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Medical Forum / Diseases and Disorders / Prostate Cancer / June 2005

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Zoladex

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Larry - 27 May 2005 11:46 GMT
Thanks to Marshall Schuon for sharing your decision to quit Zoladex. Our
paths are very similar. I too received my first injection February 2004. My
urologist wants me on it for two years. My last injection was a couple of
weeks ago and it was a very emotionally draining experience - the worst I
had faced. The thought of two more injections (at the prescribed 3 month
intervals) depresses me no end. I suspect that the two year figure is
somewhat arbitrary and recommended to fit neatly into his study rather than
any particular benefit to me.

I have been doing my best to fight the SE's but I feel like I'm loosing
ground on all fronts. Just the thought that I may have had my last injection
is enough to make me feel better even though the effects wouldn't start
wearing off for a few months.

Refresher (nickel version):
Diagnosed with 14+ PSA May 2003 during routine physical.
Found a urologist who specializes in PCa - biopsy negative
Continued monitoring PSA - second biopsy positive
Started Zoladex February 2004
Bone scan - clean
Lymph node penetration - microscopic - result of lymph node dissection
Treatment: Continued Zoladex - two more injections scheduled - August,
November
                 25 EBRT treatments April-May 2004
                 105 PD103 Seeds June 2004
PSA's consistently 0.1/complex 0.1

My hiatus from the group for the last 6 months probably was one of the side
affects. I've been sitting at my computer since 1:00 am - I've been a lousy
sleeper the last couple of years. One of the SE's? And was drawn back to the
NG. Maybe Divine Intervention that drew me to Marshall's post?

Larry
Gordy - 27 May 2005 17:23 GMT
Yes, insomnia is but one of the lovely side effects.

> Thanks to Marshall Schuon for sharing your decision to quit Zoladex. Our
> paths are very similar. I too received my first injection February 2004. My
[quoted text clipped - 29 lines]
>
> Larry
Gordy - 27 May 2005 17:24 GMT
Yes, insomnia is but one of the lovely side effects.

> Thanks to Marshall Schuon for sharing your decision to quit Zoladex. Our
> paths are very similar. I too received my first injection February 2004. My
[quoted text clipped - 29 lines]
>
> Larry
I. P. Freely - 27 May 2005 18:21 GMT
> Thanks to Marshall Schuon for sharing your decision to quit Zoladex. Our
> paths are very similar. I too received my first injection February 2004.
[quoted text clipped - 3 lines]
> ground on all fronts.
> I've been a lousy sleeper the last couple of years. One of the SE's?

Thanks, Larry. I'm adding your experience to the results of my ADT SE poll
of this group for my future reference. It ain't pretty.

There is some basis for your doc's two-year recommendation; the only ADT
duration proven by trials at that time to help after RP is 28 months; maybe
he applied that result to your radiation-based protocol.

And, yes . . . ADT clobbers sleep in at least two ways. T deprivation
impairs sleep directly (one reason we sleep more poorly as we grow old), and
the hot flashes. Even my very mild flashes were enough to impair my sleep
for three months following my single 28-day experiment with Zoladex.

I.P.
Clarence Crow - 27 May 2005 21:19 GMT
<snip>
>. I suspect that the two year figure is somewhat arbitrary and recommended to fit neatly into his study rather than
>any particular benefit to me.
<snip>
I've just come to the grim awareness that any Clinical Trial Study
just re-classifies the patient as a Lab-Rat.
I also doubt the "Randomisation" of which "Arm" of the study is
assigned to you. Your pre-qualification Data are fed into a so-called
"Artificial Intelligence" program in some remote computer and your
"Randomisation Arm is spat out". IMHO, the computer is loaded with
past data fed in by Humans, so it's just like sifting dirt thru a
sieve in your back garden. You don't need to be a Rocket Scientist to
know what your Treatment Regime will be, if you've already made an
assessment of your condition prior to entering a Clinical Trial.
I must admit I welcomed being in one as it was the only option
remaining for me and also was free (to a large degree).

So where am I going with this Rant?

I went into the trial with fairly bad Osteo-Arthritis in both feet,
ankles and R knee. This has now been exacerbated by ADT to the point
where I'm now on fairly heavy pain-killers, but now my good L knee is
also painful and I'm having difficulty getting DOWN a small flight of
stairs without handrails.

I've completed 23 fractions of EBRT and now have Cellulitis in my R
lower leg. The Govt. Podiatrist and my local GP have suggested this
could be a SE of  the Radiation AND the ADT lowering my resistance.
The GP is holding it at bay with oral Anti-Biotics, but it's slow to
recede.

I'm up for 3 fractions of HDRB come July 11-14 and scheduled for 3
more Lucrin, (similar to Zoladex), Injections finishing December 2005.

I've asked about BMD tests and have been told by the Rad Onc and the
GP that they are only for patients presenting with signs of
Osteoporosis, (not Osteoarthritis), prior to Treatment, plus any bone
supplements would not relieve pain and would only serve to strengthen
and rebuild bone lost by resorption thru ADT, plus would take 18 mths
to work.

So in summary, if you're in a Clinical Trial, you're locked into the
hand of cards that's dealt to you, (like a train on tracks), until the
Trial is completed. They don't really give a sh.t about your SE's so
long as you complete the Trial and your Data are fed into the computer
for the next lot of Lab-Rats.

If you Opt out of the Lucrin/Zoladex without completing the prescribed
period in the Trial, any futher Treatment/Monitoring/Salvage Therapy
Procedures become Billable at Full Cost, which may be offset by
Insurance or Medicare, but you would possibly need a Lawyer to recover
any Monies as you would've been blacklisted for Opting out of the
Trial.

Have a nice day (it may well be your last!)

-- Reader to complete...
-- Please reply to this ng as my email adress is fake:

-- Regards

-- CC
Alan Meyer - 28 May 2005 00:47 GMT
> ...
> If you Opt out of the Lucrin/Zoladex without completing the prescribed
[quoted text clipped - 3 lines]
> any Monies as you would've been blacklisted for Opting out of the
> Trial.

Clarence,

I don't know what the legal situation is on all of this, and it
might be different in Australia and the U.S., but it seems to
me that morally, the doctors have some obligation to you.

You fulfilled your part of the bargain so far.  You took the
drugs they gave you.  You accepted the protocol.  Now
you're being hit with side effects that they didn't tell you about
and for which there isn't much doubt that their treatment
is responsible.

My impression of the doctors who ran my clinical trial was
that they really did care about the patients.  They weren't
just in it for the glory of scientific discovery and publishing.

Talk to your doctor about the problem.  Maybe he'll be
willing to continue the treatment without more injections.
I presume he already has the funds for the treatment, and
he's already spent half of them on you.  And it's not
like he'll get no information at all from your experience.

I've also had some arthritic effects from Lupron.  They
started after the Lupron wore off, but I believe the Lupron
was the instigator.  For me, the only thing that's helped,
and it's helped a great deal, is exercise.  I know you're
in pain, but keep trying to move those joints.  Maintain
flexibility.  Don't let them freeze up on you.

Some people have gotten great benefit from swimming.
In the water you can move all of your joints without
putting a lot of weight on them.  Maybe it will help.

Best of luck.

   Alan
Marshall Schuon - 28 May 2005 06:19 GMT
>Thanks to Marshall Schuon for sharing your decision to quit Zoladex. Our
>paths are very similar. I too received my first injection February 2004. My
[quoted text clipped - 9 lines]
>is enough to make me feel better even though the effects wouldn't start
>wearing off for a few months.
<snip>
>My hiatus from the group for the last 6 months probably was one of the side
>affects. I've been sitting at my computer since 1:00 am - I've been a lousy
>sleeper the last couple of years. One of the SE's? And was drawn back to the
>NG. Maybe Divine Intervention that drew me to Marshall's post?
>
>Larry
_______

Hi Larry, So glad you found my comments and that they were helpful.
I'll be interested to see (an understatement!!) how long it takes the
SE's to wear off, and I'll keep everybody posted.

Marshall
Larry - 28 May 2005 15:30 GMT
Marshall,
I'd been thinking about this for a long time. I came very close to not
getting the injection last time but felt I had to
go with my doctor's recommendation. It was a lot of pressure (self imposed).
You actually did what I was wanting to do and I got a lot of strength from
that.
A little reassurance that I got from your post is all I need.
Absolutely I'll keep you posted. Looking forward to see how you do. I would
also be anxious to hear from others on how long it took after they stopped
taking hormone therapy to notice a reduction of SE's
Thanks,
Larry

> Hi Larry, So glad you found my comments and that they were helpful.
> I'll be interested to see (an understatement!!) how long it takes the
> SE's to wear off, and I'll keep everybody posted.
>
> Marshall
Tom Cular - 31 May 2005 10:47 GMT
Larry,

I got my last 4 month Lupron shot in Oct. 04 and the first post treatment
PSA in April 05 because my Dr. felt there was still residual effects of the
drug for a couple of months following the planned life of the dosage. I
experienced a few minor hot flashes until this month and definitly feel more
energetic. The libido is returning and that's a good sign. From my
experience, it seems to take 3 to 4 months from when the last shot would
have run it's course to begin to loose the SEs.

Tom
> Marshall,
> I'd been thinking about this for a long time. I came very close to not
[quoted text clipped - 14 lines]
> >
> > Marshall
Larry - 31 May 2005 16:14 GMT
Hi Tom,
Thanks for sharing this information. It's very useful. What was the result
of your April PSA test?
Larry

> Larry,
>
[quoted text clipped - 7 lines]
>
> Tom
Tom Cular - 01 Jun 2005 10:43 GMT
Larry,

It was <.1, but that still may have been influenced by the Lupron. I'm
scheduled for another test in Aug.

Tom
> Hi Tom,
> Thanks for sharing this information. It's very useful. What was the result
[quoted text clipped - 14 lines]
> >
> > Tom
kh - 01 Jun 2005 01:02 GMT
> I got my last 4 month Lupron shot in Oct. 04 and the first post treatment
> PSA in April 05 because my Dr. felt there was still residual effects of the
[quoted text clipped - 3 lines]
> experience, it seems to take 3 to 4 months from when the last shot would
> have run it's course to begin to loose the SEs.

That's my experience too.  My "declined" shot of Lupron was supposed
to be in January 2005.  I was still a Lupron mess in February and
March.  

In April, I was on the way back, feeling stronger and clearer but
not there yet.  Libido was, ah, starting to stir; 50 mg of Vitamin-V
was getting the motor started.  

I was working a 10-11 hour day in April and have been increasing
this each week.  I'm counting fixing my home computers and doing
home repairs as work.  

During the cancer treatment, I let a lot of things slip.   I had to,
I didn't have the focus or the strength.  How important is painting
the back room when you are fighting cancer and getting up 2, 3 times
a night to pee?  

Since March, I've done home repairs, nothing major, just replaced
the kitchen faucet and garbage disposal.  Typical homeowner stuff
but stuff I flat did not have the time or strength for.

In April, I did more work, both on the paying job, on a contract
part-time job, and around the house, than I did in two months while
on Lupron.  

Still not there yet though.  I'm exhausted by the weekend.

Each week, though, I'm able to do more.
 
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