Exgeva

[APK3]

Is Exgeva offered to all whom have multiple bone mets? Pretty$$. Any options other than this particular injection ? Thx

[Tall_Allen]

Only for men who are castration resistant. You ought to get a DXA scan to see if you are osteoporotic first.

[APK3 in reply to Tall_Allen]

Thank you Tall Allen...Just surprised the MO suggested it as I just started treatment.

[HikerWife in reply to Tall_Allen]

Hi, T_A - I hadn't heard yet that Xgeva is only for CR men - what is the reasoning for that? Thanks - Susan

[Tall_Allen in reply to HikerWife]

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...

[HikerWife in reply to Tall_Allen]

Thanks so much, really appreciate the clarification. And saving the links!

[maley2711]

Latest coverage determination from Medicare.......

cms.gov/medicare-coverage-d...

More expansive than previous coverage !!!!!

[APK3 in reply to maley2711]

Appreciate it 2711.

[JD-guy]

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

[APK3 in reply to JD-guy]

Thank you for taking the time to reply..Psalm 56.3

[maley2711]

This includes a good discussion............

cms.gov/medicare-coverage-d...

[APK3 in reply to maley2711]

👍

[Benkaymel]

Have never been offered it in the UK on NHS.