Side effects adding XTANDI to ORGOVYX

Posted by ava11 @ava11, Jun 28, 2025

Who is taking both Xtandi and Orgovyx and what are the side effects of adding Xtandi to Orgovyx. I am asking this question on behalf of my friend. who recently started taking Xtandi in addition to Orgovyx.
He was Gleason 8 and had RP March 2020 and was following Intermittent ADT based on the advice of his doctor.

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Profile picture for northoftheborder @northoftheborder

@jeffmarc Is that true for all the -lutamides? If so, then I'm glad it's a side-effect I haven't experienced after over 4 years on ADT+Apalutamide.

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@northoftheborder
According to AI, this is a very rare side effect of all of the lutamide’s.

It is a more common side effect of Zytiga.

I know that while I was on a Zytiga, I would be making my breakfast in the morning and all of a sudden I would start panting. My wife noticed it. Not had the problem with Nubeqa.

Not something to really worry about for most people. The point is it can happen.

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Profile picture for Colleen Young, Connect Director @colleenyoung

@rjs1943, how are you managing the shortness of breath. Does diaphragmatic breathing help?

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@colleenyoung My doctors have pretty much poo-pooed my connecting the shortness of breath to Xtandi. They do not believe there is a connection. Nor have they offered any solutions. I am anemic, believed to be inherent...(Mediterranean Anemia). I will try the diaphagmatic breathing technique and see what happens.. Thanks

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