ADT and CBT

So I have first-hand knowledge of this. Because of my spinal injury and surgery (with many post-surgical complications), my doctors were struggling, trying all kinds of different pain-management options when I was in hospital. One of them was a CBD.

The good news is that it didn't conflict with my cancer meds (Apalutamide and Degarelix at the time) and had no unpleasant side-effects.

The bad news is that it did absolutely nothing for my pain, and didn't even help my appetite come back (you'd figure a CBD would at least give me the munchies 😉).

What finally worked for me was Pregabalin, a nerve-pain medication. I was on it for nearly two years. I don't know if it helped directly with my energy, but it reduced the pain, and pain saps your energy, so ...

Thank you.

Hey Hans, many people I know use CBD for pain, sleeping disorders etc. They like to use it right before they smoke a joint and get real relief!
Don’t think it would have any effect on the biological changes caused by ADT, but it would make you care a lot less about it😵‍💫

Hi Hans. I had a prostatectomy in Sept ‘23, two knee replacements in the last two years, and repair of a ruptured Achilles in June. (Kinda feels like the wheels fell off at 65!) I used cannabis post-op each time - first as a supplement and then as a way to wean off the manmade pain meds more quickly. I had great results!

You have options. Go to a good cannabis store and chat with a “budtender” or two. Find one who’s willing to talk to you and is knowledgeable. Mine recommended different products for different issues (gummies for sleep vs pain, for example. You don’t have to smoke it). I found CBD helpful for inflammation but not pain, btw. I found the THC helped with hunger and pain.

In short, I’m a fan of cannabis for helping you deal with inflammation, pain, and sleep. I like that it doesn’t come with the potential nasty side effects of manmade pharmaceuticals. Good luck to you, Hans, on your path of recovery.

Thank you. Just starting out this process. Thank you for your insight. I always found that taking one pharmaceutical to counteract another pharmaceutical a very strange concept. I wanted to avoid the stigma of cannabis. Thank you for your insight.

Hi Hans,
I know how you feel about the stigma of cannabis. We have grown up in a world where it was bad, bad, but now the medical profession and others see its value.

I had a total shoulder replacement and used a THC/CBD gummy every night (at my doctor's suggestion) for the pain and to aid sleep. It worked marvels. I did not take 1 opioid that was prescribed, they ended up in the trash. I have done the same with my RP (only used acetaminophen) and plan to do the same with my upcoming ADT/Radiation therapy.

The gummies I use are 5mg THC with 10mg of CBD. It does help the pain a lot and also aids sleep.

I was curious about this too because I used cannabis for pain control during ADT. The only reference I could find was on drugs.com which lists a MAJOR interaction between cannabis and Orgovyx (https://www.drugs.com/drug-interactions/cannabidiol-with-orgovyx-3919-0-4227-19668.html) but none of my doctors had heard of this and I haven't seen it backed up anywhere else.

Thank you. I appreciate your insights.

Thank you. This is exactly the kind of info I was looking for. Really appreciate it…

Scott, it sounds like the same boilerplate caution as with alcohol. Orgovyx has definitely sent 2 of my liver enzymes much higher so I stay away from alcohol (not a pot person, although my wife uses enough for 3 people!). I guess they do have to warn you, but unless you do it to excess (as with everything) you should be fine.