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Which ADT medication is best?

Prostate Cancer | Last Active: 6 days ago | Replies (31)

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@itsaquarter23

I've got a GU oncologist, and she was fine with six months of Orgovyx. An hour later, my radiation oncologist—her colleague—said I should do six months of Lupron instead of Orgovyx. His reasoning: Lupron lingers longer in the body, and that lingering effect might have a benefit. Hard to know what to do when two experts disagree.

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Replies to "I've got a GU oncologist, and she was fine with six months of Orgovyx. An hour..."

Yes, conundrum.
My understanding is that there can be an initial flare of testosterone when beginning Lupron and prednisone or something else (?) is often given initially.
I chose Orgovyx because the cardiac profile was a bit better, and the promoted "quicker on and off" was attractive.
It seems that the ADT recipe can be different from almost each MO or RO.
With Salvage Treatment, I was rx'd 4 mos; 2 friends received 6 mos each. All of us had a different RO at the same COE. And "by the book", I could have had a longer course of ADT .
So unfortunately you need to choose between the recommendations of 2 different MDs. Ugh. But that's why we are able to exercise a choice.
Best wishes