Dexamethasone?: My oncologist mentioned... - Advanced Prostate...

Advanced Prostate Cancer

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Dexamethasone?

ellyras profile image
13 Replies

My oncologist mentioned this drug-has anyone had experience of it and if so was it effective?

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ellyras profile image
ellyras
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13 Replies
GP24 profile image
GP24

I would take it. Chris Parker, one of the best prostate cancer experts in the UK, writes:

„We use dexamethasone 0.5mg daily for treating CRPC. Men who respond well can stay on it for years. Toxicity relatively modest IMO“

twitter.com/PCaParker/statu...

Here is a study that reports a decrease of the PSA value in 47% of the patients treated with Dexamethasone:

eu-acme.org/europeanurology...

ncbi.nlm.nih.gov/pmc/articl...

Whether this translates to an extended overall survival is unknown. But patients prefer a lower PSA value.

in reply toGP24

Sound hopeful.. Thanks

pjoshea13 profile image
pjoshea13

You became resistant to Enzalutamide but have not been offered Abitaterone+Dexamethasone - just the Dex?

Many men here will be familiar with the steroid drug, but not as monotherapy.

Here are some links that might be useful.

ncbi.nlm.nih.gov/pmc/articl...

ncbi.nlm.nih.gov/pubmed/254...

onlinelibrary.wiley.com/doi...

-Patrick

Tall_Allen profile image
Tall_Allen

Given alone, it can slow down the cancer sometimes. But watch PSA closely, it usually does not last very long.

Shooter1 profile image
Shooter1

Helped me immensely during chemo. After first cycle was added to each infusion.

tom67inMA profile image
tom67inMA in reply toShooter1

I also had it with chemo. Made me feel like superman for a few days. Great stuff!

Rogersw profile image
Rogersw

When my psa went up to 19 in August 2016 a daily dose of 500micrograms was added to the lupron (prostrap) injection and my psa has fallen slowly to 6 so I assume it has been beneficial. I think it also reduced fatigue downside seems to be skin thining which means I cut and bruise easy.

paulparry profile image
paulparry

As indicated by others it is a steroid and usually used alongside another treatment. Given with chemo or radiotherapy in stronger doses but shorter periods.

If taken daily then should be a small dose. Helps with fatigue and increases appetite. Can cause muscle waste though.

dadzone43 profile image
dadzone43

An alternate corticosteroid like predisone and prednisolone.

monte1111 profile image
monte1111

Used day before and day of chemo. Gave me bad insomnia for three days. Did not like it at all. Others here do not seem to report that issue.

j-o-h-n profile image
j-o-h-n in reply tomonte1111

I couldn't sleep just thinking about taking it......👀

Good Luck, Good Health and Good Humor.

j-o-h-n Saturday 03/30/2019 12:41 PM EDT

tallguy2 profile image
tallguy2

Used it with Taxotere chemotherapy. Never heard of it as a mono therapy until now. Thanks for posting.

JimVanHorn profile image
JimVanHorn

Dexamethasone is also known as Decadron. It is a steroid like Prednisone. Both drugs are a form of Adrenalin and are used for many diseases to help healing.

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