My quality of life has gone down greatly over the last six months. I believe it is the result of the side effects from the pain medication (50mcg/hr fentanyl patches and 4mg Hydromorphone tablets every 4 hours as needed) and Xtandi (4 40mg capsules every 4 hours as needed) which I started August 15. I think I need a good pain management and/or quality of life specialist. Any suggestions or ideas would be greatly appreciated. A summary of my treatments since diagnosis is in my profile.