I started Casodex and Lupron approximately 2 months ago and will begin SRT next week. Here's my question:
I have had an issue with the Casodex playing havoc with my liver function tests, AST and ALT they're both elevated since the ADT. I also had the same thing happen before my surgery, I was placed on both medications and had a similar response, I was taken off of the Casodex and my liver function returned to normal. Could I use Avodart in place of the Casodex in your opinion because they both do the same function( reduce dihydrotestosterone). I realize Avodart may cause the same reaction but its worth a try I believe.
I have an appointment with my onc. in the next few days to see which direction we'll go but I was just wondering what some of you experienced guys thought.
Biopsy- 12 cores, 4 positive highest 4+4=8
Bone scan, CT scan and Chest X-ray clear 4/16/08
Urologist suggested surgery 4/16/08
MRI on 4/24/08 clear no suggestion of lymph node involvement.
4/24/08 -Started on Lupron and Casodex preparing for HDRT and IMRT in late July. This treatment will not preclude me from surgery if I change my mind.
Decide to have DaVinci surgery after another consult with surgeon.
6/19/08- DaVinci surgery at University of Washington.
6/25/08- Path report, clear margins, no noted extension
9/12/08- PSA <0.02
12/05/08-PSA <0.02 Six months after surgery
3/02/09-PSA <0.02 Nine months after surgery
8/17/09-PSA .21 Begin HT and set up for SRT to begin in 2 months.