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Prostate Cancer, Stage 4, spine & pelvis, Eligard, now abiraterone

Prostate Cancer | Last Active: Oct 5 9:35am | Replies (34)
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@sicernon3

Hi Proftom2,

I am on Eligard (6 mos) plus abiraterone and prednisone.
I was told the abiraterone helps with long term recurrence and the prednisone counteracts some of the side effects. However, I know each case is unique and the treatment protocol might vary. I had Gleason score 9 PC and my PSA has been at 0.0 for the past 3 blood tests. The only issue has been finding s dose of abiraterone that doesn’t elevate my liver enzymes (bilirubin, AST and ALT). Anyway, best to you and may you be worry free.

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Replies to "Hi Proftom2, I am on Eligard (6 mos) plus abiraterone and prednisone. I was told the..."
ecurb | @ecurb | Sep 23 4:09pm

FYI- I only take one pill of Arbiterone with the prednisone in the am with a low fat breakfast/ my MO. My liver enzymes have been fine so fat for 17 months.

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jeffmarc | @jeffmarc | Sep 23 4:56pm

Most people don’t have problems with liver enzymes. I was on abiraterone for 2 1/2 years and never had an issue, but they checked it every month.

I know some people have reduced it to three pills and even two pills and still had good results. For me, I reduced it to three pills and in 18 days, my PSA went from .2 to 1. Not very successful.

If you try to reduce it, make sure to get a PSA test real soon. With a Gleason nine your body may not like less than four pills.

After Abiraterone, when your PSA rises, you can try Darolutamide, it doesn’t affect the liver as much, normally, and the side effects are minimal for most people.

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