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In praise of Orgovyx

Prostate Cancer | Last Active: Oct 17 2:02pm | Replies (39)

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@stevecando54

I've been getting Firmagon for 19 months, guess I'm used to it by now. Psa was 932 at the time, one month after starting, I started my chemo treatment. I've been seeing my Oncologist since day one. Last month he offered me a 3 month treatment. I go every month for blood work so said I'm good with the monthly. It's my forever treatment until it stops working. As for Orgovyx, I can't afford that, I did check. The other thing for me is not wanting to change when things are working right now. Best to all.

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Replies to "I've been getting Firmagon for 19 months, guess I'm used to it by now. Psa was..."

I'm so sorry you're forced to make that choice. Here in Ontario, the cost of Orgovyx or Firmagon is about the same — about CA $325 (US $240) per month if not covered by insurance — so I wouldn't have to decide based on affordability even if I were paying for it myself.

The starting megadose of Firmagon costs a bit more (around CA $500, if I recall correctly), and I did pay for that three years ago, because my spouse's work didn't have insurance for prescription meds yet, and I wasn't enrolled in the Ontario Drug Benefit or the Trillium Drug Program (my family income that year was too high for either to help, because I'd been doing consulting work right up to the week before I was admitted to hospital).

It's interesting to hear another story of using a GnRH receptor antagonist (like Firmagon or Orgovyx) to bring down the testosterone quickly when the patient has a very high PSA, although yours was much higher than mine.

Is there any chance you could get on Pfizer's patient-access programme for Orgovyx in the U.S. (I'm not quite sure how things work down there)?