Best time to take Abiraterone/Zytiga - Advanced Prostate...

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Best time to take Abiraterone/Zytiga

Helllfire profile image
44 Replies

Hi everyone , father is taking Abiraterone 1000 mg . I was just curious how everyone is consuming zytiga and what will be the effect of taking it in morning or evening time like bioabsorbtion of drug etc.

Doctor advised to take zytiga one hour before meal and two hour after meal , no specific time was mentioned . So father takes abiraterone 1000mg in morning 6.30am and sleeps again for 0.5 to 1 hrs , then after freshen up takes his breakfast around 8.30 am.

I want ur valuable inputs that if sleep after abiraterone consumption could negatively affect drug absorption ??

Also please post your Zytiga taking time and experience of changing the time for better . That will be helpful for all community

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Helllfire
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44 Replies
Alturia profile image
Alturia

I take abiraterone in the morning as soon as I get up. I then set a 1 hour timer on my watch. At the end of the hour I eat breakfast and take my prednisone.

Helllfire profile image
Helllfire in reply toAlturia

Same is followed by my father except he sleeps lightly for half to one hour then freshen up to take breakfast along with prednisolone. Does sleep anyway affects drug metabolism ? Any idea.

I take prednisone with breakfast, and Zityga 2 hours after finishing breakfast.

JohnInTheMiddle profile image
JohnInTheMiddle

I looked into this and apparently there's a difference in absorption of anything depending if you lay on your left side or your right side. The layout of the stomach and where it meets the small intestine is asymmetric of course. There were some studies that indicated that lying on your right hand side is okay - but that lying on your left hand side it reduces the absorption of many things. I read this but it was not in context of Zytiga.

This reminds me of my own challenge because I sleep in and then I take the pills and then I can't eat breakfast and it's really late. It's an important question.

Helllfire profile image
Helllfire in reply toJohnInTheMiddle

Yeah, same doubt.

Rbourn profile image
Rbourn

I take it as soon as I wake up early and then often lay back down and try to nap and then have breakfast at least an hour later. Been on it 4 years and have had good results.

Lslal profile image
Lslal

I’m a morning person like your Dad. I take it around 5 and have breakfast between 7 and 8 which is when I take prednisone. PSA undetectable and so is testosterone. Cheers

warreng9241 profile image
warreng9241 in reply toLslal

I take mine between 3am and 5am depending what time I wake up during the morning. I too go back to sleep until between 6am and 8am when I drink my 5 fruit, protein supplemented smoothie. that's when I take my prednisone and pregabalin. I've decided to front load my daily essential nutrition requirements when I break my fast. I also do much of my hydration around my breakfast time. If it seems like modified fasting, it is. By the way, I'm 84yrs old and I've been stage 3 over a decade.

RyderLake2 profile image
RyderLake2

Hello,

I take Zytiga in the middle of the night when I get up to pee. It works like a hot damn. The only time I missed is when I "pulled an all-nighter"! At my age pulling an all nighter is when I don't have to get up to pee. 😊

Helllfire profile image
Helllfire in reply toRyderLake2

Thanks for ur reply.

Skippy3 profile image
Skippy3 in reply toRyderLake2

Why the middle of the night? Does it help you sleep?

RyderLake1 profile image
RyderLake1 in reply toSkippy3

Hello,

Not really but I am confident that by taking my Zytiga pills in the middle of the night I am taking them on an empty stomach.

alperk profile image
alperk in reply toRyderLake2

I take mine just before bed and then turn the bottle upside down so I will remember that I took them in the AM. One of the ADT side effects in memory loss. Worse yet is memory loss.

tarzan11 profile image
tarzan11 in reply toalperk

😆

Helllfire profile image
Helllfire in reply toalperk

Nice trick

Bethpage profile image
Bethpage in reply toalperk

Helpful tip. Thank you!

StePeteMN profile image
StePeteMN in reply toRyderLake2

This is the way.

NYCUWS profile image
NYCUWS in reply toRyderLake2

Same here.

Helllfire profile image
Helllfire

Yes he is taking at the same time since starting, just was curious that if his sleep after drug will affect drug absorption, but seems many are sleeping after drug so that is fine I guess.

Skippy3 profile image
Skippy3

I take both 1000 Zytiga and prednisone right after breakfast. PSA undetectable. Bloodwork good. Working to improve bone density.

Helllfire profile image
Helllfire in reply toSkippy3

But I think abirateeone is taken empty stomach, did ur doctor recommended it ?

Please monitor liver function regularly.

Skippy3 profile image
Skippy3 in reply toHelllfire

Dr Sartor now at Mayo Clinic in Rochester MN recommended taking 1000 mg w/ food. I quizzed about lowering the dose but he said a full dose outweigh any benefits of a lower dose in my case. My bloodwork is good

My husband took it when he woke up in the middle of the night to pee because that was the only time he had an empty stomach 😄

TMcgee profile image
TMcgee

I am taking 250mg Abi with low fat yogurt with blueberries and 10mg prednisone for breakfast. I couldn’t take 1000mg with empty stomach in the morning because of schedule and I hated taking the 1000mg on an empty stomach at night. After researching clinical trials on 250mg with food vs 1000mg without, I decided that there is no appreciable difference in availability. Here are links to the studies:

pubmed.ncbi.nlm.nih.gov/295...

pubmed.ncbi.nlm.nih.gov/295...

Helllfire profile image
Helllfire in reply toTMcgee

Thanks for data , does your doctor okayed 250mg ?

TMcgee profile image
TMcgee in reply toHelllfire

Yes, both my MO and the VA have approved. In India and Europe the 250mg w/food dosage is widespread

Si52 profile image
Si52

At my location, only 500 mg Zytiga pills are available. I started with 1000mg on an empty stomach. Ater about a year, I reduced it to 500mg with low fat yoghurt. After another year, I further reduced it to one 500mg pill every alternate day. I have recently reduced it further to one 500mg pill every 3 days with low fat yoghurt. I am into my fifth year with Stage 4 Gleason 9.

I do a Zoladex injection every 3 months and a Xgeva injection every 6 months. Just keeping my fingers crossed. Bloodwork is fine so far with psa at less than0.01 . I also take 5mg prednisone daily.

cfhny profile image
cfhny in reply toSi52

Are you taking any other ADT drugs along with the Zytiga? I presume you are also taking prednisone with the Zytiga?

Si52 profile image
Si52 in reply tocfhny

I take 5 mg prednisone daily. thanks

Helllfire profile image
Helllfire in reply toSi52

Wow that's a wonderful response you had, hope u will continue the same with best results further.

Si52 profile image
Si52 in reply toHelllfire

I hope so,too. Keeping my fingers crossed. Thanks for your warm wishes.

69CJ profile image
69CJ

Whenever I get up to go to the toilet between 1am and 5 am I take my tablets :o)

michael00 profile image
michael00

I take it about 10:30-11:00 at night, then go to bed. It's worked well for me.

Vangogh1961 profile image
Vangogh1961

I'm always up once in the night and I take it then. Then I can have breakfast as soon as I get up. But I still work, so I have time issues. :)

Huzzah1 profile image
Huzzah1

I take my pills at about 5:00 when I get up to pee then lay on my right side and sleep some more. Here is the study about pill absorption.

hub.jhu.edu/2022/08/16/the-...

Helllfire profile image
Helllfire in reply toHuzzah1

Thank u very much sir , that's what I was looking for , will recommend every community member to go through this article . Thanks .

hopefull99 profile image
hopefull99

I have found it useful to take Zytiga in the morning, as your father has, because I am more consistent at that time.

Texan423 profile image
Texan423

I also take Abiraterone first thing in the morning. Initially I took the 4 -250 pills between lunch and evening meal for a couple years. It was an annoying “to do” and still eat well. I switched to morning, much easy to manage day and meals with same results for a couple years now.

Johnson411 profile image
Johnson411

I have been on ADT for 2 years. I take the Abiraterone right before I go to be around 10:30, ensuring at least 2 hours without eating anything and then take the Prednisone with breakfast.

YC22 profile image
YC22

Hello my dad takes abira 2-3 hours after dinner .. and prednisone in the morning with breakfast.

johnscats profile image
johnscats

I don't take it any more but used to take 500 mg with food in the morning seems in my case solved a lot of side effects

Mascouche profile image
Mascouche

I was on Abiraterone 2x500Mg and Prednisone 2x5mg. I found it easier to take my Abiraterone first thing upon waking up since it needs to be distanced from food. For the Prednisone, I was initially told to take 5mg in the morning and another 5mg in late afternoon. But that was making me jittery at night and I did not sleep well. I asked the doctor if I could take 10mg one shot in the morning instead. He said yes and so I did and that did help my sleep. Hope this helps you and your father.

jmarsh profile image
jmarsh

I take Pred immediately after breakfast around 6:45. I have a reminder in my phone to take Abiraterone at 9:00 every morning. On weekends, I ususally have a different schedule. I just try to make sure I wait 2 hours after eating. So far, so good.

Poollover profile image
Poollover

I take Zytiga at 5-AM, sleep for 1-hour, hot tub for 1-hour, then breakfast with Prednisone, usually at 7-AM.

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