Hi, In june, 2017 I was diagnosed with metastic prostatic adenocarcinoma. My gleason score was 8 and psa 465. I was taken as a participant for clinical trial of firmagon (degarelix) under Dr. Sujoy gupta at tata medical centre, kolkata. I was administrated primary dose of degarelix 240 mg and subsequently 17 doses of 80 mg after every 28 days during the period 03.07.17 to 19.11.18. Psa gradually came down and after 12th dose it was 0.510. But afterwards, it began to rise and stood at 2.33 on 17.09.18. As per doctor advice, underwent bilateral orchiectomy on 29.11.18. Even then, psa kept on rising and stood at 46.85 on 08.01.19. For further treatment, I was referred to Dr. (radiotherapy, frcr (clinical oncology) at tata medical centre, kolkata. As per him, I have become castrate resistant and as advised I am on abiraterone acetate (abirapro 250 mg) 4 tablets at a time along with omnacortil 5 in empty stomach since 11.01.19. But psa is on the rise and last test results of 27.03.19 shows the level at 97.83. He has suggested me to continue the medicine for another month and review with him with fresh psa reports at the end of this month. I beseech to advise whether I am on the right treatment, suggest the best of the treatment or refer a doctor with whom we should consult?
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you are on right track. abiraterone takes a little time around 4-5months to decrease psa. but evafter 6months psa does not come down then you might need another drug.
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As per your records, the patient has castrate resistant prostate cancer. With the rising psa even on abiraterone you will soon be shifted onto another chemotherapeautic drugs. Having said that, without seeing the patient and examining him, we can not be sure. But considering the text, the course after degarelix seems correct. Thank you.
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You have ca. Prostate with high-level ofp. S.a level in stage 4th if you want I can suggest you an alternative cancer medicine contact on mobile with all reports. This will definitely give you relief.
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