58yo, PSA @100, met to rib, on Casodex, stage 4.

[Sad-remove]

58yo, PSA @100, met to rib, on Casodex, stage 4. What are the chances? Need some thoughts on this.

[NWLiving]

Dosetaxel and lupron? Many options. Not sure what’s available in the Philippines. What does your doctor say?

[tango65]

You should discus doing ADT plus abiraterone and docetaxel. If you have only one metastasis the treatment of the primary prostate tumor may offer some survival advantage. It is not the SOC yet.

[Sad-remove in reply to tango65]

Thank you. Will definitely discussing this with my doctor. Anyway its really the price of these meds that are concerning since they are a lot expensive here. Im just starting so i have to wait and if there are improvements

[Tall_Allen]

Casodex is not enough. You need Lupron and docetaxel or abiraterone, enzalutamide or apalutamide - whichever is available in the Phillipines.

[Sad-remove in reply to Tall_Allen]

Thank you. Will definitely be discussing this with my doctor. Anyway its really the price of these meds that are concerning since they are a lot expensive here.

[Foldem in reply to Sad-remove]

The drugs are very expensive, but the manufacturers offer significant discounts to those unable to pay. Xtandi, for example, shows up as $9,500/mo on my Medicare statement. Fortunately I’m covered by socialized medicine.

[LearnAll]

Add Lupron and continue with Casodex and watch how low your PSA falls.

[Sad-remove in reply to LearnAll]

Thank you. Will definitely discussing this with my doctor. Anyway its really the price of these meds that are concerning since they are a lot expensive here. Im just starting so lets see if there are gonna be improvements on my part

[MateoBeach]

If you cannot find an ADT shot that is affordable there (Lupron or one of several similar) then estradiol patches or gel could be a less expensive option. Search PATCH on this site to see discussions and links. However that does not cover the addition of the advanced androgen drugs mentioned nor the docetaxel. Need to research what options and possible payment supports from manufacturers are available there.

[Sad-remove in reply to MateoBeach]

Have been reading about Lupron and really finding out good outcomes from it.

[Sad-remove in reply to Sad-remove]

Lupron is ADT right?

[CAMPSOUPS in reply to Sad-remove]

Yes. First line ADT. It is a must have treatment if you have mets. Other treatments are often added to it.

[Sad-remove in reply to CAMPSOUPS]

Thank you!

[E2-Guy]

Check with your pharmacies there to see if they have Oestrogel...E2 gel made in France by Besins. I am in Thailand without health insurance and this product has been working wonders for me! Haven't been to a doctor in over 4 years.

[j-o-h-n]

Are you Pinoy?

Good Luck, Good Health and Good Humor.

j-o-h-n Wednesday 01/12/2022 11:38 AM EST

[Sad-remove in reply to j-o-h-n]

Hi! Yes! Are you too?

[j-o-h-n in reply to Sad-remove]

No my wife is..... there are a few Pinoy active members. Some in the US most in the Pines.......

Good Luck, Good Health and Good Humor.

j-o-h-n Wednesday 01/12/2022 5:32 PM EST