Perthg9 Posted February 24, 2014 Share Posted February 24, 2014 I have been to See Dr myers (Julylast yr) and he recommends ADT3 as most people would know. I have Gleason 9 Biopsy all cores positive PSA on diagnosis 26 jumping to 38 within a month Had RP Had 38 treatments of radiation in combination with lupron PSA got down to 0.5 by end of radiation and lupron 3 mths later PSA on the rise 0.7,0.8,1.22 Back on lupron and cossudex PSA down to .03 I have been to my urologist and three oncologists and none willing to add third drug, avodart . Does anyone know an oncologist that goes along with Myers and ADT3?In Perth would be great but if not flight is not a problem. Thx Link to comment Share on other sites More sharing options...
Charles (Chuck) Maack Posted February 24, 2014 Share Posted February 24, 2014 For the man having a problem getting dutasteride/Avodart prescribed….please print and take this paper to the treating physicians and INSIST he/she read it to recognize that this medication is supported by documentation to be included in androgen deprivation therapy (unfortunately we still experience a lot of ignorance on the part of much of the Urological and Oncological community who do not want to take their precious time to do their own research): http://tinyurl.com/74bkzam If that fails to get a prescription, you can order your own from www.alldaychemist.com without a prescription. When opening this website, click on the words "All US Brands" which will open a webpage with a listing of all the medications available from this source. Scroll down and click on “Avodart.” When that opens to the product, click on “View Details” and click on the quantity you want. You can then “check out” as “guest.” With “continue” that will open a page to enter your country. I don’t know how it works from there, but I expect if you enter “Australia” it will provide you your cost in your currency and how to pay. If you learn that to be the case, I would appreciate a reply back if the order continues in your own currency. Chuck Disclaimer: Please recognize that I am not a Medical Doctor. I have been an avid student researching and studying prostate cancer as a survivor and continuing patient since 1992. I have dedicated my retirement years to continued research and study in order to serve as an advocate for prostate cancer awareness, and, from a activist patient’s viewpoint, to help patients, caregivers, and others interested develop an understanding of prostate cancer, its treatment options, and the treatment of the side effects that often accompany treatment. Readers of this paper must understand that the comments or recommendations I make are not intended to be the procedure to blindly follow; rather, they are to be reviewed as my opinion, then used for further personal research, study, and subsequent discussion with the medical professional/physician providing prostate cancer care. Always as close as the other end of your computer to help address any prostate cancer concerns. "What you leave behind is not what is engraved in stone monuments, but what is woven into the lives of others." If the suggestions/recommendations I have provided have been helpful, please consider a donation, in any amount you can afford no matter how small, to one of the prostate cancer research projects (your choice) identified at http://www.StartACure.com or prostate cancer support organizations such as Us TOO Intl., Inc., Malecare, Prostate Cancer Research Institute/PCRI, Prostate Cancer Research and Education Foundation/PCREF, or others known to be exceptionally supportive to we patients and caregivers. Charles (Chuck) Maack - Prostate Cancer Patient/Activist/Mentor (A mentor is someone who offers wisdom, knowledge, support and respect to help you achieve your goals; would that I succeed) 2008 Us TOO Intl., Inc., Prostate Education & Support Network “Edward C. Kaps Hope Award” 2012 Prostate Cancer Research Institute (PCRI) “Harry Pinchot Award” Email: maack1@cox.net PCa Help: "Observations" http://www.theprostateadvocate.com/observations.html Link to comment Share on other sites More sharing options...
Guest tonybrown Posted February 24, 2014 Share Posted February 24, 2014 My urologist told me avodart can cause the concentration of aggressive cancer. This seems to be the consenus of the medical community in Australia but starkly refuted by Snuffy Myers. What information do we have other than Snuffy Meyers? Is he right in this instance & is there now more information that would convince the Australian medical community to move on & use this drug? Link to comment Share on other sites More sharing options...
alanbarlee Posted February 25, 2014 Share Posted February 25, 2014 I fully agree with Chuck Maack's analysis of the medical literature and expert opinion regarding the appropriate role of dutasteride in advanced PCa. Every medical oncologist in the USA specialising in PCa (who presumably read all the relevant research papers) have the same view of the balance of benefits and risks of dutasteride as Snuffy Myers. My oncologist readily prescribed off-label finasteride (Proscar - approved in Oz for prostate BDH) as a key component of an ADT3 regime following elevated PSA after RP. He also concurred with a switch to dutasteride - an Avodart generic made by Cipla and by Dr Reddys (both of which are large and reputable pharmaceutical companies in India, where the attitude to intellectual property is 'more liberal' than elsewhere). I source this medication for personal use via a reputable and well-tried internet pharmacy for around 200 AUD for a 6-month supply, which I've been doing now for over 10 years. (This drug has the bonus benefit of reversing male-pattern baldness! ) Cheers, Alan Link to comment Share on other sites More sharing options...
Perthg9 Posted May 25, 2014 Author Share Posted May 25, 2014 Had to cross the continent but found a very nice fellow. Link to comment Share on other sites More sharing options...
Perthg9 Posted May 25, 2014 Author Share Posted May 25, 2014 I am pretty disappointed by the lack of concern shown by oncologists re side affects and how to reduce their long term impact. Link to comment Share on other sites More sharing options...
Paul Edwards Posted May 25, 2014 Share Posted May 25, 2014 Perthg9, I'd be interested to know who you found to help you with Avodart. Link to comment Share on other sites More sharing options...
pauldhodson Posted June 7, 2017 Share Posted June 7, 2017 Perthg9, I'm reading this post for the first time in June 2017. I am also in Perth and I'm finding the same frustration with my oncologist when I've asked for casodex and finasteride to be added to my zoladex. I'd love to hear how you got on, cheers Paul. Link to comment Share on other sites More sharing options...
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