Completed ADT & SRT, what to dowith left over prescription meds?
Greetings All,
Initial Diagnosis: Prostate Cancer with PSA 14 G8 March 2023. Treatment: Successful radical prostatectomy on June 27, 2023. Ultra-sensitive PSA tests had cancer undetectable until until August 2025, when the reading was 0.0.5 ng/mL. PSA then doubled in 5 weeks. Urology recommended imaging. After two Pet Scans & one MRI, no sign of recurrence was found. Next steps: 6-month ADT (Orgovyx; started 12/19/25, Ended 6/19/26) & 2 months (38 treatments) Salvage Radiation Therapy (SRT). Question: I have 20 tablets of Orgovyx remaining. What should I do with the RX? Thank you!
Interested in more discussions like this? Go to the Prostate Cancer Support Group.
Connect

AI just answered my question.
1. Do Not Continue Taking the Medication
Because your prescribed course ended on June 19, you should not continue taking the remaining tablets. Extending hormone therapy beyond the 6-month window without explicit direction from your urologist or radiation oncologist can alter your recovery timeline, delay the return of your natural testosterone levels, and prolong side effects unnecessarily.
2. Do Not Sell or Gift the Medication
It is entirely understandable to look at an expensive specialty drug and want to help someone whose insurance might not cover it. However, gifting or selling prescription medication is illegal and highly unsafe.
Oncology medications require precise dosing, rigorous monitoring, and must only be dispensed by licensed pharmacies under a physician's active order. Even if someone else has a prostate cancer diagnosis, their specific staging, cardiac history, and treatment plan might make Orgovyx highly dangerous for them.
3. Do Not Save It for "Future Use"
You should not hold onto the medication to self-administer later. If your PSA levels require attention in the future, your medical team will run updated diagnostics and write a fresh prescription tailored to that exact clinical situation.
The safest and most responsible action is to properly dispose of the leftover tablets: Authorized Take-Back Programs: The FDA recommends using a localized drug take-back box. Many retail pharmacies (like CVS or Walgreens) and local law enforcement stations have secure, permanent drop boxes specifically for unused medications. Household Trash Disposal: Orgovyx is not on the FDA's "flush list." If you cannot get to a take-back location, follow these steps to throw it out safely: Leave the tablets whole (do not crush them).Mix them with an undesirable substance like used coffee grounds, dirt, or cat litter. Place the mixture in a sealable plastic bag or container. Throw the container into your household trash. Black out or scratch off all personal information on the original prescription bottle before recycling or throwing it away.
-
Like -
Helpful -
Hug
1 ReactionWhatever your doctor told you. Mine told me with the last refill that my ADT would be over when I ran out of medication. Probably avoids questions of being short a few pills because of 31 month days and the multiple pills to start Orgovyx or if someone has extra due to a lot of missed days.