Prostate cancer: gonadorelin analogues, and gonadotrophin-releasing hormone antagonists (Formulary: Malignant disease)

The gonadorelin analogues have similar efficacy in reducing testosterone levels and similar side-effect profiles. Leuprorelin (Prostap DCS®) is recommended as first-choice in NHS Scotland.

For the use of gonadorelin analogues in

  • breast cancer see here
  • uterine fibroids and endometriosis see here
  • paediatrics see here.

LEUPRORELIN - (First line)

Important: Therapy notes

Important: Formulation and dosage details

Formulation:

Injection (Prostap DCS®) 3·75mg, 11·25mg (specialist use only)

Dosage:

By subcutaneous injection, 3·75mg every month, 11·25mg every 3 months.

TRIPTORELIN

Important: Therapy notes

Each vial includes an overage to allow administration of the dose. 

Important: Formulation and dosage details

Formulation:

Injection 11·25mg, 22·5mg (specialist use only)

Dosage:

By intramuscular injection, 11·25mg every 3 months or 22·5mg every 6 months.

DEGARELIX

Important: Therapy notes

The gonadotrophin-releasing hormone antagonist degarelix will be initiated by specialists in selected patients with advanced, hormone-naïve prostate cancer.  See degarelix shared care protocol.

Important: Formulation and dosage details

Formulation:

Injection 80mg, 120mg

Editorial Information

Version: 1.1

Document Id: F300