66 yo, had RALP 3 years ago, Gleason 3X4, cancer in 1 node, PSA after 0.1 and now 10.5 with multiple bone mets on recent scan and minimal pain. Have diffuse coronary artery blockages and refused 5 vessel bypass last year - and am doing well on cardiac meds at this time.
All regimens for me at this stage have a fair amount of cardio toxicity. Have seen both Med Oncology and Uro and concerned about treatment. On good diet, no dairy, take supplements and started metformin - any suggestions?
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Beach18
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So you can't use any kind of hormone therapy? What about docetaxel? Xofigo? Provenge? I would be weighing my estimated life expectancy for cardiovascular disease vs for prostate cancer in deciding which treatments to pursue.
Don’t want to accelerate heart issues with ADT - can’t get Xofigo which looks promising without ADT first; thinking of avodart and casodex as a primary therapy but who will do that for me
#2 cause of death with PC is heart disease and there’s not a lot of info concerning risk stratification for the two together
I know dr myers was doing it for some older patients, but he retired. Dr susan slovin was at sloan Kettering in nyc also doing casodex monotherapy. Rocco
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