What further treatments are available?
The aim of treatment is to control your cancer and delay or manage any symptoms you might have, such as pain and urinary problems. You will probably continue with your first type of hormone therapy – even though it's stopped working so well. This is because it will still help to keep the amount of testosterone in your body low.
Further treatment options may include:
Which treatments will I have?
When your cancer stops responding to your first hormone therapy, there is no one best treatment or set order to have treatments in. The treatments you have will depend on lots of things, including what your doctor thinks will work best for you and your own thoughts – for example how you feel about the possible side effects and how a treatment will fit in with your day to day life. Talk to your doctor about what’s right for you.
You might have more than one of the treatments we describe here, while some might not be suitable for you.
When talking about possible treatments you and your doctor will consider:
- where your cancer has spread to
- if you have any symptoms
- how long your cancer responded to your first hormone therapy for
- your general health and any other health problems you have
- the possible side effects of each treatment, as all treatments can have different side effects.
Abiraterone or enzalutamide?
If you have already had a drug called abiraterone, another drug called enzalutamide probably won't be an option. And if you’ve already had enzalutamide, abiraterone probably won’t be an option. This is because early research suggests that each drug may only have a small effect in men who've already had the other.
However, if you get severe side effects from abiraterone or enzalutamide, you may be able to try the other drug, as long as you've used the first drug for less than three months.
Speak to your doctor about which drug, if any, is the best option for you. You can also talk things through with our Specialist Nurses.