Lancashire and South Cumbria
Formulary
 
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8 Malignant disease and immunosuppression

The majority of systemic anti-cancer therapies are not listed in this formulary as they are included in either the Lancashire and South Cumbria Cancer Alliance SACT protocols or the Cancer Drugs Fund list, produced by NHSE. 

08-03-04-02 Gonadorelin analogues

Degarelix Firmagon®
Formulary

Injection 80mg, 120mg

Treatment of adult male patients with advanced hormonedependent prostate cancer - patients without spinal metastases.

Degarelix should be recommended/initiated by specialist services– AMBER0 recommendation.

Degarelix is recommended as an alternative to lutenising hormone releasing hormone agonists (LHRH) for treatment of adult male patients with advanced hormone-dependent prostate cancer without spinal metastases ONLY in the following circumstances:

where LHRH analogues or concomitant anti-androgens are contra-indicated.
in patients on androgen deprivation therapy who have a significant cardiac history/severe cardiac disease.
very significant, symptomatic metastatic disease, and locally advanced disease to shrink the metastases.
impending bladder outlet obstruction due to prostate cancer.

Degarelix for treating advanced hormone-dependent prostate cancer (NICE TA404).

Link  LSCMMG: Degarelix prescribing information sheet
Link  NICE TA404: Degarelix for treating advanced hormone-dependent prostate cancer

Amber 0 View adult BNF  View SPC online  View childrens BNF