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  • Hot flash remedies

    Overnight hot flashes are ruining my sleep. Exhausted here. Are the remedies listed somewhere ? Anyone have any success with them ? Thanks.

  • #2
    I used the Climara brand 0.025 mg/day estrogen patches for 3 years. My experience was the patches eliminated all the night hot flashes and I could get a restful sleep. During the day and normal activity, the hot flashes were certainly diminished. During exertion I still had significant hot flashes. The patches will not help with physical fatigue and a personal trainer can do wonders in that area because at least retaining and preferably building muscle on ADT is that important.

    Venlafaxine is an oral medication prescribed, but many men report some bad side effects.
    Last edited by Duck2; 06-20-2022, 12:52 AM.
    YOB 1957

    DX 12/18, GS 8, 4+4 6/12 cores, LL Apex 100%, LM Apex 60%, LL Mid 50%, LMM 40%, LL Base 5%, LM <5%, Right side negative.

    3/6/19. Post surgery Pathology Report - Grade Group 4 Intraductal Carcinoma
    T3aNO, <1 mm non focal EPE, GS8, 21 mm uni-focal tumor involved 10% of prostate.
    7 Nodes, SV, SM, PNI, and BNI were negative.
    LVI and Cribriform pattern present.
    Decipher .86 High Risk.

    Post Surgery PSA
    3/25/19 .03. (25 days)
    4/25/19 <.03. (2 months)
    5/25/19 <.02 (3 months)
    9/10/2019. <.02 (7 months)
    11/27/2019. <.02. T < 3 (9 months)
    5/19/2020. <.02 (15 months)
    11/2/2020. <.02 (21 months)
    5/11/2021. <.02 T <3 (27 months)
    8/25/2021. <.02 T <3 (30 months)
    12/6/2021. <.02 T <3 (33 months)
    6/14/2022. <.02 T <3 (39 months) T=37

    3 Part Modality Treatment Completed

    2/25/19 Robotic Laparoendoscopic Single Site Surgery outpatient Cleveland Clinic, Dr. Kaouk, surgery #41 in US.
    ART - 7/25/-9/25 2019 (78 Gy, yes, I glow in the dark).
    ADT - 5/19- 5/21 Eligard and Casodex.



    3 Part Modality Treatment Completed

    2/25/19 Robotic Laparoendoscopic Single Site Surgery outpatient Cleveland Clinic, Dr. Kaouk, surgery #41 in US.
    ART - 7/25/-9/25 2019 (78 Gy, yes, I glow in the dark).
    ADT - 5/19- 5/21 Eligard and Casodex.

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    • #3
      Originally posted by Duck2 View Post
      Venlafaxine is an oral medication prescribed, but many men report some bad side effects.
      I still take venlafaxine daily and have done so for five years now. There are SE's, but the greatest problem is discontinuation once you've started taking it. My RO had Rx'd Megace for hot flashes but my GP did not want me taking any hormones due to possible blood clots. I had read about venlafaxine in the original PCF forum and asked my GP about it. I had never had any mental health or emotional problems until cancer started messing with my hormone levels, but ADT was really affecting my moods. Ven cut my hot flashes about in half, in frequency, intensity and duration, but it took a while for my moods to stabilize. All though I am no longer on ADT, the Lupron apparently had destroyed my testosterone production, so hot flashes are still a problem now four years later. But titrating off of venlafaxine is a long and difficult process, so I keep taking it. And I would guess that my hot flashes, which generally don't start until evening, could likely be worse if I were not still taking ven.

      It is definitely an effective solution to problems with ADT, but is not something to jump into without serious consideration of the baggage that comes with it.

      Late 2012: PSA 4, age 62 all DRE's 'normal'
      Early 2014: PSA 9.5, TRUS biopsy (false) negative
      2015: PSA's 12 & 20, lots of Cipro ... Mar '16: PSA 25, changed Urologist

      Jun'16: MRI fusion biopsy, RT base, 2ea 15-40-100% G8(4+4)
      Aug'16:DVRP, "broad cut" 11 LN-, neg margins, gland 53g, 25% involved
      multifocal EPE, PNI, BNI, bilateral SVI, pT3b N0
      Dec 2016: Mrs: Dx stage 4 NHL/DLBCL, Primary Bone Lymphoma
      spinal RT boost+6X R-CHOP21+6X IT MTX via LP.
      Remission ended 2020, Follicular NHL. Currently active surveilance.

      Mar 2020: older adult son, T-cell acute lymphoblastic leukemia (TALL)
      Hyper-CVAD + pegaspargase, RBC transfusions in NYC amid COVID-19

      Bone marrow transplant Oct 2020, currently in Remission
      Jan'17: began Lupron ADT, uPSA's ~.03
      May'17: AMS800 implanted, revised 6/17
      Aug'17: 39 tx (70 Gy) RapidArc IGIMRT
      Jan 2018-Jan 2022: PSA's <0.008, T=50
      Apr'18: Dx radiation colitis, Oct'18: Tx sclerosing mesenteritis
      June 2020: younger adult son, small bowel resection
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