Advanced Prostate Cancer

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Hi, my husband has received one prostap injection so far.. probably going onto Enzalutamide. Bloods taken to check kidney, liver etc function prior to being prescribed these. Also PSA checked. Called nurse today PSA now 38.6 from 102, but she said testosterone level was still normal??so he will probably have to take a tablet that he took prior to his first Prostap injection too. Second Prostap injection is booked for 14th March. Should we be concerned?

  • Susielou

    I’m sorry to hear about your husband’s diagnosis. It is normal to have an anti-androgen such as bicalutamide before having Prostap injection. This is because initially Prostap causes a surge in testosterone this is called a flare. The use of the anti-androgen is to ensure that testosterone continues to reduce with the 2nd injection. There is a really good booklet online at https://shop.prostatecanceruk.org/pdf/publication/hormone_therapy_ifm.pdf

    This might explain it much better than I can it also gives more information on Enzalutamide which you might find useful.

    Wishing all the best for you and  your husband.

    Robina

  • Thank you. I will take a look

    S⁸

  • Husband started taking bicalutamide yesterday. This morning he complained of a pain in his arm, he said I've pulled a muscle in my arm some how. When I mentioned it may be his cancer & he needs to tell hospital of any new pains he seemed shocked and said yes but its mainly in my pelvis & right thigh. Will it be okay to wait until his next appointment which is the 14th March or should he call today(Saturday)?

    S⁸

  •    Body aches and pains are a common side effect of Bicalutamide, but I'm surprised it has come on so quickly after just one tablet. If you have a Cancer Nurse Consultant then give them a call on Monday.

    Yesterday is history, tomorrow is a mystery and today is a gift.
    Seamus
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