Is Exgeva offered to all whom have multiple bone mets? Pretty$$. Any options other than this particular injection ? Thx
Exgeva : Is Exgeva offered to all whom... - Advanced Prostate...
Exgeva
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APK3
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Only for men who are castration resistant. You ought to get a DXA scan to see if you are osteoporotic first.
Thank you Tall Allen...Just surprised the MO suggested it as I just started treatment.
Hi, T_A - I hadn't heard yet that Xgeva is only for CR men - what is the reasoning for that? Thanks - Susan
Zometa, which is similar, did not decrease the number of skeletal-related events (SREs) like fractures and spinal compression when tried in men who were hormone sensitive.
ncbi.nlm.nih.gov/pmc/articl...
Since the worst side effects increase with time taking the medication, it is a good idea to not take it until really needed. Of course, men who are osteoporotic (on a DXA scan) should have a bone strengthening agent no matter if they are still hormone sensitive.
Here are current ASCO guidelines:
ascopubs.org/doi/full/10.12...
Thanks so much, really appreciate the clarification. And saving the links!
Latest coverage determination from Medicare.......
cms.gov/medicare-coverage-d...
More expansive than previous coverage !!!!!
Hello. The urologist started me on Exgeva from the beginning. Monthly injections. When I went to my MO, I he put me on one every three months. I have extensive bone Mets, I cracked some ribs about the time of dx. (See profile). So far I pay for the office visit and the Pharma. Company pays for the med. Yes it is pricey. I am not on Medicare yet. I am not a Dr just my experience. My PSA has been undetectable for 2 years. Dx 3 years ago. I am thankful for every day as a gift from God. Keith--aka JD-guy
This includes a good discussion............
Have never been offered it in the UK on NHS.
