Is it safe to delay a Lupron (Eligard... - Advanced Prostate...

Advanced Prostate Cancer

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Is it safe to delay a Lupron (Eligard) shot 1 week due to travel?

Cenerus profile image
22 Replies

I'm on Lupron (Eligard) with a dose every 3 months. I have a trip coming up that overlaps one of my lupron injections by a week. Is it safe to postpone the next lupron injection by 1 week?

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Cenerus profile image
Cenerus
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22 Replies
Tall_Allen profile image
Tall_Allen

Get a 4-month shot of Lupron instead.

Cenerus profile image
Cenerus in reply toTall_Allen

Thanks Allen, I’m going to bring that up with my MO. I was thinking about that option.

billyboy3 profile image
billyboy3

no big deal but better to be early then late if given the choice!!

Learn to live either your cancer NOT have it dictate your life !!!

Cenerus profile image
Cenerus in reply tobillyboy3

Thanks for the reply. If I reschedule my next shot to before the trip that’s 2 weeks earlier. But I’m happy to do that if for some reason they won’t authorize a 4 month lupron shot.

Jac_J profile image
Jac_J

Absolutely, IF you have been on it for several months or longer. There will be an extremely small chance your T will recover to a point (non-castrate) which your cancer cells enjoy and proliferate.

I know others would be more cautious, but I bet that even Tall_Allen would begrudgingly agree ;)

billyboy3 profile image
billyboy3

I defer to tal, however I stand by my decision to have monthly injections for the last twenty six years, yes 26 YEARS!!!

Our research into the time versus effectiveness included a refusal by the makers of Lupron to reveal test results into whether there is a loss in effectiveness in their one month/3 months/6 months and yearly injections.

Common sense would preclude that due to factors of physical size, body composition, health, diet, etc all have an impact on whether the longer the time from injection date, the MORE LIKELY THAT THE INJECTION IS NOT AS EFFECTIVE THE LONGER THE PERIOD BETWEEN INJECTIONS!!

Based upon the two brilliant pc specialists who assisted me in setting up my program, I chose monthly injections. It costs more, is a pain- but it is very easy to do the injections yourself, so to me, the additional time spent monthly may have been part of how I have lasted this long!!!

I am preparing a report to all of you to explain how I managed to beat the bastard back this long but there are only a few things I did that might explain this. Another major one is I drink and always have, about 2/3 quart of skim milk every day- I just like it so there was no wild theory about this but is something I have done my entire life!

I never smoked, quit alcohol almost entirely 36 years ago, cut way back in red meat same time, but still eat poorly,

I I did run 1/2 marathon at 56 so have always been very active physically but have been overweight for the past 20 years up to 50 live too heavy!

thus, there are very few things, other then luck, adhering to my ITH program 98% of the time.

Now, my psa went nuts as a break thru has happened and I am way behind on switching up my drug combo to handle this surge but due to our rotten medical system in my city in Canada, have not had the new drugs provided to me thru our medical system! I lasted 26 years only to be thwarted by a shortage of oncologists here in Edmonton, a total fucking disgrace!!

Cenerus profile image
Cenerus in reply tobillyboy3

That's amazing Billyboy3! 26 years without progression is an achievement.

PELHA profile image
PELHA in reply tobillyboy3

While it’s a bit of a downer that I always start my day reading this blog about my husband’s cancer, it’s posts like this that I love and keep me positive. And always learning. Great point about the monthly shots. Thanks!

Mgtd profile image
Mgtd in reply toPELHA

I too do that. Great way to start the day. My older Dobie, Skye and I use our bench daybed at the end of the hall. She chews on her cow ear while I read this site and then I read the news of the day before I take the three dogs for a hike.

I have noticed recently that the seasonal change is coming. AM Temps are now in the low 50s and the last of my summer flowers in the garden are in bloom. Another couple of weeks and it will be time to deadhead the iris and day lilies and prep the garden for Spring.

Also time to change the oil in the snowblower, prep the roadsters for their winter storage and finish up the last of my summer projects.

As I have gotten older I seem to live my life by the seasons which is enjoyable.

gsun profile image
gsun in reply tobillyboy3

I am in Vancouver where it is hard enough but i have heard about the doctor shortage in AB. Mainly specialists. Why is that?

billyboy3 profile image
billyboy3 in reply togsun

Criminal, cancer patients have skyrocketed with no effort to bring in new oncologists. It is an absolute disgrace that people are dying having waited fife months to get a first appointment! I sm now onto month nine waiting to gave my drugs changed !!! Fucking insanity!!!

Bc took a few but done went to US AT TRIPLE THE SALSRT ! We should have started a program to give free med education in order to have had more available now but we are screwed here for st least 10 years!!!

Mgtd profile image
Mgtd in reply tobillyboy3

The USA is in the same boat. The government has not expanded the residency slots they fund so because of that and early retirements we are in the same boat.

billyboy3 profile image
billyboy3

or take the lupron with you, it is good for 6 weeks out of a fridge and inject yourself. Very easy to do as belly shot now with small needle!! I have done this at least a hundred times myself no problems !!!

Cenerus profile image
Cenerus in reply tobillyboy3

I would be fine doing that as I have a medical background. I'll discuss options with my MO.

Derf4223 profile image
Derf4223

If it was one of your first 2-3 shots, maybe a week +/- is a concern. But at the 6-12-18 month point your body is deeply in castration and that doesn't stop at all quickly with Lupron.

Cenerus profile image
Cenerus in reply toDerf4223

Thanks. By the time this trip comes along I'll have been on Lupron for over 15 months.

SteveTheJ profile image
SteveTheJ

Lupron has a very long half life but as Tall Allen says, you might as well try to get a longer-acting dose in case.

j-o-h-n profile image
j-o-h-n

Only one frigging week? Sounds like a comedy routine....Hey Abbott!!!

Good Luck, Good Health and Good Humor.

j-o-h-n

gsun profile image
gsun

A week is not a problem. But I am not a doctor. Are you on a second med like Zytiga?

Cenerus profile image
Cenerus in reply togsun

Yes, I'm on Lupron and Zytiga

gsun profile image
gsun in reply toCenerus

The Zytiga helps with testosterone from all sources.

Cenerus profile image
Cenerus

I talked to my MO yesterday. He said that 1 week is not a problem. He would be concerned if it was more than a month. He said that Testosterone production usually takes at least a month to even start again if you’ve been on Lupron for over a year. He said it takes up to 3 years for testosterone production to rise to a new baseline, and even then it won’t be as high as it was before starting treatment for many men.

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