Indication

ELIGARD is a prescription drug, given by injection, for the management of advanced prostate cancer. However, there is no known cure for prostate cancer.
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IMPORTANT SAFETY IMFORMATION FOR ELIGARD

ELIGARD should not be used by anyone who is allergic to any drug product in the same class of products, or who is allergic to any of the ingredients of Eligard, including leuprolide acetate. Life-threatening allergic reactions have been reported with the drugs in Eligard’s class . Eligard should not be used in women who are pregnant of may become pregnant. ELIGARD can cause pregnancy loss and harm to the fetus when used by a pregnant woman.

Eligard, like other drugs in its class, causes a temporary increase in testosterone during the first and second weeks of treatment. Patients may experience worsening of symptoms or new symptoms during the first weeks of treatment, including bone pain, nerve damage, blood in the urine, pressure on the spine, or difficulty urinating. If your cancer has spread to the spine or urinary tract, urinary blockage or pressure in the spine may occur and can sometimes lead to paralysis, which may be fatal. You may require close medical attention during the first few weeks of therapy and you should notify your doctor if you develop any new or worsened symptoms after beginning treatment with Eligard.

Elevated blood sugar and an increased risk of developing diabetes have been reported in men receiving the drugs in Eligard’s class. Your doctor will monitor your blood sugar levels. Increased risk of heart attack, sudden death due to heart attack, and stroke has also been reported in men with the use of the drugs in Eligard’s class. Your doctor will monitor you for heart disease.

The most common injection site side effects are temporary burning and stinging, pain, bruising and redness. The most common systemic adverse events include mild to severe hot flashes/sweats, fatigue, weakness, muscle pain, dizziness, clamminess, testicular shrinkage and breast enlargement. For more information on these and other side effects, please talk to your doctor.

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Hormonal Therapy

There are several different hormonal therapies:

LHRH analogs, antiandrogens and estrogen are medical hormonal therapy for prostate cancer. Orchiectomy is surgical hormonal therapy. Testosterone and other male hormones (called androgens) help prostate cancer cells grow. The goal of hormonal therapy for prostate cancer is to either shrink prostate tumors or slow tumor growth by lowering the levels of male hormones in the body.

LHRH Agonists

Most men choose LHRH agonists over surgery to remove the testicles. These agents are also known as GnRH (gonadotropin-releasing hormone) agonists or analogs.

Your doctor may select ELIGARD® (leuprolide acetate for injectable suspension), an LHRH analog approved by the US Food and Drug Administration for the management of the symptoms of advanced prostate cancer. ELIGARD is not a cure for prostate cancer.

Antiandrogens

Another category of hormonal drugs is the antiandrogens, which block the function of male hormones (androgens) by competing for the androgens' receptors. Antiandrogens do not lower testosterone.

Orchiectomy

Orchiectomy, also called surgical castration, is the surgical removal of the testicles, which produce most of the body's testosterone.

Estrogen Therapy

For many years, estrogens were the primary medical treatment for metastatic prostate cancer. In the past 20 years, LHRH agonists have replaced estrogen as the main therapy for advance disease.

Potential side effects of Hormonal Therapy for the management of advanced prostate cancer

  • Hot flashes, fatigue, decreased sex drive, loss of bone density and weight gain.
  • Before beginning Hormonal Therapy you should discuss the effects of the testosterone loss with your doctor.
Questions to Ask Your Doctor
  • What are the treatment choices for my stage of prostate cancer?
  • What are the expected benefits of each therapy?
  • What are the risks and side effects of each therapy?
  • How will I know if my prostate cancer treatment is working?
  • What are my other choices?
  • Can side effects be managed?
  • Are there new prostate cancer treatments under study?
  • Would a clinical trial be appropriate for me?
  • How is prostate cancer treatment likely to affect my sex life?
  • Am I likely to have urinary problems?
  • Am I likely to have bowel problems?
  • Will I need to change my normal activities? If so, for how long?
  • What if the prostate cancer comes back after my initial treatment?
  • Where can I find more information on prostate cancer?
  • How will my future look after treatment?
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