Greetings and all good wishes to everyone.
My LH is 9 days into his 2nd cycle of Docetaxyl. Thanks to all the wonderful support and advice we have recently received from people on here we are coping well.
His psa day before 2nd infusion was 3.4. Those who were kind enough to read my previous post will have seen it started at 4432,dropped to 7, 6.6, 6.33 on HT and now as above (3.4.)
LH has had v few side effects, mainly extreme tiredness, that lasts until early afternoon. This has been more so this cycle,beginning on day 6 (prev day 8-11) . Today his bp was a little lower for him(110/74) & pulse 111 s'times a bit irregular. temp usual range 36.5. He found it v difficult to move around as he felt so "weak" He ate bfast,was drinking & voiding normally, if a little less due to tiredness. He had no oain anywhere.
Having slept for long periods, between drinks & loo until late afternoon he has felt better this evening and helped briefly in kitchen with tea etc. Enjoying tea & tv.
As he was not as "wiped out" yday he was doing some diy in b"room. I felt it was too much, replacing a bath panel. I understand his need to do normal things but am worried that when he is feeling ok he is doing too much. Am I right? Has he just exhausted himself yday? Or should we be acting by contacting help line if he is the same tmro morning?
It does seem to be the pattern that off days last most of mornings, improving a lot later.
I am struggling to feel confident in judging what is acceptable/expected side effects of chemotherapy.I realises we are only learning his individual patter.
I did try the help line early today but had to end call before it was answered as I had an appointment. My LH was v concerthey would suggest our local A&E ,a prospect that felt v worrying, knowing wait times & infection risk.
Apologies for length of post, as always I feel better for reaching out. Its a lonely, scary place being the carer/observer as I'm sure you all know.
Thank you for reading.
Sue
Hello Anna42
I hope all is going well for your husband whilst having his chemo?
My LH had to have 3rd session postponed for 1 wk as he was still very "wiped" with a cough & cold symptoms, although his bloods were good.
They have also reduced the dose from 80% to 70%,again the nurses reassured us that it was not unusual.
He had his 3rd on Tues and has been good since. (no large DIY projects!) His psa had risen slightly,ftom 3.4 to 4.3 but we were warned to expect this as the malignant cells were being killed off.
I hope all is going well for you and like us, you are past half way of the infusions.
Sending all good wishe
Sue
Hello Alwayshope
I have been wondering how you and your husband are? I hope all is moving in the direction you are hoping for.
LH has had 3rd chemo on Tues at 70% (1wk delay) so far so good. Doing small gardening and other tasks. Promised not to do anything greater so that we can have an uncomplicated cycle!
He became convinced that the Tamsulosin was making him feel so "wiped out" each morning after taking it with the Prednisalone. He has not taken it this cycle,is voiding well but residual has increased about 50ml night & morning. I wonder if its the loss of Tamsulosin or the effectsvof 3 days of Dexamethazone. I would welcome your comments re this & his decision!
Sending warm wishes
Sue
Hello Sue. Things are rolling along nicely at the moment and we will see how things are next week when the next blood test is due.
I don't know the answer to your question. Looking for drug interactions it says that dexamethasone can increase the metabolism of Tamsulosin but what this translates into in terms of side effects is unclear. My personal opinion is that it is unwise to just stop taking any prescribed medication without first consulting the experts - for Tamsulosin it suggests tapering if the patient is on a higher dose. Also stopping the Tamsulosin can mean that the symptoms for which it was prescribed can return fairly quickly. I also checked the interaction between Tamsulosin and Docetaxel and there was no association, similarly with Tamsulosin and prednisolone. The side effects of the corticosteroids include extreme tiredness.
Have a good weekend and big hugs.
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