Casodex is an anti-androgen. It works in thebody by preventing the actions of androgens (male hormones).
Casodex is used together with another hormone to treat PCa.
It is also considered a Chemo drug.
I am not a doc only someone with PCA. Below is what I understand:
1. If you have PCa and do not have surgery or radiation and even sometimes then, you still have PCa.
2. Lupron and Casodex only starves the cancer you have or might have and keeps it from growing (if it is working)
3. This treatment will artificially keep your PSA low. My Doctor at UFPTI told me that we would not know difinitively if the radiation had killed the PCa until about a year after I stopped my HRT (2 years). I started in May 2008 before radiation (IMRT and PROTON) so I have another 8 months before I should come on HRT and then we will see.
I can't really say much about side affects except some infrequent hot flashes.
Biopsy 1998 = Neg Bio 2000 = Neg with PIN Bio 1/10/08 Gleason 10, Stage T1C 8 of 12 samples positive all < Than 5%
Bone Scan, CTs and MRI Negative early 2008
March 2008 MD Anderson - No Surgery or Proton = No Action
Feb & Mar PET (Possilbe Lymph Node Involvement & Prostacint Scan Negative
March 2008 U of Florida Proton Therapty Lupron & Casodek May 08 for 2 years
Completed 25 IMRT and 17 PBRT U of Florida Proton Therapy Institute 7/24/08
Latest CT June 08) showed no trace of tumor in lymph node area
7/24/2008 PSA .21, free PSA .08, Percent free PSA 38.1, testosterone 14.6
8/1/2008 2nd Lupon Shot -- 10/27/2008 PSA <.01 -- 12/9/2008 3rd Lupon Shot
12/11/08 MRI Suspicious for Metastic disease L5 & S1 -- Bone Scan 12/19/08 Indicates No Bone Mets Spinal Stenosis and Neropathy in my legs
2/06/09 PSA = < .01 -- 4/09/2009 PSA <.01 --4th Lupron shot 7/02/2009 PSA <.01 Lupron