Yes, the ADT drugs work for your 4+5, Though you would think they would want to put you on Zytiga or one of the lutamides. If they discussed putting you on a second drug, tell them you want Nubeqa (Darolutamide) which has the least side effects of that group of drugs. If they say you can go on Zytiga Then do that, It has some more side effects and if you have heart issues, you do not want to take it. These are all things to discuss with that doctor.

Yes, with Gleason 9 the recommended NCCN time for ADT is 24 months.

Now let’s talk about Eligard, Lupron or Orgovyx. You could not ask them, and tell them you want Orgovyx. It’s the most convenient and you can stop at any time since you take it once a day as a pill. If you cannot get it and they want to give you one of the other two, You tell them you want to have a Casodex Prescription for two weeks before you get that injection. Otherwise, you get a testosterone flare and it can mess up your system and your cancer. Your doctor should know about this. Make sure you ask.

The other choices they could give you Firmagon, Which is shot you get in the stomach. It’s like Lupron And the others it just doesn’t need Casodex first.