Just started IHRT

After failed rrp and radiation treatment, my psa is now 1.3 doubling time approx 6months.
My doctor has just put me on IHRT Casodex 150mg. with a view to see how my psa is in three months, and perhaps stop for three months ?.

It looks as if this is the last form of treatment that is left to me, and now I must admit I'm growing increasingly worried.

I have tried a dairy and red meat free diet, take pomegranate extract tablets, also take 75mg of aspirin daily along with soya isoflavones tablets daily.

Any advice would be welcome regarding diet and supplements, also how long can I expect the casodex to continue to hold down my psa.

Some patients do just casodex or flutamides, started decades ago with Dr. Labrie and Dr. Strum and the founder of Paactusa.org as a matter of fact. Ok so you are on what is called normally High Dose casodex, likely to have little heavier on side effects, can almost guarantee you to watch out for boob enlargement issue...however can be counteracted by either drugs like Femara (etc.) or light duty radiations usually 3 sessions (electron rays can be used instead of more potent rays)..this helps stop boob enlargement. This is a common side effect and especially with casodex in high dose.
The other option is let it happen or later do boob surgery reduction...my friend just did that.

So, much depends on your androgen receptors and how they react, because they can change on their own doings along the way and become refractive to some HT therapies and then doc would hopefully (wisely) switch you to another drug that could work differently. Many different pathways and receptors to influence PCa cells, this is why different drugs can be effective, timing is very important as to best results.

Books to read by Dr. Myers on diet is worthy and things written by Mark Moyad also useful. You could probably go to lower doseage of casodex after 3 months and see how it holds up...maybe test monthly. I found walkin PSA testings for $15, back in my early days of panic I did monthly tests for like over year. Best to you. Look at my stats below just for a kicks.

OH- did you say looks like last treatment?????? NO WAY....FIND another doc and opinion. Send doc to this website www.hrpca.org  (proven treatments area)

Landcrab,starting on cosadex as a monotherapy is, without doubt, NOT your last option !!

The doctors can mix and match all types of androgen blockers and lots of other drugs to the mix.These treatments can keep pc at bay for many years.There are also some trial drugs coming into action such as Abireterone,provenge and one im looking at myself is Ipilimumab (and if you can pronounce that last one your a better man than me lol )You are far from running out of options

                                   Good luck lee.

Thanks for replies guys it's been three weeks on 150mgcasodex and my first psa test was 0.4. down from 1.3.

Testosterone was 24nmol/l which seems rather high, it was 11 last November.
Side effects so far quite tired in late afternoon, but I can offset this by going for a short run. Sleeping much better, but hard to get out of bed in the mornings.

Apart from that no other noticeable SE. I guess it's too early to come to any conclusions re SE. but I feel the reduction is encouraging.