Casodex and Lupron: I had surgery in... - Advanced Prostate...

Advanced Prostate Cancer

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Casodex and Lupron

Howard53545 profile image
21 Replies

I had surgery in 2014, SRT in 2018, an axium scan last week that show uptake of PC in left nodes. My oncologist says he can microwave it. I will take casodex and lupron. Do I start taking casodex before lupron injection.

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Howard53545
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LearnAll profile image
LearnAll

He can "microwave" it...Ha ..ha..ha.. Interesting choice of words.

Casodex is usually given for first 2 to 3 weeks before starting Lupron ..to prevent testosterone flare..its a normal way of starting lupron ADT.

Howard53545 profile image
Howard53545 in reply to LearnAll

thanks

Tall_Allen profile image
Tall_Allen

You start the Casodex for about 10 days before the Lupron. The idea is to block all your androgen receptors, because Lupron initially causes a surge in testosterone. After a few weeks on Lupron, you can stop the Casodex, since it adds very little at that point. Some guys start with Firmagon for a couple of months before moving on to Lupron. In that case, Casodex is not needed.

When you had your SRT in 2018, were your pelvic lymph nodes treated?

TEBozo profile image
TEBozo in reply to Tall_Allen

Tall Allen I took the Firmigon 1st route. Gallium PSMA scan showed remaining cancer cells in prostate bed and a lymph node. Scan gave radiation oncologist a great roadmap.

Bab52413 profile image
Bab52413 in reply to TEBozo

I had complete removal of the prostate and then 38 Radiation treatments that ended about 2 weeks ago. The plan is to wait and hope it doesn't show back up on the future tests. Am I wrong for being optimistic?

Howard53545 profile image
Howard53545 in reply to Tall_Allen

No. They assumed that the cancer was in the prostate bed

Howard53545 profile image
Howard53545 in reply to Tall_Allen

no

Tall_Allen profile image
Tall_Allen in reply to Howard53545

In a way, that's good because they can now treat the entire pelvic lymph node area (from as high as the common iliacs) with a boost to the detected ones. Your individual anatomy and visceral fat (more is better in this case) will determine expected toxicity.

Howard53545 profile image
Howard53545 in reply to Tall_Allen

Thanks,TA, that’s exactly what my oncologist intends to do. I have not had my first injection yet so I guess I should start on the casodex.

TEBozo profile image
TEBozo in reply to Tall_Allen

What about a Gallium Scan in this case vs. Auximin?

Tall_Allen profile image
Tall_Allen in reply to TEBozo

He's already planning on irradiating all pelvic lymph nodes.

Toxix profile image
Toxix

I was on a hormone kemo pill for 7 years till it quit working. Complete removal and surrounding area in 2010, 48 rounds Radiation 2012 when it came back with a vengeance and the pills worked until Oct 2019. Started lupron, first 30 day shot raised psa and second 90 day shot even higher.when psa stared doubling in less then 3-1/2 weeks added Zytiga, pregnezone Calcium’ and vitamin D. Will find out more May when repeat ct and bone scan. I think each oncologist tries something different

Howard53545 profile image
Howard53545 in reply to Toxix

good luck!

Toxix profile image
Toxix

Good luck to you and all others who fight this

I agree with Nalakrats. I have been on both Lupron and Cassodex for 16 months. Knock on wood, PSA below 1.0 and bone mets are dormant.

The day mets confirmed, an injection of Lupron and a script for Casodex and told to fill immediately. I did. Took for two weeks. Casodex ten days before injection? Look when Mets are confirmed take the injection, then the

Casodex, why wait to fill a script, then go back to get an injection of Lupron?

Gourd Dancer

Boywonder56 profile image
Boywonder56

Yes..... nasty stuff forme.....quit after 10 days...lupron and erleada better ....

j-o-h-n profile image
j-o-h-n

six of one 1/2 dozen of the other...

Good Luck, Good Health and Good Humor.

j-o-h-n Monday 04/27/2020 2:58 PM DST

garyi profile image
garyi

I started on Casodex about 3 weeks before starting on Lupron, and continued with both for six months. Hot flashes were never an issue. In fact, side effects were minimal. This ADT2 was at the instruction of Dr. Anthony D'Amico, from Dana-Farber Cancer Institute in Boston.

Howard53545 profile image
Howard53545 in reply to garyi

How did the radiation go? Did your PSA dropped to undetected?

garyi profile image
garyi

Not really....It's been around 0.074 for the past two years.

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