Next month, my husband will be started on a 2nd gen anti androgen.
Are there any specific reasons to prefer one over the other, from a medical standpoint?
We are currently on commercial insurance, and Zytiga would have a copay of $50 a month and Xtandi would be free.
After we go on Medicare next year, we would have a 20% copay for Zytiga, with an annual out of pocket cap of $3960. Xtandi would be free.
My husband does not have a history of seizures or cardiac disease, but he has a slightly fatty liver and his liver enzymes are pushing the upper limits of normal.
If we are eventually going to cycle through both of these drugs, maybe starting with Zytiga would be better? Thoughts?