← Return to Prednisone after Proton Therapy and ADT

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Prednisone after Proton Therapy and ADT

Prostate Cancer | Last Active: Sep 16 6:58pm | Replies (13)

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Profile picture for Jeff Marchi @jeffmarc

You have asked this question in two different places, Here’s the response I put in another place.

If he is really having sleep problems, the prednisone could be a direct cause. You might ask the doctor to reduce the dosage to help Resolve that problem. Normally people on abiraterone Must have Prednisone because abiraterone Stops the body from producing cortisol, and the prednisone restores the amount that is missing. Without that prednisone, there is a tremendous amount of fatigue.

You don’t mention if he is on abiraterone, So I’m not sure Exactly why your doctor prescribed prednisone.

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Replies to "You have asked this question in two different places, Here’s the response I put in another..."

@jeffmarc

My laywoman guess is to stop post RT inflammation 🤷‍♀️. This patient has a lot of inflammation going on in both regions - urinary tract and his guts : ((((.
Proton can cause the same RT effects as photon - it is all individual as always.

My husband talked to 6 physicists and his RO (they had some conversations that were not related to his RT, they wanted to meet him) and he was told that proton is not that precise as people like to think since it is very hard to determine what actual energy is needed to start the reaction to make proton particle go the EXACT length and stop at the EXACT place since it is very heavy particle and sometimes it stops too soon and sometimes it passes through and stops in wrong place, and so on . Physicists are actually still working on perfecting proton and as of now it has the best results with tumors that are close to surface of the body, etc.

I just want to reiterate once more that I am totally ignorant of this field and this is how I understood explanation of proton particles. Unfortunately there is just NO perfect method and no treatment that does not produce possible SA now or later and it is all so individual .