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After failed rrp and rt, my doctor recommended just Casodex 150mg for three months which I started four weeks ago. My psa on starting casodex was 1.3, after four weeks it had dropped to .4. My nest psa test is in two months time.
Casodex is has probably the least se of ht treatment.
So far se have not been too bad.
The dose is not as important as the results. The key to any HT is to get the testesterone to casteration levels which are < 20 and to get psa to .05. If 50 mg does this then great. Often doctors start HT and do not establish control levels in which to monitor the success of the meds. If you are considering HT the you should be seeing an oncologist that specializes in PC as he can monitor your T levels and adjust meds to accomplish casteration levels. A good oncologist can also minimize any side affect you may have.
JohnT
John,
I think Casodex on it's own causes testosterone to go up but it does block the androgen receptors which should drive PSA down. The LHRH drugs drive testosterone down but first give a spike up.
That's why the side effects are a bit different for the two types of drugs and why they are usually used in combination.