zufus said...
Depending upon your total options, Casodex is a well kept secret (lol), it is possible to control PCa (atleast for awhile, which is what Lupron also does for awhile) and maintain some sex life, although it could diminish along the spectrum. Another secret is that casodex (or its equals)+ proscar was found about equal in control of non-hrpca PCa, in HT naivee patients getting onto HT therapies (Wheeler et al). However, uro-doc or others make zero money per se on casodex or proscar and make plenty of profits on LHRH drugs.....just a clue.
If using LHRH drugs, fine it can work but be aware of longer term useage of it can cause: bone loss, memory loss and has other cumulative side effects (weight gain, libido etc.). Intermittent could be a huge plus for the patient and insurance companies whom pay plenty for this stuff. We have some guys herein whom have done casodex only or casodex+proscar (i.e. Andrew-Ohio State has done fabulous on casodex+) and with high risk scenario and was on this drug for about 1 year and now off drug for about 1 year, safely within psa testings thus far, too. Also, generally much less in side effects for the patient to endure. But, nothing is a pancea in therapies, although options and trade offs are worthy to look into.
You have to be careful with what treatment is being used to treat what level of PC. In my case, my URO recommended 2-3 years of HT, my local OCO allowed me to go off it(because I did not want to tolerate the SE) and my remote OCO who performed the HDR insisted that I stay on the HT for at least a year because of the aggressiveness of my PC and my age and that fact that my overall treatment plan was to CURE my PC.
You should also keep in mind that your Testosterone levels MUST be at a minimum level(below 20 or at least 30) in order for the treatment to work and you should also be getting regular PSA and T level tests to make sure everything is working.
ps This HT is a *****, but we're hope for a short pain for a big gain.....good luck!