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mcnobles77 avatar

We need others' info on Stage 4 prostate cancer.

Prostate Cancer | Last Active: Apr 3 5:20pm | Replies (28)

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Profile picture for Jeff Marchi @jeffmarc

It would be very unusual for somebody to only be on Erleada, As others have pointed out. You always wanna be have somebody on at least double therapy with a ADT plus anARPI (Erleada). The most common types of ADT are Lupron, Orgovyx, Firmagon or Eligard. Did your doctor discuss those with you?

Was this a choice you or your husband made that they didn’t want ADT? It does have a lot of side effects, but I’ve been on it for eight years and I’m 78 and have no significant problems with it. Some people do have a lot of issues.

Erleada is apalutamide, It works quite well, but has some side effects that are troublesome For some people. Some people get fatigue from it, for example. Nubeqa (Darolutamide) Has almost no side effects for most people, Fatigue is extremely unusual. If he has a problem with that drug, he might ask the doctor about whether it’s worth switching.

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Replies to "It would be very unusual for somebody to only be on Erleada, As others have pointed..."

@jeffmarc
I forgot to mention that he is on Lupron shots every 3 months. Thanks for your input. Makes us feel hopeful that we can beat this.
The doctor explained to us that decreasing the testosterone in his body (so the spread will stop )will have the side effects of functional decline. He is experiencing weakness, low RBC's, low hemoglobin, etc but I am thankful that his appetite remains good at this time. Since he just started this treatments, the oncology team continues to observe and no changes at this time.