Hubby’s Exhausted

@peterj116 Hi! He does get spared those damaging activities! I try to get him to use whatever energy he has toward walks & exercise.
“ But 8pm, I'm shuffling around the house like a pensioner.” Thanks for the laugh - we are all doing the same here!

@anything4him If it's working well, don't switch, obviously, unless the side-effects become unbearable.

The old thinking was to start on Abiraterone and the switch to a -lutamide when Abiraterone stopped working. That's been shifting recently, based on various big trials, to starting on the most-effective drug (the -lutamide) right from the beginning, since that's when it will give you the biggest benefit.

As Jeff mentioned, IF you're going to sequence, a -lutamide may work after Abiraterone, but less likely the other way around. The article he cited doesn't suggest that sequencing is better (or worse); it just deals with the order if you decide to do it.

Unfortunately, you might not get the full benefit of the -lutamide if you already became castrate-resistant on Abiraterone, but this is still very much under study and in flux.

Beware of the price of Nubeqa vs. Arbiterone. It’s 15,000/ month.

@ecurb Many of these medications are so expensive. I was able to get discount cards for his meds so far, even his Prolia shot. It seems you need to have commercial insurance for most of these discounts though.

@ecurb wonder what the final negotiated price is after all the fluff and puff...I imagine it costs Bayer maybe $100 bottle max ( 120 pills) ..price is a moving target ...cost with insurance/without..subsidized..etc

@xahnegrey40 The hospital is assisting my friend Gary, whose taking Erleada. He had it metastasize to his brain/ spine. Erleada is working: last PSA -< .O3. Our society is transitioning over the last few years to the HAVE/HAVE NOT people. Greediness is still growing= two class society.

@ecurb
Last retail price on my delivered Nubeqa was $12.600. Since I’m on Medicare, the maximum of my pay for drugs all year is $2100.

@peterj116

😂😂😂

@jeffmarc you ve got good insurance- low deductible maybe.

@ecurb
Not a low deductible it’s how Medicare pays for prescription drugs.

Last year the maximum you had to pay If you were on Medicare was $2000 this year it’s $2100.

In January when I placed my first prescription for Darolutamide, they charged me $2098.50.

That left $1.50 to pay for my Orgovyx prescription. Since then, I have not paid a penny for any prescription drug.

It doesn’t have anything to do with your insurance company. It’s what you pay when you are on Medicare.