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Prostrap injection timings

User
Posted 21 Oct 2019 at 07:00

I apologise for this long ramble to ask a simple question.

My husband has recently been diagnosed and been on Prostrap injections since 22nd July. The first two were exactly 4 weeks apart.  He was then given a 12 weekly injection on 16th September 2019.

Twelve weeks from this date is the 9th December. Our practice nurse says only she can give the injection at the surgery and she is not available on that date. The choices she gave us are 'Friday 6 December' and 'Friday 13 December'.

We feel nervous about him having it late, though this is all new to us and we have little knowledge. 

Official information online about Prostrap refers to '3 monthly' and I realise that 3 monthly and 12 weekly are slightly different in terms of number of days. 

So my question is,

Is it better and is it safe for him to have 3 days early ( on the 6th)  - will this not mean his body will expect the next injection earlier than 12 weeks as well?:

or

Is it really okay to have it 4 days late (on the 13th)?

We are early days here and I may be overthinking it, but as it is the Prostrap which is hopefully keeping my husbands advanced cancer from spreading, I don't want us to do anything to jeapordise it.

Any advice would be appreciated.

Mrs MAS

Edited by member 21 Oct 2019 at 13:33  | Reason: Wrong date

Mrs MAS

User
Posted 21 Oct 2019 at 11:10
Hi,

I'm on Prostap 3 Monthly. Had one instance early this year when I would have been on Holiday when my injection was due. Was told by our Practice Nurse in no uncertain terms to have it early rather than later. Her words where "Better too much than to little...."

All the best

Andy

User
Posted 21 Oct 2019 at 11:55
3 days either way isn't going to make any difference. If it were weeks, then yes, it would, but 3 days early or 4 days late won't be a problem.

Best wishes,

Chris

User
Posted 21 Oct 2019 at 12:04

I would go for early too.

My practice nurse won't do even one day early (without a consultant's approval), but given I know how it works, I think that's misguided.

User
Posted 21 Oct 2019 at 15:41
There are bigger things to worry about - the specialist has probably written 12 weeks casually; the nurse clearly knows that there is some flexibility in this otherwise she would have advised you to go to another nurse or back to the CNS while she is away. 13th December will be fine - if you go with the 6th it won’t be the end of the world but he may see a small temporary increase in side effects and future injections will need to be 3 months on from the 6th not from the 16th.
"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

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User
Posted 21 Oct 2019 at 11:10
Hi,

I'm on Prostap 3 Monthly. Had one instance early this year when I would have been on Holiday when my injection was due. Was told by our Practice Nurse in no uncertain terms to have it early rather than later. Her words where "Better too much than to little...."

All the best

Andy

User
Posted 21 Oct 2019 at 11:55
3 days either way isn't going to make any difference. If it were weeks, then yes, it would, but 3 days early or 4 days late won't be a problem.

Best wishes,

Chris

User
Posted 21 Oct 2019 at 12:04

I would go for early too.

My practice nurse won't do even one day early (without a consultant's approval), but given I know how it works, I think that's misguided.

User
Posted 21 Oct 2019 at 12:11

Hi Andy

Im tempted to go with early. Why would your practice nurse not want to do it one day early for you? 

Mrs MAS

User
Posted 21 Oct 2019 at 12:23
His next injection isn’t actually due until the 19th December so the 13th will be fine. The makers of Prostap say that a few days early or late is not a problem.

It would be a different matter if he was on Zoladex; the advice in that case would be to see if your husband could a) get the injection from another nurse at the practice or even from the CNS at the hospital or b) have a single dose so that the next injection falls a month later than originally planned.

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 21 Oct 2019 at 12:29

Hi Lyn, 

The consultant had written on the paperwork for GP , prostrap every 12 weeks hence me and the nurse counting 12 weeks. Though I see the company that makes it says 3 monthly which is the date you have provided. ( P.S. I had put the 19th September when I meant the 16th - just amended now.) 

Im just scared of doing something wrong and it having a negative effect.

Edited by member 21 Oct 2019 at 13:34  | Reason: Spelling

Mrs MAS

User
Posted 21 Oct 2019 at 15:41
There are bigger things to worry about - the specialist has probably written 12 weeks casually; the nurse clearly knows that there is some flexibility in this otherwise she would have advised you to go to another nurse or back to the CNS while she is away. 13th December will be fine - if you go with the 6th it won’t be the end of the world but he may see a small temporary increase in side effects and future injections will need to be 3 months on from the 6th not from the 16th.
"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

 
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