I have stage 4a metastatic prostate cancer, where tumors have been found outside my prostate in lymph nodes in my lower abdomen. I was prescribed Casodex about a year ago and 30 days later was changed to Lupron and Xtandi.
My PSA levels have responded well, but I lost my private insurance (and my job) at the end of February 2023 so Xtandi is no longer financially viable.
My oncology team suggested that I have my prostate and testicles removed which has negated the need to continue with my Lupron injections
It appears from my reading that Casodex and Xtandi work in the same way with Xtandi performing slightly better in some of the trials.
Since Xtandi is no longer affordable with my Medicare plan, would it make sense to replace that treatment with Casodex?
Thank you for your consideration.