ED meds and side effects
My husband is getting brachytherapy in September and then IG IMRT in October. He is currently on Orgovyx for month two and will be adding zytega next month. Good news is that his PSA has gone to 2 and Testosterone to 9 after a month on Firmagon so meds seem to be doing what are supposed to.
Drs have prescribed Cialis and Viagra for ED. So far he doesn’t have it but I’m sure he will after the radiation and continuation of the meds. My concern is that the ADT meds already comprise the heart. Will adding the ED meds further compromise his heart? He doesn't have any cardiac issues. Wondering may be not take the ED meds at all? Want any input on the topic.
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I've heard it may be protective:
https://www.healthline.com/health-news/viagra-may-help-you-live-longer
Caution: this is a retrospective study which may be comparing two different groups of men. It's possible those who did not take ED drugs were less healthy or more prone to cardiovascular disease than those who didn't.
"In contrast, multiple studies have demonstrated no relationship between ADT and cardiovascular events."
https://ascopubs.org/doi/10.1200/JCO.2011.37.5741#:~:text=They%20found%20that%20ADT%20use,004)%2C%20respectively.
I had the same concerns The choices with prostate cancer aren't fun.
I was more concerned that ADT would be psychologically fraught. That tuned out to be untrue.
I read that 5mg of cialis daily is protective of vasculature and thereby nerves for both bladder and sexual function.
Bless his treatment with luck.