Calcium & vitamin D tablets

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Hi all,

In quite a few posts I have read there have been comments about taking calcium & vitamin D tablets whilst on HT/RT to help protect bone strength.  I have been on HT since the 12th June this year & am due to start 5 sessions of RT next month on the 13th (SABR), but there has been no mention in my treatment plan of calcium / vitamin D. The HT tablets (Bicalutamid) are due to stop when I have finished RT & I will be having my 2nd 3 monthly injection (Decapeptyl) at the end of September & a final one at the end of December. 

I rang to query this & spoke with one of the URO/Oncology nurses who advised that as I would only be on HT for 9 months (as opposed to long term usage) & was still keeping active outdoors (walking / gardening) so would be getting natural sunshine, they didn't consider it necessary & if I was worried to speak to my GP to see if they would proscribe them.

It does make sense about being a short time on HT & I don't want to waste my GP's time unnecessarily, & wondered if any other people in the forum come across this & what their thoughts are.

Thanks

Brian

  • You could always buy the tablets yourself if you wanted.  I have heard a lot of TV and radio Docs recommend us all taking Vit D even through the summer as our weather is so bad.  I was 72 when diagnosed so was already taking Vit D regularly but not calcium and have never taken Calcium.  I too was only on HT for 9 months and kept active through out so had no problems with bones or anything.  I turn 90 in a couple of months so glad to say still doing well.

  • Hi Buzzers.

    We had the same query when my husband was prescribed Prostap for 6 months with no mention of calcium and vitamin D having seen the advice on here. The specialist nurse said they’re not necessary for short term HT use but we could buy some if still worried so that’s what we did. Competitively priced at our local supermarket. Worth it for extra peace of mind.

    Take care.

  • Hi Buzzers

    I have been a prescribed Vitamin D (Stexerol D³) after having a crush fracture to my spine.

    As a cancer patient you can have them prescribed for free...if your over 60 they're free anyway.

  • Thank you.  You must be doing something right - hope you have a great 90th birthday

  • Hi Roselover,

    Thanks for that - think I will check out the supermarket next time we go.

  • I also wondered this as my onco didn't prescribe them but put me on Alendronic Acid to strengthen bones, but my GP prescribed chewable Calcium/Vit D saying people are normally on them when on HT and Alendronic Acid.

    I then spoke to a nurse who rings me each month to monitor me being on Apalutamide and she said, looking at my monthly bloods, that my calcium levels were fine and I didn't need the supplements so I stopped taking them.

    So I would suggest, if you're having regular bloods which will include your bone profile, that you confirm from those whether you need the extra calcium. The vitamin D is there to help a patient absorb the calcium, but too much calcium could cause hypercalcaemia and lead to bone spurs on the spine and other not-so-goodies.

  • Hi Brian

    I can only think it's because you have a low PSA and a low grade PC and only on HT for 9 months, that they think there won't be any significant effect on your bone structure.

    I am on HT for 3 years and it was only reading on here when someone posted about Calcium and Vitamin D did I ask my GP and the response was " yes I suppose so - I will add them to your prescription".

    Personal view as

    Worth it for extra peace of mind.

    Best wishes

    Brian.

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  • My partner takes it. He was told to use it by his consultant. We buy it and he takes it daily with other vitamins. I guess it depends on what treatment you are on as some of the side effects are problems with your bones and you could be more prone to osteoporosis. Also my partner was experiencing pain in his hips and back before treatment. Check your husbands HT side effects. I did watch a program once  that said your body stores up calciumto the age of around 23 and then the “door to the store is shut and that’s it.” It made me go into a right sweat as I can’t remember ever eating or drinking anything that was worthy of going into my calcium store at that age. I can only hope burgers and chewing gum had some hidden benefits. 
    LSlight smile

  • Sorry typo 80 not 90!  There are days, like today, when I feel like I am 90. Slight smile