Prostap Injections

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  1. I have had 1 x 3 monthly injection at my GP's surgery. I have been informed they must be repeated every 12 weeks. After my next injection in January I have calculated my April ( 12 week) is during a holiday already booked. Has anyone been in a similar situation? Am I allowed to have the injection prior to my holiday as I understand under no circumstances should it be longer that 12 weeks to be effective. 
  • My nurse was away for my zoladex injection and I was 8 days late and my consultant said this would be OK I am stage 4 gleason 4+5

  • Hi  . My husband has been on Prostap for over 4 years now and has his according to the manufacturers recommendation of everything 3 months. There is conflicting information about as to whether 3 months means 3 calendar months or 12 weeks. No matter what 2 or 3 days either side normally does not make a difference. What you can do is ask for a monthly injection in January, then have the 3 monthly one in February which would hopefully mean that you can have your holiday and return to your next injection in May.

  • In the event that your holiday is in the UK (probably not, but just in case) my GP surgery advised me that you can become a temporary patient at another GP and have the injection done there.

  • Thanks. I didn't know the GP's  offer flexibility. I'll have a word with my surgery.

  • Thanks for your reply.  I will talk to my surgery. My wife is a retired nurse I'm wondering if she may be allowed to inject me. The possible problem may be she is no longer registered. 

  • Hi  , I doubt your wife would be allowed to administer unless she has been trained.  I had my Covid jab the other day and the nurse administering was someone I knew. I asked her why she didn’t do the stomach injections and she said she hadn’t been through the training and wasn’t allowed to do them.  AH provided the easiest solution, switch to a monthly to break the cycle.  I must admit I put my dates into a repeating calendar and avoid being away around that time.  A day or two won’t make any difference.  David

  • Unfortunately my Prostap treatment started after the UK holiday was already booked. I wasn't aware my future treatment required hormone therapy. As you suggest I will ensure any future holiday bookings avoid injection dates.

  • Hi Alwayshope, 

    I asked the nurse specialist at my first injection whether it was a calendar 3 months or 12 weeks. It was confirmed it was 12 weeks. 

  • My husband's urologist says 3 months so you can understand the confusion. 

    This is the official guidelines - every 3 months.

    https://www.medicines.org.uk/emc/product/4651/smpc#gref

    I think the confusion comes because other injections/implants are given 12 weekly.

    NICE guidelines are every 3 months.

    https://bnf.nice.org.uk/drugs/leuprorelin-acetate/#indications-and-dose

    However, some NHS trusts say every 12 weeks.

    There was one piece of work for men on long term HT which showed that those given it every 12 weeks demonstrated an elevated testosterone level compared to those given it every 3 months giving rise to the hypothesis that this might reduce the time to hormone resistance.

  • I was in exactly the same situation earlier this year but was aware of the implant / holiday clash early enough to request a one month implant well in advance. In fact my GP was quite surprised by my ingenuity when I explained the problem and my suggested solution.

    Rod