is the cheapest pharmacy for Zoladex?
The cheapest pharmacy for Zoladex depends on your location and dosage. Rx.com compares prices at CVS, Walgreens, Walmart, Kroger, Costco, and thousands of independent pharmacies. Enter your ZIP code on Rx.com to find the lowest price for Zoladex near you.

Zoladex Coupons & Prices

Zoladex 3.6MG

Prescriptions & Refills
Licensed US providers · Online visit in minutes
Zoladex Implant — prescription drug image
Prescription
Zoladex 3.6mg (1)
your area ·
Prescription weight loss

Weight-loss medication, prescribed online

Licensed U.S. providers · No insurance needed · Shipped to your door

$146/mo vs. brand-name GLP-1 medications $1,300+/mo Save up to 88%
See if I qualify Free online visit · No commitment
Compounded GLP-1 medications are not FDA-approved and are prepared by state-licensed compounding pharmacies. They are not affiliated with, endorsed by, or equivalent to any brand-name medication or manufacturer. Prescription required; eligibility is determined by a licensed provider. Prices are estimates and may vary.

If you're looking for a Zoladex coupon, Rx.com can show you a cash price on the goserelin acetate implant at pharmacies near you — useful whether you're uninsured, on Medicare, or your manufacturer copay card doesn't apply; enter your ZIP above to see today's price at nearby pharmacies.

What Is Zoladex and How Does It Work?

Zoladex (goserelin acetate) is a GnRH (gonadotropin-releasing hormone) agonist delivered as a small biodegradable implant placed just under the skin of the abdomen. It's FDA-approved in two implant strengths: a 3.6 mg implant given every 28 days, and a 10.8 mg implant given every 12 weeks — a separately FDA-approved product (first approved in the US in 1996) for the same prostate-cancer indications, not an off-label or convenience alternative. By steadily suppressing the pituitary-gonadal hormone signal, it lowers testosterone in men and estrogen in women over time. There is no generic version of Zoladex available in the US, so it is only sold under the brand name.

The FDA-approved uses are dosage-form and population specific: advanced prostate cancer (palliative therapy, available as either the 3.6 mg or 10.8 mg implant); in combination with flutamide — starting 8 weeks before and continuing during radiation therapy — for locally confined (Stage T2b-T4) prostate cancer (also available as either strength); advanced breast cancer in pre- or perimenopausal women (3.6 mg only); management of endometriosis (with or without other therapy) for up to 6 months in women 18 and older (3.6 mg only); and thinning of the uterine lining before endometrial ablation for dysfunctional uterine bleeding (3.6 mg only). It is also used off-label — not an FDA-approved indication — for ovarian suppression during chemotherapy in some fertility-preservation protocols and for managing precocious puberty; talk to your provider about whether an off-label use applies to you.

Zoladex Cost: Manufacturer Savings Card vs. the Rx.com Coupon

Zoladex has an official manufacturer savings program (search "Zoladex savings" or visit zoladex.com directly rather than following a link, since deep program pages can change) — like most manufacturer copay cards, it is generally limited to patients with commercial/private insurance, and terms, eligibility, and any dollar caps vary and can change, so confirm current details directly with the program.

If you're uninsured, on a government plan such as Medicare or Medicaid (which typically cannot use manufacturer copay cards), or your card is declined at the pharmacy counter, the Rx.com cash coupon is a fallback you can use instead. Because there's no generic goserelin implant, price differences mostly come down to which pharmacy stocks and dispenses it — enter your ZIP above to compare pharmacies near you.

How Zoladex Compares to Other Options

Zoladex is one of several GnRH-agonist implants and injections used for prostate cancer and, in some cases, endometriosis. Other GnRH agonists include Lupron and Eligard (both leuprolide-based depot injections). For prostate cancer specifically, some patients and prescribers instead use a GnRH antagonist — either Orgovyx, a daily oral tablet, or Firmagon, an injectable — which work by a different mechanism and don't carry the same initial testosterone-flare risk as agonists like Zoladex. In advanced breast cancer, hormonal therapies such as tamoxifen or letrozole may be used alongside or instead of ovarian suppression, depending on menopausal status and the specific treatment plan. Your oncologist or gynecologist is the right person to decide which approach fits your diagnosis.

Zoladex Safety Information

Zoladex does not carry a boxed warning, but its label includes several important warnings to know about. In the first weeks of treatment, hormone levels can briefly rise before falling ("tumor flare"), which may temporarily worsen bone pain, urinary symptoms, or spinal cord compression risk in prostate cancer, or increase bleeding in gynecologic use. Other warnings include hypercalcemia in patients with bone metastases, decreased bone mineral density with long-term use, rare hypersensitivity/anaphylactoid reactions to the implant, QT/QTc prolongation (a known effect of this drug class), higher blood sugar and cardiovascular risk (heart attack, stroke) in men on this type of hormone therapy, injection-site reactions from the implant needle, and a pregnancy contraindication — Zoladex is not for use in women who are or may become pregnant, except when it's being used for palliative treatment of advanced breast cancer under a doctor's care. This is general information, not medical advice; talk to your provider about how these risks apply to you.

Sources & accuracy

This Zoladex information was written and reviewed against authoritative U.S. medical sources — MedlinePlus (U.S. National Library of Medicine), DailyMed, and FDA prescribing information — and checked for accuracy. It is provided for education and is not a substitute for professional medical advice.

Verify the official label: Zoladex on DailyMed (FDA)

Reviewed against FDA labeling · Last reviewed July 2026

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Medical disclaimer: This information is provided for general educational purposes only and is not medical advice. It is not a substitute for professional diagnosis or treatment. Always consult a licensed physician, pharmacist, or other qualified healthcare provider before starting, stopping, or changing any medication or treatment. Never disregard professional medical advice or delay seeking it because of something you read here. If you think you may have a medical emergency, call your doctor or 911 immediately.


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