What would happen if first hormone injection delayed

Hi

The Bicalutamide is used to prevent 'tumour flare' when given the first HT injection. In my experience, the GP was much more interested in whether I had taken the tablets. In fact, had I said I had only taken a couple, or not as many as I should have, he would have refused to give the injection. From this I'm assuming more is better than not enough.

My feeling is that it will be fine - others, of course, may have a different view.

One thought - you could try 111 and see if they can help.

 Regards

Stuart

Hi,

It’s very worrying at the start of treatment for both of you.

My experience is i got diagnosed in May 21 , put on Bicalutamide straight away and didn’t have my first injection for nearly 3 weeks later. 
Waiting is the hardest , especially at the start , you want to move forward with treatment, it will in my opinion be ok, 

I’m  doing ok over 2 years into this, feeling ok and still working.

I hope this helps all the best

Tony

Any delay is stressful but, as long as the first injection is within the month of taking the Bicalutamide it will be fine. Once the injections have started there's a few days of latitude in the repeats. I was told that a week either way for three monthly Prostap was fine but you should try to keep to the long term schedule. For Prostap the cycle is 12 weeks and not three months.

Please also be aware that long term HT can cause a rise in HbA1C levels pushing you into Type 2 diabetes, so it's important to watch your diet for sugary things. Not many medical professionals appear to be aware of this even though it's in the patient information leaflet (PIL).

Good luck with the treatment.

Hi Seamus

Good point re the type 2 diabetes risk. Also 12 weeks rather than 3 month injections. I had a bit of a 'discussion' with my GP surgery about this very point. I took the view it was likely to be better to have the jab early rather than after the 12 weeks was up.

Regards

Stuart

Thanks for all the responses . He has taken a test this morning and it’s positive. The have advised to carry on taking the meds and that he can take paracetamol too . The GP from 111 advised to contact the hospital tomorrow and take it from there e.

I didn’t realise it was 12 weeks - thanks and yes we will watch his diet . I’m already pre-diabetic so he can follow my diet

thanks again 

Hi

Not a problem just get another months supply of Bicalutamide and continue taking the tablets until you are ready for the injection. The important thing is to be able to take Bicalutamide for 14 days after the injection.

This happened to me as I was put on Bicalutamide immediately after diagnosis but didn't get the letter to my GP prescribing the injections for another month. Got another 30 days of Bicalutamide and scheduled the first injection to allow 14 tablets following administration.

Important to keep taking Bicalutamide until the injection and then allow 14 days to control tumour flare.

Rob