Orgovyx and zytiga side effects

Posted by larryf954 @larryf954, Oct 19 4:53pm

I’m a 69 year old, who finished IMRT 5 weeks go and I’ve been on these ADT medications for 4 months now. This last week my fatigue has increased significantly. I’m not surprised but I’m disappointed as I was feeling better after 3 weeks of post radiation difficulty. If you had a similar treatment regiment I’d appreciate it if you would share your side effect experience during the 4-6 month time frame. Wondering what I should expect over the next few months. Thanks

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@larryf954

Not sure how much longer I’ll be able to do it, hence the initial question I posed which was should I expect it to worsen. My takeaway from the posts here is it will get more difficult. Thanks.

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I plan on asking my MO about lessening the dose of ADT if my PSA is still at < .01 this coming week. I ll be doing my heart a favor and lowering my glucose level at the same time.

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@ecurb

I plan on asking my MO about lessening the dose of ADT if my PSA is still at < .01 this coming week. I ll be doing my heart a favor and lowering my glucose level at the same time.

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Spoke to my oncologist on Monday. After being on Lupon and then Orgovyx for eight years it is unlikely my testosterone will come back if I stop taking Orgovyx. She agreed and said it was fine for me to stop Orgovyx. I asked her to just have my testosterone tested monthly like my PSA. I am on just Darolutamide for now. My PSA has been less than .1 for 11 months. Now it’s just a matter of how long I can go before Darolutamide fails me.

I have watched what I eat for the last few years. My latest A1c is 5.4 so I’m pretty sure stopping Orgovyx isn’t gonna help my blood sugar level. I know some people have a real problem with keeping there blood sugar down.

Good luck with your attempt to reduce drugs. What are you on besides Lupron/orgovyx?

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@jeffmarc

Spoke to my oncologist on Monday. After being on Lupon and then Orgovyx for eight years it is unlikely my testosterone will come back if I stop taking Orgovyx. She agreed and said it was fine for me to stop Orgovyx. I asked her to just have my testosterone tested monthly like my PSA. I am on just Darolutamide for now. My PSA has been less than .1 for 11 months. Now it’s just a matter of how long I can go before Darolutamide fails me.

I have watched what I eat for the last few years. My latest A1c is 5.4 so I’m pretty sure stopping Orgovyx isn’t gonna help my blood sugar level. I know some people have a real problem with keeping there blood sugar down.

Good luck with your attempt to reduce drugs. What are you on besides Lupron/orgovyx?

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Been on Trelstar since 12/2022. Been on ADT since 1/17/2023 --Arbiterone/Prednisone. The doc is only 42....has great credentials...will see him on the 31st of this month. I see your planning on Darolutamide failure...I d have to research that drug...thanks for the info. The nurse tells me Lupron adminstration has a much larger needle and hurts more...lol

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@ecurb

Been on Trelstar since 12/2022. Been on ADT since 1/17/2023 --Arbiterone/Prednisone. The doc is only 42....has great credentials...will see him on the 31st of this month. I see your planning on Darolutamide failure...I d have to research that drug...thanks for the info. The nurse tells me Lupron adminstration has a much larger needle and hurts more...lol

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I have never heard of anyone using Trelstar. Are you in the United States? I was getting six-month Lupron shots and never really felt much of anything when they gave them to me.

When I was on Arbiterone for a couple of years. I asked my oncologist about reducing it to maybe help with the brain fog. She said fine. Go ahead and cut it down to three pills. My last PSA was .2 I switched to three pills 18 days before my next PSA test, PSA went up to 1 in 18 days. Not a very successful test though it did enable me to get a PSMA Pet test finally since my PSA went up so much. That’s the problem with BRCA2, it resents you trying to do anything to make you feel better.

By the way Trelstar is your ADT drug. Arbiterone is an anti androgen referred to as an ARSI not ADT.

Afters Zytiga stops working for you moving to Darolutamide is the preferred step. Lancet had an article about it, if you’re interested I could send you the link. Darolutamide has the least side effects of all the lutamide drugs.

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@jeffmarc

I have never heard of anyone using Trelstar. Are you in the United States? I was getting six-month Lupron shots and never really felt much of anything when they gave them to me.

When I was on Arbiterone for a couple of years. I asked my oncologist about reducing it to maybe help with the brain fog. She said fine. Go ahead and cut it down to three pills. My last PSA was .2 I switched to three pills 18 days before my next PSA test, PSA went up to 1 in 18 days. Not a very successful test though it did enable me to get a PSMA Pet test finally since my PSA went up so much. That’s the problem with BRCA2, it resents you trying to do anything to make you feel better.

By the way Trelstar is your ADT drug. Arbiterone is an anti androgen referred to as an ARSI not ADT.

Afters Zytiga stops working for you moving to Darolutamide is the preferred step. Lancet had an article about it, if you’re interested I could send you the link. Darolutamide has the least side effects of all the lutamide drugs.

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Triptorelin= Trelstar . I m in michigan

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@jeffmarc

I have never heard of anyone using Trelstar. Are you in the United States? I was getting six-month Lupron shots and never really felt much of anything when they gave them to me.

When I was on Arbiterone for a couple of years. I asked my oncologist about reducing it to maybe help with the brain fog. She said fine. Go ahead and cut it down to three pills. My last PSA was .2 I switched to three pills 18 days before my next PSA test, PSA went up to 1 in 18 days. Not a very successful test though it did enable me to get a PSMA Pet test finally since my PSA went up so much. That’s the problem with BRCA2, it resents you trying to do anything to make you feel better.

By the way Trelstar is your ADT drug. Arbiterone is an anti androgen referred to as an ARSI not ADT.

Afters Zytiga stops working for you moving to Darolutamide is the preferred step. Lancet had an article about it, if you’re interested I could send you the link. Darolutamide has the least side effects of all the lutamide drugs.

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One pill of Arbiterone I take with a low fat breakfast with food. Works fine so far til I find out tomorrow. Bloodwork. No need to take 4 Arbiterone a day.

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Wow, I'm on an incredibly similar path to you.

My ADT started May 29th and my IMRT ended September 12th. I'm on Camcevi (Leuprolide Mesylate) and generic Zytiga. I was pretty beat by the end of the RT but still functioning. I don't have particularly bad fatigue (but I am 10 years younger). My biggest problem after IMRT has been urinary issues but I believe there is some light at the end of that tunnel in the last few days.

Because my schedule is almost exactly like yours I cannot help you plan for the future but I will be interested to see responses to your post and feel free to ask me questions about my parallel path.

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@ecurb

Triptorelin= Trelstar . I m in michigan

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I looked it up before I replied to you. That’s why I knew that it was an ADT medicine. Have you noticed that the side effects mentioned in here have been fewer with Trelstar, their documentation doesn’t seem to differentiate side effects.?

I know that with estrogen side effects or fewer, and it can be used instead of ADT according to the recent patch trial just completed.

It is so strange after all these years of hearing people talk about their ADT That I’ve never heard of Trelstar.

Did your doctor ever mention why he’s using that instead of Lupron or Orgovyx?

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@ecurb

One pill of Arbiterone I take with a low fat breakfast with food. Works fine so far til I find out tomorrow. Bloodwork. No need to take 4 Arbiterone a day.

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Taking one pill of Abiraterone really does work with a low-fat breakfast. It’s equivalent to taking four pills on an empty stomach. If you end up having to pay for Zytiga it’s definitely a cheaper solution.

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@jeffmarc

I have never heard of anyone using Trelstar. Are you in the United States? I was getting six-month Lupron shots and never really felt much of anything when they gave them to me.

When I was on Arbiterone for a couple of years. I asked my oncologist about reducing it to maybe help with the brain fog. She said fine. Go ahead and cut it down to three pills. My last PSA was .2 I switched to three pills 18 days before my next PSA test, PSA went up to 1 in 18 days. Not a very successful test though it did enable me to get a PSMA Pet test finally since my PSA went up so much. That’s the problem with BRCA2, it resents you trying to do anything to make you feel better.

By the way Trelstar is your ADT drug. Arbiterone is an anti androgen referred to as an ARSI not ADT.

Afters Zytiga stops working for you moving to Darolutamide is the preferred step. Lancet had an article about it, if you’re interested I could send you the link. Darolutamide has the least side effects of all the lutamide drugs.

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I was prescribed Triptorelin (Decapeptyl) in Belgium and another centre also prescribed it but I wanted Orgovyx and so got that instead.
Orgovyx was a bit new here (Nov 2023) so some centres were not so keen on using it.

Triptorelin and Leuprolide seem very similar for efficiency and side effects, Triptorelin having a slight edge in T suppresion from a study I saw.

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