Psa rising added casadex

"Casodex" might give a response and help, you would have to try it and see. Same thing can happen on casodex and in some bizarre cases casodex actually could feed PCa in some refractive patients at a given time in therapies. The Uro-docs don't use all the possible drugs in PCa arsenal, but a PCa onco-docs can and do, and knows many alternatives for you to try.

If you no longer get control by using Lupron and/or casodex then you should consider looking at many alternative drugs that can work (how long is always the question).
Ketoconazole, estradiol patches, DES, emcyt are some that are much less costly, different or less side effects and some of these cause direct apoptosis to PCa cells (always a plus).

There are actually scores of drugs used in the battle field on PCa, some combined too. Some you never heard of, but they are out there. At this point a patient should dump the uro-doc (if you are seeing one) and find an oncologist, whom is the correct specialist to see at this juncture.

Best to you 'keep your eyes on the road and hands upon the wheel' (as Jim Morrison would have said in Road House Blues)

kak,
Has your doctor prescribed any bone and CT/MRI scans? Casodex in 125mg doses may acheive a return to your nadir, but it's not a permanent fix. You may wish to look up HRPC and it's treatment protocols as any climb while on an LHRH agonist is likely refractory. Bob (zufus) can tell you an interesting story with DES and if the Casodex is ineffective it may be worth a shot to look into estrogenic alternatives. Another avenue is Ketocanazole, likely if your PSA jumps over 10. These are just some suggestions as I know your doctors know you status better than any of us. All the advice given in this thread is worth noting. You have my thoughts and prayers as well.

Peace to you and stay close.

Tony

Have had bone scan summer of 2008 and ct about april 2007, before radiation all were clear. As of now going with casodex for 2 months as prescribed by oncologist and than going back to him to see how it has worked. If doesn't than I guess we cross that bridge when we come to it.

Thanks for all your well wishes. Cancer is a tough disease, but have a posative attitude, just hard sometimes when I get an ache or pain, especially in back, mind races and thinks has it spread, is it in the bones.
One day at a time, concentrating on posative thinking that the casodex will work. I knew when I was diagnosed that with such a high psa would be tough to treat. Have a caring oncologist and team that works with him, so I keep telling myself I have to trust him. It's just the what if's that are hard.

Good luck to everyone. I have a great spouse that keeps me going.