Stage 4 prostate cancer treatment options

Posted by safari1949 @safari1949, Nov 17, 2019

I have recurring prostate cancer and it has found its way to 5 different bones, including my left shoulder and two ribs on my right side. I started 6 month Lupron shots but have been told that because it is stage 4 I need additional treatment. My oncologist is recommending either Abiraterone (Zytiga) for 33 months or 6 treatments of Docetaxel chemo. She says that they look to have very equal success. With the Zytiga I will also have to take steroids, probably prednisone which I understand includes possible liver damage. Six chemo treatments seems like a better approach but I have heard Zytiiga talked about in a very positive manner. I understand it can be expensive and I do worry my prescription drug coverage could change its formulary and raise my cost significantly as well. I've already had that happen with a drug I take for Parkinsons.. Just looking for some general input regarding peoples actual experience either way.

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Hi Safari1949
I am 74 and in good health. I started lupron, Zytiga and Predinson in March 2019 with one month (February) of Firmagon (4 shots). My PSA in Feb. was 3,194 and today the PSA is 0.10. There are side effects but with Exercise and a good diet they are not that bad. I have not had Chemo. but it might be in my future. What I have read is it is best to hold Chemo. until later. There are a lot more drugs now for us Stage IV people so I would suggest you do a lot of research before you make your decision. Good luck with your decision (there is no wrong answer) and sorry you are a member of our community.

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