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This question was answered on Fri 14, Mar 2008 06:51am by Dr Heinrik M, MD

Prostate Cancer Treatment - How often should i have chemotherapy?


    
Asked by roger n (Male ) on Fri 14, Mar 2008 12:33am

I am about to have chemo ?for Prostate cancerin addition to Zoladex injections, how often am I likely to have the chemo and for how long ? I have already had radiotherapy
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Answer by Dr Heinrik M, MD  on Fri 14, Mar 2008 06:51am:

Hi, The duration of chemotherapy depends on several things. One guide is the toxicity, for as long as it is tolerated, it would be continued. The other guide is disease response – if the disease seems to be progressing despite the chemotherapy (this would translate into failure of treatment), then chemo is discontinued. In the pivotal study using Docetaxel (Taxotere), patients received on the average 4 to 9 cycles of chemotherapy. Chemotherapy is usually given without any Zoladex (or other hormonal treatment). For most patients, the hormones and the chemotherapy is reserved for a time that the hormones are no longer working. It is possible that once the chemotherapy is started the Zoladex would be discontinued.

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Comment by Dr Heinrik M, MD on Fri 14, Mar 2008 06:56am: I forgot to mention that chemotherapy is usually given once every 3 weeks. It is also feasible to deliver the drugs on a weekly basis, but the 3 week strategy seems to be more effective.

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