For hot flushes, first thing is to try and work out what triggers them. Keeping a diary is the recommended way. Then you can try avoiding any triggers you identify.
Wear clothes where you can easily throw off some layers or unzip.
Next to try is acupuncture. This is often offered cheaply or for free by hospital cancer support centre (often called Macmillan) and by some of the local prostate cancer support groups. You may be able to get 4 free sessions on the NHS too. I've had very good reports back from people I know who've done these, such as it was so relaxing they didn't want the session to stop, and it significantly reduced the hot sweats, but not complete elimination.
Finally, there are a few drugs which you can try for the hot flushes if they're a serious problem for you. (Don't go down this path if they're just a minor inconvenience.)
The first one you're supposed to try is medroxyprogesterone, but it's pretty much impossible to obtain at the moment. (It's one of the 24 drugs the government recently banned the export of, but that just means the drug wholesalers won't keep any stock in the UK in case it gets stuck here when they need it elsewhere.)
The other two are cyproterone and megestrol. You could ask your oncologist or GP to try you on one of these (I'm not sure their supply situation).
All 3 drugs have side effects, so check those out too. Your GP might want to do a blood test after a few months to make sure your liver copes with them.
The other thing that's important when on hormone therapy is exercise. This helps counteract many of the side effects including fatigue, muscle and bone loss and fat gain, etc. Many of the local PC support groups run exercise sessions, either cheaply or free, with exercises specifically selected for PC and hormone therapy. Look for a support group near you:
Find a support group near you.
Edited by member 15 Oct 2019 at 23:16
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