Is Xtandi induced dementia reversible... - Advanced Prostate...

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Is Xtandi induced dementia reversible if drug discontinued?

Selaw profile image
9 Replies

Is Xtandi induced dementia reversible I drug discontinued?

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Selaw profile image
Selaw
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9 Replies
Zetabow profile image
Zetabow

How would you know Xtandi has caused Dementia?

Gemlin_ profile image
Gemlin_

Probably not. Dementia have a latency period of decades prior to cognitive manifestations. Xtandi might have had an augmenting effect on the dementia.

Tall_Allen profile image
Tall_Allen

There are psychometricians who can give you an accurate diagnosis.

Selaw profile image
Selaw in reply to Tall_Allen

Thank you my husband is at present in hospital waiting to see if his confusion is caused by Xtandi before we are given a diagnosis. He has only been off the drug for a few days so it is a waiting game. He is much better in his general condition stronger and eating well again but still confused.

Tall_Allen profile image
Tall_Allen in reply to Selaw

If it is the Xtandi, you might have a good case for insurance covering Nubeqa instead. It doesn't cross the blood-brain barrier, and it doesn't active GABAa receptors (which would otherwise contribute to fatigue and mental slowness).

cesces profile image
cesces in reply to Tall_Allen

A very very very interesting observation.

I hope you do a future article on the subject of can find any research on the subject.

Faith1111 profile image
Faith1111

My brother was on Xtandi and having brain fog and said his memory was slipping. He has come off and is now on a trial where the treatment does not cross the blood Brain barrier. He feels 100% better.

MateoBeach profile image
MateoBeach

Sorry to hear this Good that it is being evaluated. It would be called “cognitive impairment “ at this point. And yes may be due to medication in which case would be expected to improve or resolve when stopped. Not diagnosed as “dementia” unless proven to be due to progressive neurological process or accumulated damage from small strokes.Switching to Nubequa is an excellent idea.

Selaw profile image
Selaw in reply to MateoBeach

Doctors puzzled but prepared to consider possibility of Xtandi being involved.

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