Covid positive : I am undergoing ADT... - Advanced Prostate...

Advanced Prostate Cancer

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Covid positive

ST0705 profile image
34 Replies

I am undergoing ADT(Lupron, Zytiga & Prednisone) treatment for stage 4 Prostate cancer. I tested positive for Covid today so want to get guidance from this group if I need to be careful with anything in particular.

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ST0705 profile image
ST0705
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34 Replies

So I am on the same boat. For me it was/is a Mild case. Low grade fever that broke within 12 hours. More tired than adt normal. I was prescribed the 5 day course of Paxlovid. After the Paxlovid I had no symptoms at all but continued to test positive. About a week later became very stuffy and a dry cough developed . Since original test, I have tested positive everyday now for about 2 weeks.

You have to be careful about paxlovid. There are a long list of drugs with bad interactions. Statins are on the list. I thought Zytiga was on the list. Talk to your MO.

I stopped my statin during the time i was taking plaxovid and 5 days after.

kainasar profile image
kainasar

Paxlovid is the only useful treatment. Drug interactions are a problem, but MD's will help with that. Dont hesitate to use it. Long covid is a result of not getting vaccinated or taking useless ivermectin.

warrior22 profile image
warrior22 in reply to kainasar

Caution with comments like that : I know several people who are unvax'd, took Ivermectin and recovered quickly and with few side effects. It is not useless.

Grandpa4 profile image
Grandpa4 in reply to warrior22

Yes but there are nicely controlled trials showing it does not work and only uncontrolled evidence that it does work.

warrior22 profile image
warrior22 in reply to Grandpa4

Regardless, plenty of people do respond quickly to it ........

jfoesq profile image
jfoesq in reply to warrior22

If there wasn't/isn’t a valid scientific study to support your claim, then you should make it. How do you know it was the invermectin that was the reason for their good response? The answer is, YOU DON’T!!!! I too had Covid while on ADT and suffered for about 24 hours but then recovered well. I didn’t take Invermectin and I am sure that’s true for many others.

Jeremiad53 profile image
Jeremiad53 in reply to Grandpa4

An extremely large set of people in India would disagree with you. Ivermectin and other vitamins, minerals and a Budesonide vaporizer increases recovery and saves lives.

TEBozo profile image
TEBozo in reply to warrior22

Ditto

mrscruffy profile image
mrscruffy

On ADT had it 3 times, took nothing for it but OTC's

Abcsoup73 profile image
Abcsoup73

My father only had to stop taking his statins while on Paxlovid.

Stoneartist profile image
Stoneartist

Been through COVID - hardly noticed - no change to Ztandi/Zoladex treatment.

PacMan1950 profile image
PacMan1950

I'm on cabazitaxel chemo, Eligard ADT and have been on this journey for 3 years.A few weeks ago my wife tested positive to Covid on a Friday and, of course, I tested positive the following Monday.

Wife was quite sick over the weekend.

I called my GP (General Practitioner, we live in Australia) on Monday morning and they gave me a prescription for Paxlovid tablets which I took the same day.

I had 2 days of sniffles and a slight cough and that was it!

Paxlovid is amazing but you've got to get it ASAP.

larry_dammit profile image
larry_dammit

been there twice. Did the infusion first time and pills the second time. Lots of rest get to your Do tor and monitor your lungs

SilverSeppi profile image
SilverSeppi

Just treat it like a mild case of the flu and you will be fine

fish7days profile image
fish7days

Both Quercetin and Epigallocatechin-gallate are zinc ionophores. The prostate requires zinc anyway. May not be a bad idea to do it along with whatever else you choose to do.

EdBar profile image
EdBar

Xtandi interacts with paxlovid, the solution is to hold it while taking the 5 day course of paxlovid. That’s not an issue for you, just posting within the group. Your doc will guide you through, the prudent thing is to take paxlovid, however if your physical status is good, you’ve been vaxed, and your immune system is good your doc may have you just ride it out. Follow your doctors advice.

Ed

inthefight profile image
inthefight

Hubby had covid last year. Paxlovid can make you feel sick as well as a side effect. He opted to hold of on the Rx for 24 hours to see if he would feel better on his own. You have a time window to start Paxlovid. He felt a lot better the next day and did not use it at all. All went well for him. Do you have any other medical risk factors?

ST0705 profile image
ST0705 in reply to inthefight

I too am feeling much better since yesterday . Doctor prescribed Paxlovid and MO asked to stop Zytiga for 5 days. I do not have any other medical condition besides mPCa. I think it is a good idea to watch for 24 hrs before starting Paxlovid. Thanks

inthefight profile image
inthefight in reply to ST0705

Glad you are feeling better. We just try to avoid taking meds if not necessary. He would have taken the Paxlovid if he wouldn't have felt better the next day.

sandyrivera profile image
sandyrivera

My dad tested positive for covid about a week after his chemo. He was a lot more fatigue that we just kept attributing to the chemo. We tested him because my mom had tested positive and turns out he was positive as well. He was prescribed paxlovid and was fine. I think he would have just had a mild case of the flu, but don’t know for sure. It gave us peace of mind to know that he was on paxlovid and would be okay. He did stop taking his statin for the five days of paxlovid.

SteveTheJ profile image
SteveTheJ

I was multiply vaccinated when I caught Covid from my girlfriend in July 2022. Unfortunately, my doc at the time was on vacation and the office refused to prescribe Paxlovid so I toughed it out. In my case, symptoms lasted about 2 days so I treated the symptoms and was OK.

gsun profile image
gsun in reply to SteveTheJ

Your case was mild because you are vaxxed.

jmarsh profile image
jmarsh

On same ADT drugs as you. Caught Covid in Italy in June. Didn't have test until I got home. Mild symptoms. Low grade fever one day. Tired for a week. Only took Tylenol. All is well.

jackcop profile image
jackcop

For those who believe ivermectin help their Covid-19 infections, bless y'alls hearts.

anonymoose2 profile image
anonymoose2

Me personally I would get a second opinion ASAP. It may only be the flu. During the pandemic many were diagnosed with Covid but had the flu. They were treated incorrectly and many died. Better safe than sorry. We all know doctors aren’t perfect as well the test results performed. Way more flu in the USA currently than Covid.

Justfor_ profile image
Justfor_

}I was infected during early June. It turned out to be long COVID. After the first week I didn't have the usual symptoms having to do with lost of taste etc. Instead my blood pressure was lowered and when standing up my balance was compromised. I felt like standing on a boat sailing on a rough sea. It took me over two months to regain body stability. BUT, there may be an unexpected PSA bonus behind all this. Cardiologist prescribed Beta blockers for Tachycardia (fast blood pulshing) something long COVID leaves behind. My latest monthly PSA test was unexpectedly low. Full details at my Bicalutamide maneuvers thread. Being an engineer I thought of a plausible reason for this: Less pulses means lower circulating blood flow. Lower blood pressure (can be coincidental due to summer) translates to even less blood flow within thin arteries. So, there may be a case that my cancerous cells were choked off of blood supply and the hormones conveyed by it. I admit it is a very long shot but if there was no lab calibration error then it is something I have to look after. My thus far collected data show that my PSA - Bicalutamide concentration relation have the characteristics of a Swiss clock. It doesn't deviate at random.

GeorgeGlass profile image
GeorgeGlass

there are different options such as bebtalovimab but it needs to be taken within the first seven days. I received the infusion last summer. I think that most places are but offering this anymore because the covid strains are a lot weaker than they used to. Go to flccc.com to learn which supplements to take to fight covid, such as: quercetin, vit D3, vit C, K2 etc.

London441 profile image
London441

Lots of advice (much of it conflicting) on this thread as expected. Including individual reports and confirmation bias presented as fact as usual. Nothing to be done about that.

But maybe start with asking the OP if he is symptomatic, and to what degree. No one has so I will. It just might affect your choice of treatment (if any), if that wasn’t obvious.

ST0705 profile image
ST0705 in reply to London441

I am symptomatic with mild body pain, chest congestion and light fever.

I have currently stopped Zytiga and started Paxlovid due to negative interactions

Peace-to-you profile image
Peace-to-you

Personally, I treat it like a common cold…it’s the cancer I worry about. I know Covid should be taken seriously, but I feel way worse after a hit of taxotere

Brbnbrn profile image
Brbnbrn

My husband (whose basically in the same boat as you) got a stuffy nose late last September and I tested him. He was shocked it was positive! Whether or not you believe in inoculations, he had just received his booster 3 weeks prior. We got the Plaxovid but after reading the interactions and such, decided to see if he could.just get through it. He did. It was a niggly cough, headache, fatigue & some other weird symptoms but nothing worse than a persistent cold. After two weeks he forgot he even had it. For HIM, this all worked.out fine. We believe in the power of modern medicine. How can we not? It's kept him here for 6 years after starting with a PSA of almost 1,600! Hope this helped.

❤️ 💙 💜 💖

Redgold profile image
Redgold

make sure to talk to your oncologist,I dont think you can take the antiviral.

j-o-h-n profile image
j-o-h-n

Wear a mask....

Good Luck, Good Health and Good Humor.

j-o-h-n Thursday 08/17/2023 6:52 PM DST

Johnkelsey profile image
Johnkelsey

COVID symptoms left me unable to keep anything down including Zytiga/prednisone, which I had been on for 4 years. I wound up in hospital with adrenal insufficiency… the Zytiga over years had damaged my adrenal gland’s ability to produce cortisol on its own, I don’t know how common is this side effect but if your covid or anything else causes you to go off all your meds for a few days, be careful. It was a sharp ER doctor that figured it out for me.

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