Xtandi: Hello all, Its been quite... - Advanced Prostate...

Advanced Prostate Cancer

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Xtandi

ROLNCIN1 profile image
25 Replies

Hello all,

Its been quite awhile since I've posted .

Was just reading about Xtandi questions. My husband started on it about 3 months ago and is doing well, undetectable since then...

We were told it extends life 1 to 2 years then there are other treatments you can take if that is the case.

Just to go back he was DX in 2011 and has been on Lupron every since, has had spot radiation, and now Xtandi..

Try every treatment option as this monster has crippled us, but most of all be positive as it goes a long way.

BOOGEE

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ROLNCIN1
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Shooter1 profile image
Shooter1

Xtandi can really nail your aPca, but monitor side effects. SEs can get out of hand and if they do don't be afraid to cut dose.. Drs saying " that's how it is" are full of crxp.

ROLNCIN1 profile image
ROLNCIN1 in reply to Shooter1

Hi again,

My husband started on 1 pill of the 4 that was prescribed O.K with Oncol. and is working. We all have to fight the battle with all our might.

Shooter1 profile image
Shooter1 in reply to ROLNCIN1

Great, most insist on 4 pills and we have to cut back and tell them what our dose is. I'm on 2 pills, 4 made me an invalid.

ROLNCIN1 profile image
ROLNCIN1 in reply to Shooter1

what sort of out of hand SE are you experiencing Shooter.

Shooter1 profile image
Shooter1 in reply to ROLNCIN1

Burning fingertips, numb on back of hands. Gabapentin upped to 3600 mg has cut burning to the point it is no longer painful to touch keyboard, so typing is much easier.

ROLNCIN1 profile image
ROLNCIN1 in reply to Shooter1

Shooter, So sorry to hear of painful hands. Dont know about the meds you are taking and what SE it has but if you need a little more help my husband has been using a salve of CBD, THC oil and it has helped with his wrist. Probably not as severe as your pain but it could help.

I started using it as well on my fingers as I have arthritas..

BOOGEE

RyderLake2 profile image
RyderLake2

Hello,

Everyone is different. In some cases Xtandi (enzalutamide) can work for a very long time. In my case, it has been three and a half years with no indication it is slowing down. When I was first diagnosed my PSA was a little under 1700! Gleason 8 (4+4), extensive bone metastases but fortunately no soft tissue involvement. I was put on Zoladex (goserelin) immediately and except for a year when I was on Firmagon (degarelix) I have been on this ever since. At the beginning of September 2017 when my PSA started to rise my oncologist suggested I go on Xtandi. Are their side effects? You bet, but nothing that I can't tolerate. The biggest, other than total loss of libido, are neuropathy in my right foot and overall fatigue. I have heard about others on this site who have gone much longer on Xtandi than me. There are other treatments you can go on after Xtandi but my advice is don't be in any rush. Hope that helps!

GeorgeGlass profile image
GeorgeGlass in reply to RyderLake2

How many xtandi pills do you take per day? Do you think that starting on one pill is a good idea and then if it stops working (psa rising) then raise it to two pills a day, then 3 then 4, over time?

RyderLake2 profile image
RyderLake2 in reply to GeorgeGlass

Hello, No I don’t. Far better to start with recommended dosage of four pills. Take them in the evening as they often cause drowsiness. If your body can’t handle four pills then you have the option to lessen the dosage, although I wouldn’t do that without consulting with your oncologist. Xtandi (enzalutamide) does cause side effects but for me, given the alternative, nothing I can’t handle. Loss of libido is the biggest one, followed by fatigue, and some brain fog (which might be old age) 😊 Good luck!

GeorgeGlass profile image
GeorgeGlass in reply to RyderLake2

good info, thanks for the practical knowledge. probably the drugs more than the age:)

dhccpa profile image
dhccpa

What is the normal dosage of Xtandi?

Shooter1 profile image
Shooter1 in reply to dhccpa

4-40 mg pills daily. 160 mg total. Many people have side effects that escalate to the point of being intolerable.

larry_dammit profile image
larry_dammit

Wow 10 years that’s great Warrior, I was diagnosed in 16 and have been on Xtandi since I finished chemotherapy. 4 1/2 years and counting. Hoping I can last that long. Keep up the battle warrior 🙏🙏🙏🙏

GeorgeGlass profile image
GeorgeGlass in reply to larry_dammit

How many pills are you taking Larry?

larry_dammit profile image
larry_dammit in reply to GeorgeGlass

I take 4 Xtandi pills Dailey. Is that what you wanted to know I’d have to stop and count the pill pack to tell you everything else 🤣🤣

GeorgeGlass profile image
GeorgeGlass in reply to larry_dammit

yes, thats it Larry;) I know what you mean. I take about 70 pills a day.

EdBar profile image
EdBar

I’ve been on Xtandi for around five and a half years now. Still undetectable, cut back to a half dose a little over two years ago due to side effects. I hope it keeps on rocking.

Ed

beogradjanin profile image
beogradjanin

I have been on Xtandi since October 2020. Diagnosed MPC with bones mets in january 2014, since october 2014 on ADT. PSA dropped in october after first month of Xtandi from 80 to 24, now 10,5. No significant SE

sandy4510 profile image
sandy4510 in reply to beogradjanin

That’s great!

ROLNCIN1 profile image
ROLNCIN1

Hi all thats a great run with Xtandi.

My husband has been on Lupron for years and still gets his mos. injection as well as Xgeva every 3 mos and now takes .Xtandi.

So far SE are minimal.

Keep going

FinalBossMatt profile image
FinalBossMatt

Well most medicine has an average lasting power of 1-2 years. I haven't been on something that long yet though which sucks. Longest is a year and shortest is a month. Xtandi is working good for me. At my last PSA check it went from 97 to 50 I believe but it's just been 3 months for me.

Hoping to make that years or more.

beogradjanin profile image
beogradjanin

I have been adding to Xtandi, 850mg Metformin 2xday and statin 20mg, 1x day, 3 months already.

There is a study that adding those 2 medicaments in above dosage, increase life expectancy for 30 %.

You can find that study here on HU

ROLNCIN1 profile image
ROLNCIN1

Yes my husband takes both Metformin and Lisinopril for 10 years.

His PSA has never got over 5, however everyone is different how PSA runs. He had a RP in 2011 and it had already metastisized. So all his treatments over the years has been beneficial.

Research is always coming forth with new treatments for us.

Best wishes all.

BOOGEE

GeorgeGlass profile image
GeorgeGlass in reply to ROLNCIN1

Lisinopril? I see it is for high blood pressure. Did they give that to your husband because of the side effects of Xtandi?

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

Xtandi Crush....

Good Luck, Good Health and Good Humor.

j-o-h-n Tuesday 03/02/2021 5:30 PM EST

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