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ADT

User
Posted 18 Mar 2025 at 09:00

HI

 

New to the forum and recently diagnosed with locally advanced PC. I wondered if anyone has experience of ADT and alcohol? I'm an occasional drinker, but do like to drink a little more when on Holiday/Golf trips etc.

I'm wondering what effect alcohol has on ADT and whether there are serious side effects from drink alcohol whilst on ADT.

Also, roughly what is the timeline from starting ADT to beginning Radiation teatment.

Thanks in advanced for any help/guidance

 

Jamie

User
Posted 18 Mar 2025 at 15:49

Hi Jamie,

If you’re like many of us you’ll need a drink whilst on ADT to give you some pleasure. 😩 Hopefully your side effects won’t be too bad, but be prepared for the worst and keep active, do lots of weight bearing exercises to prevent your muscles wasting away.

I was told it was ok to have a drink whilst on ADT, I’m not a big drinker but do like a nice malt and when on holiday, a mojito or two. You might find your hot flushes are worse if you drink alcohol, I normally get one when I have my first drink but after that it’s ok. It sounds like you are a moderate drinker as well so I think you’ll be fine, although during RT it might be an idea to cut back a bit. If in doubt why not ask your CNS?

Most people are on ADT for 3 months before they start RT, I was a lot longer due to circumstances and CT planning issues but it did help my PSA fall from 36 at diagnosis to 1 when RT started.

i wish you all the best on your journey😊

Derek

User
Posted 18 Mar 2025 at 16:55

Hi Jamie

I would describe myself as a fairly big drinker. No issues with that, except the usual Zoladex side effects.

In my case it was 6 months from starting ADT until RT began.

All the best.

User
Posted 18 Mar 2025 at 17:56

You always do at least 3 months on ADT before starting radiotherapy - it makes the radiotherapy work better.

Some oncologists prefer 6 months, particularly for the longer ADT treatments. PSA is not often measured again before radiotherapy, although you could ask. It can be good to get it down to 1 or even lower by waiting longer than 3 months if necessary, providing it's still dropping at a good rate. Don't wait if it's not dropping any more.

User
Posted 19 Mar 2025 at 00:18

Hi Jamie

My husband is locally advanced, Gleason 9. He was on ADT for 3 months before his RT planning scan, then RT started 3 weeks later. He just finished his RT 2 weeks ago. His PSA was 25 on diagnosis but the HT brought it down to 0.2 by the time he started RT! 🥳. He was told the odd drink would do no harm on HT but to be guided by any increase in side effects. He’d to avoid alcohol completely during the month of RT though. 

Good luck with it all. 

User
Posted 21 Mar 2025 at 10:25

Thanks All

 

Although I may have jumped the gun a little :-( Was told yesterday PSMA scan showed large tumour on Pelvis, so its ADT and Chemo for now. Obviously really scared and theres been lots of tears, but I'm fairly fit, still quite young and have no other issues so happy for the best 

User
Posted 21 Mar 2025 at 10:52
Hi Jamie

I hope you've got lots of support around you. You can lean on everyone on here and there are many guys with a similar diagnosis who will be more than happy to offer advice. The most important thing is you have a plan in place and you are starting treatment. Just take everything day by day. You're young and fit and you'll beat this!

Wishing you all the best!

Seb

 
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