Home | Contact Us | FAQ | Search & Site Map | Link to Us
Sign In | Join | Other 45 Sites in Network
Home
Discussion Groups
General
GeneralCardiologyVisionDentistryPharmacyLaboratoryNutritionAlternative
Diseases and Disorders
AIDSAlzheimer'sArthritisAsthmaCancerBreast CancerDiabetesEpilepsyGlaucomaHepatitisHerpesLupusProstate BPHProstate CancerProstatitisSinusitisTinnitus

Medical Forum / Diseases and Disorders / Prostate Cancer / May 2008

Tip: Looking for answers? Try searching our database.

Going Intermittent

Thread view: 
Enable EMail Alerts  Start New Thread
Thread rating: 
Joe Price - 07 May 2008 16:38 GMT
I have decided to go on to intermittent HDT after 14 months on Eligard (6
months) then Luperon (8 months).  My latest PSA (today) is another
undetectable (< 0.05).

I KNOW that the jury is out on the continuous versus intermittent question
so this is, if not an educated guess, then at least an informed gamble.  I
shall have quarterly PSA tests and am prepared to go back on therapy if it
rises alarmingly.

Good health to you all.

JP
skeptic - 07 May 2008 19:13 GMT
> I have decided to go on to intermittent HDT after 14 months on Eligard (6
> months) then Luperon (8 months). �My latest PSA (today) is another
[quoted text clipped - 8 lines]
>
> JP

Good for you.  I'm only on one month of Lupron and wanting to go on
intermittent already!  But, I won't consider such a short time until
my psa gets down lower.....one month of lupron lowered it from 1.37
to .89.  So we'll see what a couple more months will do.
I should add I haven't experienced any side effects yet and am
exercising like a maniac to ward off muscle loss.
Steve Jordan - 07 May 2008 20:00 GMT
> I have decided to go on to intermittent HDT after 14 months on Eligard (6
> months) then Luperon [sic: Lupron] (8 months).  My latest PSA (today) is another
[quoted text clipped - 4 lines]
> shall have quarterly PSA tests and am prepared to go back on therapy if it
> rises alarmingly.

I recommend a test for serum testosterone (T). This will produce
evidence whether the ADT is succeeding. On ADT, the T should be at
castrate level, < 20 ng/dL. See,
http://www.prostate-cancer.org/education/andind/Strum_ListeningToBiology.html

Strum and other knowledgeable med oncs recommend at least one full year
of UD (=/< 0.05 ng/mL) PSAs while on ADT before moving to an off-phase.

When to restart is a vexed question. Some say 2.0 ng/mL above nadir.
Others have other criteria.

See an article on the topic at
http://www.prostate-cancer.org/education/andeprv/Strum_IADT.html

Also see this September 2007 abstract: Scholz M, et al., "Prostate
cancer-specific survival and clinical progression-free survival in men
with prostate cancer treated intermittently with testosterone
inactivating pharmaceuticals." Urology. 2007 Sep;70(3):506-10.

Abstract: www.pubmed.gov Search on Pub Med ID 17905106

Pub Med is a service of the US National Library of Medicine.

Regards,

Steve J
Steve Kramer - 08 May 2008 01:50 GMT
>I have decided to go on to intermittent HDT after 14 months on Eligard (6
>months) then Luperon (8 months).  My latest PSA (today) is another
>undetectable (< 0.05).

That's great news, Joe.  On both counts.  I wish I had the hangy down things
to try IADT.
Chris.McBorner@barnetuk.com - 10 May 2008 11:35 GMT
>I have decided to go on to intermittent HDT after 14 months on Eligard (6
>months) then Luperon (8 months).  My latest PSA (today) is another
[quoted text clipped - 8 lines]
>
>JP

I have decided to take the same path,
original PSA 176.0 11/05, Gleason 4+3, first Zoladex 17/01/06
and last Zoladex 17/01/08
History
nov05 psa 176 casodex
jan1706 zoladex
jan2306 psa 4.0
apr1706 psa 0.8
jul1706 psa 0.4
oct1706 psa 0.3
jan1707 psa 0.2
apr1707 psa 0.2
jul1707 psa 0.1
oct1707 psa 0.1
jan1708 psa 0.1
jan2508  MRI
jan2908 bone scan
Apr3008 psa 0.1

Good Luck Colin
Steve Kramer - 10 May 2008 23:02 GMT
>>I have decided to go on to intermittent HDT after 14 months on Eligard (6
>>months) then Luperon (8 months).  My latest PSA (today) is another
>>undetectable (< 0.05).

Always good to see someone go from 176 to zero and stay there.

Signature

PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000 G7 (3+4), T3cN0M0 Neg margins
PSA  <.1  <.1  <.1  .27  .37  .75            PSAD 0.19 years
EBRT 05-07/2002 @ 47
PSA  .34 .22 .15 .21 .32                       PSAD .056 years
Lupron 07/03 (1 mo) 8/03 and every 4 months there after
PSA  .07 .05 .06 .09 .08 .132 .145       PSAD 1.4 years
Casodex added daily 07/06
PSA <0.04, <0.05, <0.04, <0.04, <0.1  2/12/08
Non Illegitimi Carborundum

 
Sign In
Join
My Latest Posts
My Monitored Threads
My Blog
My Photo Gallery
My Profile
My Homepage

Start New Thread
Enable EMail Alerts
Rate this Thread



©2008 Advenet LLC   Privacy Policy - Terms of Use
This website includes both content owned or controlled by Advenet as well as content owned or controlled by third parties.