Experience with Zometa infusion?

Posted by catbuddy @catbuddy, Apr 20 3:30pm

My husband just had a 3rd (monthly) infusion of Zometa. I understand it takes full effect after 4 infusions, and the doc is talking about continuing after that. Hubby is 74, was diagnosed in August 2023 (Gleason 3+3, PSA 22). We learned in November that PC spread to L5 spine, plus small amounts on skull and right hip. Began Orgovix and Erleada in November, PSA now 0.07. Another question is regarding radiation: One doc recommends use of 2mm Cyberknife for the L5 and the prostate. A second opinion doc says postpone radiation until significant rise in PSA. My husband is also contemplating Proton Radiation instead of Cyberknife. We’d appreciate any thoughts or experiences on these issues. He’s tolerating the hormone therapies and the Zomeda pretty well so far. It’s been so helpful to read the posts and we are grateful for everyone’s willingness to share their experiences. Best luck to all of us!

Interested in more discussions like this? Go to the Prostate Cancer Support Group.

I have been on Zometa infusions monthly for almost 2 years now. I have stage 4 metastatic Prostate Cancer (PC) in the bone only (spine, ribs, one hips and femurs). Zometa push calcium back into your bones to strengthen them and prevent bone future fractures. Everyone reacts differently to medication. My symptoms after infusion sometimes are bone and muscle soreness (not pain). I am due for my second Dexascan and if all is good (no additional thinning) my infusions will be spread out quarterly. There are some studies that Zometa prevents future metastases - but my Oncologist said that there is no real evidence that Zometa actually does that. It is for bone support. Sounds like your husband is Oligometastic. Radiation is difficult and everyone has to make their own decisions - for myself I choose to carpet bomb the cancer up front. I did not want to give it any chance to come back stronger.

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Hi @catbuddy, in addition to the helpful post from @wooldridgec, I'm tagging fellow members like @foamhand @kjbushur @heal623 @healer74 @baxterlee77 who have experience with Zometa (zoledronic acid) and can share as well.

With respect to your radiation questions, you might check out these related discussions:
- Is SBRT with proton beam now a gold standard for prostate cancer?
https://connect.mayoclinic.org/discussion/sbrt-with-proton-beam/
- Can Proton Beam Therapy be used when prostate cancer has spread?
https://connect.mayoclinic.org/discussion/proton-beam-therapy/
More proton beam discussions: https://connect.mayoclinic.org/group/prostate-cancer/?search=Proton%20beam&index=discussions

- Anyone have stereotactic body radiation therapy (CyberKnife)?
https://connect.mayoclinic.org/discussion/cyberknife-procedure/
- Proton Therapy or Cyberknife without ADT for Gleason 8?
https://connect.mayoclinic.org/discussion/proton-therapy-or-cyberknife-without-adt-for-gleason-8/

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@colleenyoung

Hi @catbuddy, in addition to the helpful post from @wooldridgec, I'm tagging fellow members like @foamhand @kjbushur @heal623 @healer74 @baxterlee77 who have experience with Zometa (zoledronic acid) and can share as well.

With respect to your radiation questions, you might check out these related discussions:
- Is SBRT with proton beam now a gold standard for prostate cancer?
https://connect.mayoclinic.org/discussion/sbrt-with-proton-beam/
- Can Proton Beam Therapy be used when prostate cancer has spread?
https://connect.mayoclinic.org/discussion/proton-beam-therapy/
More proton beam discussions: https://connect.mayoclinic.org/group/prostate-cancer/?search=Proton%20beam&index=discussions

- Anyone have stereotactic body radiation therapy (CyberKnife)?
https://connect.mayoclinic.org/discussion/cyberknife-procedure/
- Proton Therapy or Cyberknife without ADT for Gleason 8?
https://connect.mayoclinic.org/discussion/proton-therapy-or-cyberknife-without-adt-for-gleason-8/

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Thanks so much — very helpful.

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Hi. Stage 4 Prostate Cancer. Taking Eligard and Zitega. Going to get infusion of Zometa on Dec 2nd. Can anyone share their knowledge of these three together. Never had an infusion before. Hope you people have good things to say about Zometa and or infusion process. Thank you!

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@albert785

Hi. Stage 4 Prostate Cancer. Taking Eligard and Zitega. Going to get infusion of Zometa on Dec 2nd. Can anyone share their knowledge of these three together. Never had an infusion before. Hope you people have good things to say about Zometa and or infusion process. Thank you!

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I'm not sure here, I also have stage 4, in the bones. I take zytiga pills, I get firmagon shot, and I get Xgeva every 3 months. They are different from yours but I think they do the same. Someone else can weigh in. As for the Xgeva, that gave me some problems in the beginning but getting used to it. As for it being an infusion, no it's a shot in the arm for me. I wish you well on your journey. Best to all.

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@albert785

Hi. Stage 4 Prostate Cancer. Taking Eligard and Zitega. Going to get infusion of Zometa on Dec 2nd. Can anyone share their knowledge of these three together. Never had an infusion before. Hope you people have good things to say about Zometa and or infusion process. Thank you!

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I just started getting Zometa infusions. I was on Fosamax for six years and it’s time to move on to something else. I was on Lupron (Same as Eligard) for seven years and Zytiga for 2 1/2 years and there’s no conflict between that and Zometa.

My oncologist put me on Zometa instead of Xgeva because it has a lower chance of getting osteonecrosis, which damages your jaw bone tissue.

You want to be on a bone strengthener because Eligard and Zytiga can cause osteoporosis, something those drugs prevent from happening.

I attended a seminar a couple of months ago where a doctor spent about 15 minutes, talking about osteoporosis and the issues with taking these drugs. He was emphatic about the fact that people should be on bone strengtheners.

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@albert785

Hi. Stage 4 Prostate Cancer. Taking Eligard and Zitega. Going to get infusion of Zometa on Dec 2nd. Can anyone share their knowledge of these three together. Never had an infusion before. Hope you people have good things to say about Zometa and or infusion process. Thank you!

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I feel happy for you guys that last for years. They tell me that I have approximately a year and a half, maybe 2 years. All I am searching for is, a good quality of life (ride my Harley and what not) for as long as I can. Please don't say you are sorry cause that's not what I am looking for. I am looking for people's experiences so maybe I can find another 1/2 year maybe. Thank you for telling me your experiences with Zometa. I mean this when I wish you all the luck in the world. May your heart enjoy some peace.

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