Comments on: Dr. Myers: Can you give me your opinion about ADT (Casodex/Finasteride) used ALTERNATEVILY, …as in taking it until PSA goes down to say, 0.05 and then stopping until a predetermined say 2 or even 3 or 4 PSA. In my case there is Quote: “biochemical evidence for recurrence, likely metastatic rather than local based upon hi-grade nature of the cancer, (T3 at NOMO..Gleason 4 + 3 = 7) rather short doubling time (6 mos) and clean margins” I understand there is a point where ADT will be ineffective, so why hasten this end point..do you call it clinical failure? And at what point do PSA numbers indicate bone or tissue metastatic involvement? What I am trying to do…justify… is to stay away from the effects of ADT as long as possible and to hell with longevity if it involves sick and uselessness. I had prostectomy 5 years ago and 3 years after that PSA came back..started Casodex/Finasteride end of Mar 2009 at 2.1 PSA & stopped in 3 mos at .05 due to side effects that caused concern with my Urologist/Surgeon.. I value your opinion…Thank You Tom

Comments on: Dr. Myers: Can you give me your opinion about ADT (Casodex/Finasteride) used ALTERNATEVILY, …as in taking it until PSA goes down to say, 0.05 and then stopping until a predetermined say 2 or even 3 or 4 PSA. In my case there is Quote: “biochemical evidence for recurrence, likely metastatic rather than local based upon hi-grade nature of the cancer, (T3 at NOMO..Gleason 4 + 3 = 7) rather short doubling time (6 mos) and clean margins” I understand there is a point where ADT will be ineffective, so why hasten this end point..do you call it clinical failure? And at what point do PSA numbers indicate bone or tissue metastatic involvement? What I am trying to do…justify… is to stay away from the effects of ADT as long as possible and to hell with longevity if it involves sick and uselessness. I had prostectomy 5 years ago and 3 years after that PSA came back..started Casodex/Finasteride end of Mar 2009 at 2.1 PSA & stopped in 3 mos at .05 due to side effects that caused concern with my Urologist/Surgeon.. I value your opinion…Thank You Tom http://prostatecanceradvice.org Prostate Cancer Prognosis, Questions and Answers Tue, 05 Jan 2010 06:25:54 +0000 hourly 1 http://wordpress.org/?v=3.0.3