I have had PC for 10 years. Had a RP and Radiation 9 years ago. It has taken 8 years for my PSA to rise to 4.2. My doctor has me on a Cassodex only, 50mg, regime and in 2 months it has reduced my PSA from 4.2 0.27.
I have a friend who takes only Cassodex when his PSA gets to 5, then stops 3 month later when his PSA gets below 1.0. It usually it takes 2 years to climb back to 5.0.
Has anyone else tried this? The side effects on Cassodex are not nearly as bad as Lupron, but I seem to have less energy and sore nipples.
The efficacy of casodex and lupron is comparable and both may be used in cases of suspected recurrence as part of hormonal therapy. The preference of one over another could be made on the side effect profile. I would suggest discussing the situation and the suggested management plan in detail with your treating urologist/ oncologist.
Hope the information is helpful.
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