...Regarding the different HT drugs, my doctor's immediate goal is to deprive the cancer of its food ASAP, and Firmagon appears to do that the fastest. There is supposed to be a huge drop in testosterone in one day, reaching 97% after three, with no initial spike.
That is an advantage for Firmagon. Sometimes they'll start with 2-4 weeks of Casodex with the start of Lupron, blocking the testosterone until the Lupron cycle is over and T is very low, generally for those with symptomatic metastases. You might also consider Firmagon for a couple of months, then transfer to Lupron. I know that one relatively painless shot every six months is easier to deal with than a (sometimes) painful monthly belly shot with Firmagon. Just a thought, maybe something to chat with your oncologist about
Bx: 6/12 pos, G9=5+4 (80%, 60%), 4+5 (2@100%, 80%, 10%), PNI+
cT3a (3TMRI: Bilateral EPE, NVB+, SV-, LN-)
Date PSA fPSA
9/12 4.1 15%
3/13 5.2 12% PCA3=31
IGRT by IMRT, 44 done 8/28/13: 50.4 Gy pelvic nodes, 79.2 Gy prostate
ADT2 3 yrs: Lupron/Casodex, ended 3/16
Post: (age now 59)
PSA <0.1 : 8/13 - 5/16.
PSA 0.2-8/16, 0.5-12/16, 0.7-3/17, TBD-6/17