Connect
← Return to Newly diagnosed stage 4, how long on ADT before adding ARSI?
Discussion
Newly diagnosed stage 4, how long on ADT before adding ARSI?
Prostate Cancer | Last Active: May 4 11:19am | Replies (18)Comment receiving replies
In my case, they started me on ARSI (Erleada/Apalutamide) at the same time as ADT, and I also received radiation to the metastasis and a high dose to the prostate.
However, I was only 56 at the time, and I had made it clear I wanted to pull out all the stops. At age 83, aggressive doublet or triplet therapy might not always be indicated, because some of the side-effects are tough even on a relatively young man.
There's no right choice, just an ongoing conversation with his medical team. It's helpful to make it clear to the doctors, repeatedly, what his preferences are, so that they don't just assume based on his age.
Best of luck!
Replies to "In my case, they started me on ARSI (Erleada/Apalutamide) at the same time as ADT, and..."
Connect
Thanks for the perspective North! I think the next time I meet I will just directly ask if he is delaying due to my dad's age or because that is his standard practice. I think that will at least make me understand his reasoning more clearly and I can make my assessments/judgements from there. He didn't phrase it that way when explaining, but maybe he was just trying to sugar coat my dad's age in front of him. Which is totally ok, but I took it more as not being as aggressive as I'd like to attack the situation. Obviously, he is just starting to get to know my dad and so I can sympathize from his standpoint not wanting to over prescribe a 83 year old that might not be in the best health for all he really knows. I'm obviously bias, but think my dad is doing good for a 83 year old and just has the normal slightly elevated stuff common for his age that is easily managed (blood pressure, cholesterol).