BP meds reduction of cardiac issues - Advanced Prostate...

Advanced Prostate Cancer

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BP meds reduction of cardiac issues

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More men diagnosed with PCa die of cardiac issues than of cancer. So, while this is a little off-topic, it's still important. I need to look into this but I didn't expect the conclusion of this study.

sciencedaily.com/releases/2...

8 Replies
LearnAll profile image
LearnAll

We,people with Pca and the ones who are on ADT meds are at high r isk for high blood pressure. High BP can lead to heart enlargement causing Congestive Heart failure and in worse cases, stroke. We can do a few things to keep our blood pressure below 130/90.

(1) Keeping our body weight low (BMI below24) by less food and more exercise can lower BP.

(2) Reducing Salt (Sodium Chloride)

(3) Minimum use of saturated fats such as butter, cheese etc. which indirectly helps maintaining body weight and reducing plaque formation.

(4) Maximizing low calorie, highly nutritious plant based foods which provide higher amount of potassium.

(5) Using medicines to lower BP. Among anti hypertensive meds ,some have shown to work against prostate cancer such as Losartan, Atenolol etc.

Of Course, this all should be done under supervision of your doctor. Best Wishes.

jimreilly profile image
jimreilly

Since many mean with prostate cancer live long enough to die of something else (through both treatment and the fact that's it's often a slowly progressing disease) it stands to reason that many of us going to die of heart disease. Heart disease is the #1 cause of death of men in our country (and also of women, by a narrower margin).

Life5 profile image
Life5

Advance prostate cancer treatments have their side effects and thus one needs to follow an holistic approach while treating it.

By holistic i mean supplementing the treating medicines with exercise, diet and supplementary medicines.

A lot of MO's follow this approach, and some like ours dont. I have read multiple times on this site that the treatment for advance Pca is benefited when metformin and statin is added to it. My dad's MO dint prescribe anything apart from the usual Zytiga and prednisone. The prednisone makes you hungry leading to binge eating, whereas ADT makes you tired, thus prone to laziness and lack of exercise. Actually, exercise is the only way to combat the fatigue, thus very important. One year in the treatment, my dad had high sugar levels and borderline high LDL cholestrol levels, the later putting one at a high cardiac risk. The doctor then put him on metformin and a statin with aspirin, the aspirin dint suit him and he isnt taking the same (ofcourse with the doctor's permission) .

Don_1213 profile image
Don_1213

There was another very interesting report I saw I believe yesterday (it's a 2019 report) - that taking your BP meds at bedtime makes them much more effective on preventing stroke/heart-attacks. The difference was on the order of 40% less cardio incidents. I had already switched one of my BP meds to evening - this evening the other one is being added to my bedtime meds. Ah - found the report: sciencedaily.com/releases/2...

FWIW - about a month ago I added hardware to my body - 3 stents in one of the heart arteries. I blame that on ADT/Lupron - which had caused my lipids to get much worse than their already bad levels... and that then required a doubling of Atorvostatin to get under control. My suggestion to anyone on ADT - have regular heart checkups by a cardiologist.

6357axbz profile image
6357axbz in reply to Don_1213

How was the need for your stents determined? Stress test and catheterization?

Don_1213 profile image
Don_1213 in reply to 6357axbz

Stress test, cardio CatScan, then catheterization.

6357axbz profile image
6357axbz in reply to Don_1213

I have always taken no meds at bedtime. When I read that report I asked my pcp about switching and he said that timing of both meds is tricky as if I shouldn’t rush into that.

Don_1213 profile image
Don_1213 in reply to 6357axbz

So your PCP took a pass on that question. I often pass these papers along to the MDs

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