← Return to First blood test 3 months after initial ADT (Lupron) injection

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Profile picture for jeff Marchi @jeffmarc

@beaquilter
Anybody that is put on Lupron is supposed to be put on Casodex for two weeks before being given a Lupron injection. That prevents the testosterone Spike. Anybody that’s been on Fermagon has even one shot could switch to Lupron and they will not have a spike.

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Replies to "@beaquilter Anybody that is put on Lupron is supposed to be put on Casodex for two..."

@jeffmarc
never heard of that before and that wasn't the case for my husband. this is what dr AI google says:
Casodex (bicalutamide) is
a prescription brand-name medication used as a hormone therapy to treat Stage D2 metastatic prostate cancer. It is a type of anti-androgen that works by blocking the male hormone testosterone from stimulating cancer cell growth.

And I know that my husband can switch to lupron anytime he wants now, he just doesn't and they are letting him do that as they do the same thing now, we'll see about 2026 as insurance doesn't cover Firmagon anymore but hopefully the doctor/hospital can help with that (i.e. getting insurance to pay for it getting pharmaceutical financial help) we'll see.

@jeffmarc

So why didn't my doctor put me on Casodex for two weeks to prevent testosterone spikes? Is doing so a standard or "intelligent procedure?"

Also, if I had an "every 3 months" ADT injection the first week in November, should the testosterone spike be over by now? I get these "hot flashes" that come and go, but from my informal research they're related to drops in estrogen that's normally converted from testosterone via aromatase.