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Abiraterone alone for HT ADT therapy for PC

Prostate Cancer | Last Active: 8 hours ago | Replies (30)

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@jeffmarc

It’s pretty clear that your problem is abiraterone not Eligard. You could request Orgovyx again, it has been approved by almost all insurance companies. Ask him to at least request it. He could give you a one month Eligard shot, So you can see if you can get Orgovyx.

Some people that are on Abiraterone have dropped back to three pills instead of four to try to resolve the side effects problems. See if your doctor will allow you to do that and if it makes a difference. You don’t want to sacrifice your PSA when you try this, however. I tried it and my PSA went from .2 to 1 in 18 days.

I found that switching from abiraterone to Darolutamide was much better for me. I was on Abbie for 2.5 years but since Switching my PSA has been undetectable for 18 months, in the 2 1/2 years I was on Abbie I was only undetectable one month. Your doctor might let you switch to Enzalutamide because it is cheaper, but it does have more side effects.

Don’t really expect that long-term orgovyx will work any different than Eligard. They do the same thing which is reduce your testosterone dramatically.

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Replies to "It’s pretty clear that your problem is abiraterone not Eligard. You could request Orgovyx again, it..."

Thanks! I don't know whether it's the abiraterone (which I took in combo with digarelix for 2.5 years with no problem) or just the combo of abiraterone with the leuprolide. I suggested a possible switch to darolutamide citing the results of the Titan study ... but I think he's thinking darolutimide is a triple therapy ... with ADT and doxetaxel (as in the studies). I'm not all that interested in getting chemo. Are you on triple therapy?