Side effects of radiation with hormone therapy & heart conditions

Posted by jkpeter @jkpeter, Sep 8, 2024

Am about to start radiation (Conebeam) therapy along with ADT therapy. ..Zytiga and Lupron (Eligard). Drs prescribed 40 sessions of radiation and at least 2 years of hormonal therapy. Though my Gleason score was 4+4 the cancer is localized and has not spread outside the prostate. However and genome/profile testing was done, called a decifer (microsection) test...and results put me in high risk saying aggressive tumor and positive nodules in prostate. I'm 76 yrs old and take several meds to deal with atrial fibrilation and high blood pressure. Is it safe to be on this treatment with side effects that relate to increase blood pressure and rapid heart beat?
jkpeter

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you have those sessions planned . Good . External beam therapy are helpful to so many. At 40 sessions you are gettign maximum dose I would think. With regard to the heart and those ADT drugs, best resource is your RO and Cardiologist . I would have a deep talk with them both ! Have all yoru questions written down before ( helps me! ) God Bless ! James on Vancouver Island.

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Profile picture for VancouverIslandHiker @vancouverislandhiker

you have those sessions planned . Good . External beam therapy are helpful to so many. At 40 sessions you are gettign maximum dose I would think. With regard to the heart and those ADT drugs, best resource is your RO and Cardiologist . I would have a deep talk with them both ! Have all yoru questions written down before ( helps me! ) God Bless ! James on Vancouver Island.

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"Have all your questions written down before ( helps me! )"

Yes, that's so important. I also write down anything new that I want to let them know about, in terms of my general health and activity. My new RO patiently and kindly let me go through my newest list at our quarterly appointment this morning.

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Profile picture for Colleen Young, Connect Director @colleenyoung

The mention of heart issues (either pre-existing or side effects that develop with treatment) tipped me off to let members know about a cancer specialty called cardio-oncology. This may be available where you receive treatment.

Here's info about the program at Mayo Clinic that offers expertise in addressing heart problems potential or current issues. The Cardio-Oncology Clinic (https://www.mayoclinic.org/departments-centers/cardio-oncology-clinic/overview/ovc-20442193) evaluates people prior to cancer treatment and patients who have experienced side effects due their treatment.

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@colleenyoung
My radiation oncologist would not refer me to the oncology heart clinic when 1/2 way through radiation while on orgovyx and coreg my heart started racing. I was not allowed to get care. In

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Profile picture for pfj0650 @pfj0650

@colleenyoung
My radiation oncologist would not refer me to the oncology heart clinic when 1/2 way through radiation while on orgovyx and coreg my heart started racing. I was not allowed to get care. In

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@pfj0650
I found Coreg to be really minimally, helpful. A friend of ours who was a retired cardiologist mentioned that he used metoprolol When he felt afib coming on.

I was in the hospital for four days with afib. On the afternoon of the third day, they gave me metoprolol And within an hour, my heart had stopped beating 175 standing and went back to normal.

I asked my cardiologist to switch me from Coreg to metoprolol And it made all the difference. I’d been having problems with my heart hitting 120 walking 10 steps to the bathroom. That problem disappeared.

Just today, my daughter was prescribed metoprolol when she started having multiple rapid heartbeat problems ending up in the emergency room three times in a week. That drug fixed the problem.

Maybe you could ask your PCP to prescribe it for you.

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