How long does Xtandi take to wash out... - Advanced Prostate...

Advanced Prostate Cancer

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How long does Xtandi take to wash out of the body?

Arthur479 profile image
7 Replies

I know the half-life is 5.8 days +/-. But at what point does it get effectively low enough to say it is clinically ineffective?

I ask this, because I am starting with BAT after the Xtandi washes out. Since Xtandi blocks T from the cell membrane, I don't want to defeat the purpose of the HiT, lol.

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Arthur479 profile image
Arthur479
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tango65 profile image
tango65

Consult with your doctor.

I believe it is about 5 to 6 half lives and it may depend on the liver or renal functions.

ncbi.nlm.nih.gov/books/NBK5....

Fightinghard profile image
Fightinghard

My MO told me to stop Xtandi for at least 10 - 14 days to allow for wash-out before starting Pluvicto treatment

Cynthgob profile image
Cynthgob in reply toFightinghard

But down in Tulane dr sarte is combining xtandi and Pluvicto. Something about the xtandi expresses the psma for the pluvicto to kill. Where are you getting the pluvicto?

Fightinghard profile image
Fightinghard in reply toCynthgob

The Splash trial

Shooter1 profile image
Shooter1

I stopped Xtandi last week and start BAT on or around Aug. 10. Out of other options and Xtandi/Xofigo combo. has failed.

Cynthgob profile image
Cynthgob in reply toShooter1

What it BAT??

My husband's doctor said a washout period of 2 weeks (minimum) to 4 weeks is preferred. He went with 3 weeks mainly for scheduling purposes before he started his second round of BAT.

He had 10 high T injections until PSA spiked during his first round of BAT in 2021, then he went back on Xtandi for 8 months. He then started a second round of BAT and just had his 2nd high T injection last week.

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