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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest A Good Pain Killer Medicine For Severe Pain Due To Metastasis From Prostate Cancer

80, Gender: Male My father is a prostate cancer patient with multiple bone mets.He had orchidectomy in july 2021, then he was on abiraterone 500 mg on every alternate day.He had good response with it.Then currently he stopped responding to it.The doctor asked him to take enzalutamide 40mg per day.But he had severe pain due to this and so he discontinued.He is now having severe pain on his back and body which is not being controlled by otc pain killers.He is too weak for chemotherapy and the place he lives has no access to cancer care.I consulted omcologist at hyderabad and he suggested palliative care for him.Sir can you suggest some strong painkiller, which can help his pain.I am attaching reports too.His psa is also more than 1000. The doctor has also advised gabantip at.However he is not taking it.Kindly suggest some good painkiller for his severe pain.Can he take gabantip for pain relief
Fri, 2 Feb 2024
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General & Family Physician 's  Response
Hello,

The likely cause of pain is the metastatic disease to bone. Opioid analgesics will be required for pain relief but that can only be advised after consulting your primary physician. Sometimes, if pain doesn't get relieved, then radiation therapy can help.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Loveleen Sharma, General & Family Physician
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Suggest A Good Pain Killer Medicine For Severe Pain Due To Metastasis From Prostate Cancer

Hello, The likely cause of pain is the metastatic disease to bone. Opioid analgesics will be required for pain relief but that can only be advised after consulting your primary physician. Sometimes, if pain doesn t get relieved, then radiation therapy can help. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Loveleen Sharma, General & Family Physician