Hi Folks,
I will be on MDV until it stops working for me.
I imagine given the results from the Affirm trial (which was stopped at over 18 months) that the Prevail trial will go into 2013 at least. I actually hope they don't stop the trial early like the Affirm trial, I think there would be more meaningful results to let the trial run it's course. If that is say 2 or 3 or 4 or 5 or 6 years until failure, so be it. But I think the developers are naturally keen to get the drug approved for chemotherapy niave patients sooner than later. But if they stop it early then they will not get any definitive answers to exactly how effective the drug is. They know that there was a 4.6 months improvement in QOL and life expectency for the post chemo patients, I am sure their expectation is for pre chemo that it should be longer. Here is hoping.
There was some discussions re seizures, that is why my blood pressure is being very closely monitored and my BP medication is being tweaked to keep my BP down. I am about to leave for the Doctor's now to have a another BP checkup following the introduction 2 weeks ago of another tablet for the BP. My blood pressure seems to stay down for 3-4 days and then starts going up for 3-4 days and then goes down again and stats the cycle again. I am not really concerned about the seizures, if I can get my BP under control and do a bit more exercise I am confident that I will not have a problem there. I am more concerned about the advanced PC and the QOL in the future.
We were told that each individual would come off the drug when their scans showed an increase in the metasised PC in our bones. I hope this is many years away ! I take my MDV at night 4 x 40mg capsules, it doesn't matter about food. I take them around 6pm only because I take more tablets in the AM for my heart than I do at night. You are supposed to take them around the same time each day, I also thought night was easier. They are fairly big capsules ! I cannot put all 4 in my mouth at once like I do with the rest of my medications !
I did forget to mention the other side effect, hot flushes, I got hot flushes from Zoladex and they don't seem any worse now that I am also on MDV, they are still there and in summer are a real pain. Not so bad in winter but still I break out in copious amounts of sweating with any exertion, it doesn't matter if it is night or day.