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Hello My Father Is 99 Years Old And Was Diognised

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Posted on Mon, 23 Mar 2020
Question: Hello
my father is 99 years old and was diognised in 2004 with local prostate cancer and since then he was on lupron or zoladex injection every 3 months and casodex was added in 2016 the last 24 months his psa started climbing from 23 al the way to 84 . His doctor suggested that he should go for another line of hormone therapy (minimized dose of xtandi 2 40mg cpsules a day) but giving to the cercumstances of his major health a i have concerns against a second line of therapy, my father has heart desease and a border line of renal function and he is bed ridden since late 2017 and is on oxygen support when sleeping.
Is going for a second line of treatment at this age and this health condition helpful ( minimized dose) or it will do more harm than benifit? and if we decided to not go for the treatment what we should expect in the matter of pain and tumor progress and life expectancy?
Thank you
P.S he can not do any ct or bt scan due to his renal function
attached are his last bloos tests
thank you
Yaqoub
doctor
Answered by Dr. Dr. Esmeralda Sera (22 minutes later)
Brief Answer:
Prostate cancer

Detailed Answer:
Hello and thank you for asking

I have bene carefully through your question.Due to your father age and his issues problems your decisions for not continuing other treatment due too the side effects of this medication it’s probably right.
In my opinion there will not be any change in his
general situation or his progression of disease

Best regards
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Dr. Esmeralda Sera (50 minutes later)
Hello doctor
Thank you for your reply,what if we considered a small dose of xtandi (1 capsule a day) would it help in lowering his PSA without side effects? if there are side effects can you kindly explain what to watch or expect with a small dose in terms of side effects?
doctor
Answered by Dr. Dr. Esmeralda Sera (5 minutes later)
Brief Answer:
Prostate cancer

Detailed Answer:
In the case that you diced to start the xtandi ,the medication should be used at least one month and than to test PSA again

Most common side effects of this medication are muscles weakness,nausea,diarrea,headache .


Note: For further queries related to kidney problems Click here.

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Dr. Esmeralda Sera

Oncologist

Practicing since :1998

Answered : 1367 Questions

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Hello My Father Is 99 Years Old And Was Diognised

Brief Answer: Prostate cancer Detailed Answer: Hello and thank you for asking I have bene carefully through your question.Due to your father age and his issues problems your decisions for not continuing other treatment due too the side effects of this medication it’s probably right. In my opinion there will not be any change in his general situation or his progression of disease Best regards