Yes that would be Combined blockade or ADT2 has other names too. It can be more effective as the lupron drug blocks testostorone-"T" from the testicles (80-90% is probably produced from there), it does not touch the approx. 10%+- that is produce actually by the adrenal glands. However, casodex takes care of that via anti-androgen effects it does. So, it is close to total suppression (deprivation) of "T" which is the fuel for PCa that needs to be shut down in effect.
Casodex can produce nipple tenderness and even possible breast enlargement over time, there are drugs you can buy to counteract that and/or you can have breast radiations done to stop enlargement and the tenderness issues (I know cause I did those, it was not a big deal and not a scary thing), you might elect for the drugs to take against that.
Depression is common on any hormone suppression program, not only can you read about
, hear it from other patients, I been there and felt that big time. Hated it after a couple years but have moved on, lots of ways to deal with PCa and emotions, side effects etc.
Hang in there and research all your choices for therapies, you have an oncologist which is great, do note that they can have different protocols, in other words they all don't agree on just one set of protocols, or they may switch protocols on you depending upon how you are doing on them.
N-Bob 7yr survivor with uncureable PCa bpsa 46.7 12 pos. bio. 75-95% cancerous, gleasons 7,8,9's (psa currently 1.4, off drugs for 2 yrs prior and psa rose resuming my drug off choice therapy)
Post Edited (zufus) : 1/4/2009 1:58:10 PM (GMT-7)