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Is treatment for 88-year old Dad too aggressive for his age?
Prostate Cancer | Last Active: 12 hours ago | Replies (16)Comment receiving replies
The problem is, he has pretty serious cancer, which could cause problems soon. Abiraterone may not be the best Drug for him. It will increase his side effects, Probably cause a little more fatigue, and will probably give him high blood pressure. I started taking abiraterone at 75, Never had high blood pressure, but I’m on three different medication’s now because of abiraterone.
Orgovyx Can definitely cause fatigue, it is one of the side effects that a lot of people have.
I am not a doctor but for years have Participate in weekly 2 hour. advanced prostate cancer user groups, And many of the people, including me, are on Nubeqa (Darolutamide) Because it is very effective and has very few side effects. If your father was younger Then abiraterone Would be a good place to start, But at his age Nubeqa Could work very well. Ask his doctor what he thinks.
Ecurb mentioned only taking one pill instead of four, which most people take. You may have misunderstood how abiraterone is taken. You take four 250 mg pills once a day on a stomach that has been empty for two hours. Taking one pill will have no impact at all on how you feel after taking the drug, It requires a special diet and gives you the same amount of drug In your system that you would get if you took four pills without that diet.
There are many different types of radiation treatments, and at his age it should do a lot of good. For someone who is oligometastatic you can easily have SBRT Radiation to get rid of metastasis and IMRT Or SBRT To treat the Prostate. Ask your doctors about that. I suspect they want to treat the prostate bed with IMRT. If they do SBRT On the prostate, they can Do fewer IMRT sessions.
I think you should consider getting a second opinion. Is there a Center of excellence available near you?
You should make sure you are working with a Genito urinary oncologist. They specialize in prostate cancer, unlike medical oncologist, who work with all different types of cancers, and can’t spend as much time finding out the latest treatments for prostate cancer.
Replies to "The problem is, he has pretty serious cancer, which could cause problems soon. Abiraterone may not..."
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Hello, I am sorry to hear that the abiraterone was problematic for you! This is why I started this post.
You mention Nubeqa (Darolutamide). My concern is that it increases the risk of having a seizure, and my father had a minor seizure a few years back. He is on meds for this. Perhaps this is why the Sloan dr did not recommend it. We will check with him on this.
With regard to less abiraterone coupled with a special diet, this is definitely something to look into!
I will bring up your radiation suggestions at the Sloan appt on Tuesday. The first opinion was IMRT just to the prostate - not the lymphnodes or bone mets which surprised me.
RE: 2nd opinion: Sloan is our second opinion. I am assuming Sloan is a "center of excellence".
Yes, we are working with a Genitourinary oncologist at Sloan. He is certainly up on the latest research....since dad is in stage 4, I wouldn't have it any other way.