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How do you manage prostate cancer in patients that cannot swallow pills?

Are there specific AR Pathway inhibitors that can be crushed and used through feeding tube or would you just avoid ARPIs in such patients?
2 Answers
Mednet Member
Mednet MemberInvited Expert
Medical Oncology · VCU Massey Comprehensive Cancer Center
Answered on
The only one suitable for feeding tube administration is apalutamide (must be 8 French or greater feeding tube size).
My oncology pharmacist suggests tablet(s) can be placed in a syringe (whole, not crushed), distilled water then added, shaken vigorously to disperse contents, administered through...

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Mednet Member
Mednet Member
Medical Oncology · Memorial Sloan Kettering
Answered on

I would either use apalutamide or avoid ARPIs entirely

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