27th February 2025

A 69-year-old gentleman with a history of nocturia, urinary frequency and visible haematuria undergoes investigation

A 69-year-old gentleman with a history of nocturia, urinary frequency and visible haematuria undergoes investigation for bone pain. He is otherwise fit and well with no significant past medical history. An isotope bone scan of the whole body shows multiple sites of abnormal uptake throughout the skeleton including the vertebral bodies, pelvis, rib cage and left humerus. He is diagnosed with prostate cancer with florid bone metastases and is planned to be commenced on androgen-deprivation therapy in combination with docetaxel chemotherapy.

Which medication must he take prior to commencing androgen-deprivation therapy?

Select the SINGLE most appropriate option from the list below. Select ONE option only.