There are four different ARSI. Zytiga, apalutamide Enzalutamide and Darolutamide. If you have Prostate cancer that has already metastasized or ADT is no longer keeping your PSA down then you usually get on an ARSI.

Darolutamide is the ARSI with the least amount of side effects. I’ve been on it for 20 months and it’s kept my PSA undetectable even though I’ve had prostate cancer for 15 years.

I know at least a dozen other people that are using it some without anything else.

I did take Zytiga For 2 1/2 years. It kept my PSA down, but I was only undetectable for one month. I then switched over because Zytiga caused me heart problems.

If you need to be on one of those four drugs, I have mentioned than the easiest one on your body is Darolutamide.

Darolutamide (brand name Nubeqa) is an androgen receptor inhibitor used in the treatment of advanced prostate cancer. It works by blocking the effects of androgens (male hormones) that can stimulate the growth and spread of prostate cancer cells. So, so good.