Anyone have experience with intermittent hormonal treatment?
I have come off treatment for the 2nd time (3rd if you count the time after
the RRP).
I am interested in how long people generally stay on intermittent therapy
before going hormonal refractory.
My stats below:
Diag: 10/98 psa 21, gleason 7, later upgraded to 8
Chose aggressive chemotherapy program prior to RRP with hope of killing any
microscopic PCa that might have escaped the prostate capsule.
Starting in Jan 1999, 16 week (trial) program...estramustine 3x per day, 5
days per seek, taxol infusion weekly, and carboplatin monthly. Also 9
months of lupron.
PSA went to below .1 almost immediately (by Feb 1, 2000).
RRP in July 1999, PCA barely detectable in pathology of prostate. PSA
undetectable Oct 1999, Jan 2000, Apr 2003.
PSA started creeping up in July 2000
Started casodex 150 mg per day in Sept, also 38 treatments of external
radiation in March-April 2001. Decided to try external radiation as there
was a chance, perhaps slight, that PCa was confined to the prostate bed or
near the margins.
Stopped casodex in September 2001. Side effects included weight gain,
fatigue, some headaches.
PSA undetectable until June 2002.
3 month lupron + daily 50 mg casodex started in September 2002.
PSA undetectable Dec 2002, Feb 2003, May 2003, and Sep 2003.
Lots of fatigue, headaches starting after 3 months of being on Lupron +
casodex...
Put on about 15 lbs. This was a more difficult protocol for me than 150 mg
of daily casodex.
Earlier this month I decided with oncologist to go off treatment, hopefully
for a year to recover from effects of lupron and casodes. Hope to lose some
weight, get back in shape before the next bout. Also looking forward to
some travel this winter. After a month off treatment, I am sleeping better,
a lot fewer headaches...but now need to work on the extra weight.
I had three or four bone density test while on Casodex. There was no
discernable bone loss. I am having another bone density test to see what
impact Lupron might have made on my bones. Generally, bone loss is an issue
with Lupron.
Robert
Steve Kramer - 16 Oct 2003 16:00 GMT
Welcome to the NG Robert. I'd welcome you to the club, but it looks like
you've been in it since before most of us.
There was a member who was on intermittent HT, but I cannot recall who it
was. I think he only posted once or twice. As I recall, he was ON an
average of 9 months and OFF an average of 5 months over the span of a few
years. Maybe he's a lurker and will jump in on this.
My uro told me he has one patient who he has successfully (so far) treated
intermittently for 13 years. I am now being treated that way, sort of. My
PSA was so low when he started me on Lupron that he feels there is a chance
of a complete cure with it. So, he's going to keep me on it for a couple of
years to make sure my body has a shot at the dormant PCa cells. After that,
we go cold turkey and see what happens. But, if my PSA rises then, I'll be
a full-fledge intermittent patient (assuming that they haven't come up with
a cure by then).
Good luck, and please keep us posted (especially us future intermittents)

Signature
Steve Kramer
PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000
PSA .1 .1 .1 .3 .4 .8
EBRT 05-07/2002 @ 47
PSA .3 .2 .2 .2 .3
Erection 05/12/2003 @ 48
Begin Lupron 07/21/2003 @ 48
PSA .1
> Anyone have experience with intermittent hormonal treatment?
>
[quoted text clipped - 51 lines]
>
> Robert
Robert - 17 Oct 2003 03:16 GMT
Thanks for welcome and the info Steve. I've been reading this newsgroup for
a few years now, but only have made a few contributions...guess that makes
me more of a "lurker."
Hopefully, your first intermission from Lupron will be permanent.
Regards,
Robert
> Welcome to the NG Robert. I'd welcome you to the club, but it looks like
> you've been in it since before most of us.
[quoted text clipped - 77 lines]
> >
> > Robert
brody - 17 Oct 2003 12:52 GMT
>Anyone have experience with intermittent hormonal treatment?
I had my P removed in Nov. 1993. PSA started going up right away.
Had rad. to P bed for 6 weeks. PSA kept going up. June 1994 at 5.0
PSA, started CHT (Lupron & Eulixin) with terrible side effects. PSA
went to zero at once. Twelve months later I heard about IHT and
stopped all treatment. My PSA has been 0.1 ever since and I consider
myself very fortunate indeed. My doc keeps scratching his head in
amazement.
brody
Steve Kramer - 17 Oct 2003 17:19 GMT
Great to hear from you Brody. My RRP was in 2000, but 2001 I had to do EBRT
and 2003 Lupron. I hope by 2005 my doc is scratching his head.

Signature
Steve Kramer
PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000
PSA .1 .1 .1 .3 .4 .8
EBRT 05-07/2002 @ 47
PSA .3 .2 .2 .2 .3
Erection 05/12/2003 @ 48
Begin Lupron 07/21/2003 @ 48
PSA .1
>
> >Anyone have experience with intermittent hormonal treatment?
[quoted text clipped - 8 lines]
>
> brody
Robert - 18 Oct 2003 16:03 GMT
Hi Brody. Sounds like you are experiencing the best kind of intermission --
one that doesn't end. Thanks for the info. Can you provide more details
about your PCa? Initial PSA, gleason, initial staging? Thanks for the info.
Robert
> >Anyone have experience with intermittent hormonal treatment?
>
[quoted text clipped - 7 lines]
>
> brody
brody - 18 Oct 2003 23:19 GMT
>Hi Brody. Sounds like you are experiencing the best kind of intermission --
>one that doesn't end. Thanks for the info. Can you provide more details
[quoted text clipped - 13 lines]
>>
>> brody
Hi Robert,
All I know is that my Gleason was 6, and PSA at surgery 9.6. I'm
sixty five now, totally impotent, 70% incontinent. I use a Geezer
Squeezer when I'm out and active which works quite well.
brody