← Return to Prostate cancer after liver transplant: Concerned about ADT treatment

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Profile picture for Jeff Marchi @jeffmarc

You should consider ITA only if your transplant doctor is informed about what is going on and your oncologist is made aware of the dangers involved after a transplant.

Yes, Zytiga (abiraterone acetate) can have negative effects on the liver, causing elevated liver enzymes (ALT, AST) and bilirubin, which are common but usually managed with monitoring, dose adjustments, or stopping the drug; rare but severe cases of liver failure can occur, highlighting the need for regular liver function tests, especially in the first few months of treatment.
Common Liver-Related Effects
Elevated Liver Enzymes: Increased ALT (alanine aminotransferase) and AST (aspartate aminotransferase) levels are common, occurring in a significant percentage of patients, often within the first three months.
Symptoms: Some people experience jaundice (yellowing of skin/eyes), dark urine, nausea, vomiting, abdominal pain, or fatigue, though liver damage can happen without symptoms.

A couple of articles about this
https://resources.healthgrades.com/drugs/zytiga-side-effects.,abdominal%20pain
https://www.medicalnewstoday.com/articles/drugs-zytiga-side-effects.

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Replies to "You should consider ITA only if your transplant doctor is informed about what is going on..."

@jeffmarc Thanks! both teams are aware of what I'm going through and they communicate with each other. After transplant I was required to have blood work done weekly for the first year and now I'm cut back to every 2 weeks. Now I do PSA, Testosterone, CMP, and CBC every 2 weeks. Spoke with Mayo and they said that considering my situation they would treat me similarly to how my team is suggesting. They liked the idea of not taking the Zitiga and having it as an option down the road if needed. After one month on the Eligard thing are progressing as they would like to see. PSA is 0.44 and Testosterone is at 5. I will be starting 28 rounds of radiation on January 29th.
Thanks again for your post!