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Prostate Cancer UK Online Community  »  Search

Refine your search for "radium 223"

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Next step ? Radium 223 5 replies
Radium 223 side effects 12 replies
223Radium treatment 14 replies
Radium 223 stage 0 replies
When your PSA meets Radium233 2 replies
Radium 223 - use and side effects 7 replies
Radium 233 Issues 2 replies
Cabazatacil failed, now Radium 223 12 replies
After Radium 223? 4 replies
Radium 223 vs 177 Lu 12 replies
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User
Posted: 11 Jul 2026 at 21:51
Just to add to focus on when Ra-223 is given and Abiraterone that there is a big risk of skeletal related effects. OH had both, not at the same time and is really suffering from bone fracture pain. He should have been given Zolendronic acid infusion to protect his bone minerality. Good luck and keep asking the questions.
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    User
    Posted: 11 Jul 2026 at 20:42
    I had great hopes for Ra-223 but it was not to be for my OH. He had his first Ra-223 injection on 9 Sept 2025 with no side effects. Blood tests are needed before any infusion and that was all okay but PSA kept increasing from 61.3 to 98.5 by 3rd infusion so it wasn;'t working. He had 4 infusions and then they were stopped because of cancer progression. So don't worry about side effects because everyone is really on board with impact on blood profile. It has good reviews of helping but just didn't work in our case. Good luck!

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      User
      Posted: 11 Jul 2026 at 16:36

      My husband has been referred for this as he has extensive active bony mets.

      He was diagnosed in Jan 25 with stage 4, Gleason 9.

      Apalutamide failed after 6 months and docetaxcel didnt work sadly.

      He had a displaced subcapital fracture ( top of femur) due to the cancer and had surgery ( total hip replacement) on 17th June. 

      Has anyone experience of radium 223?

       

      Thanks

      Read conversation
        User
        Posted: 06 Jul 2026 at 21:45

        Hello

        This is my first time posting here. My husband was diagnosed in Jan 25 with stage 4 prostate cancer. He had always had a PSA test yearly as a school friend had prostate cancer. He had a completely normal test in March 24. At the end of October 24, he developed a bad pain in his lower back/ left butyock..he thought it was from jumping off a trailer as we had just sold our farm. He saw physios and they just said it was deep seated...he is vety stoic and said it was improving...just before Christmas he was finding it uncomfortable to sit and we were due to go on a long holiday to Asia at end of January...so we asked GP if wecould pay for a private MRI scan...I thought it was a trapped nerve. The private consultant agreed for the MRI without seeing him as he was booked up and knew we were travelling. He had the scan on 31st Dec and we were due to see the consultant in late Jan. We got a call on 7th Jan...he was so apologetic but said he had extensive bony metastases in his pelvis and would send an urgent referral to our GP. My husband never had any symptoms, never got up at night to pee. When we knew he had bony mets ( basically whole pelvis was black) GP did an examination and said prostate was normal....the next day PSA came back as 94. Apparently it was just a small nodule which is why no symptoms. His gleason score is 9. Initially apalutamide worked and PSA came down to 0.6...but last summef he suffered a hairline fracture at thd top of hus femur, due to the cancef and developed a lytic lesion in his acetabulum. He was able to have targeted radiogherapy to the area and after 3 months in a wheelchair, in October he regained his mobility.

        In October his PSA started rising. In January he started docetaxel. He had 6 rounds but unfortunately his PSA kept rising....kept thinking it was a flare but in May, oncologist said it wasnt working and his PSA was 112.

        Unfortunately about a week later, my husband suddenly had increased hip pain and an MRI scan showed a slightly displaced fracture at the top of his femur ( due to the cancer). He was admitted for an emergency total hip replacement. There was cancer in his acetabulum so I think a lot of cement was used. Unfortunately he has been quite unwell since as his serum iron dropped to 3 and his Hb was 90 and CRP 118.

        His next option is Radium 223 but only when the hip is healed and his bloods return to normal...otherwise not much else left...so been looking into ivermectin and mebendazole. I know there are not any big trials but if no othrr options it has to be worth a go.

        I think there is someone on here whose husband is on this treatment so I would really like to reach out to her.

        I know there is a lot of controversy about this but it has to be worth a try.

        Thank you if you have read this as it is rather long!

         

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          User
          Posted: 29 May 2026 at 02:36
          Very sorry your husband has received a devastating diagnosis and maybe somebody else in a similar position will tell you how they are doing. However, your husband may progress in a quite different way because this is a very individual disease and men can respond very differently, particularly to various treatments and combinations of treatment. When PCa is advanced, it's like fighting a retreating battle so some men find a particular treatment works for perhaps a variable time and then there is a need to supplement or change it depending on their response. So regular testing and assessment is essential. Some men respond better than others to the treatment and associated side effects. New drugs and forms of treatment can slow the advance of the disease. We have had men who have been given a round figure of how long they might live but at this stage it is very much a guesstimate and some of them have greatly exceeded the figure given by their Oncologist. You have mentioned Hormone treatment and Chemo but there are other down the line systemic treatments for which your husband may be suitable, Radium 233 and Lutetium 177 treatments for example.

          I hope that with hubbies treatment, you and your husband will still enjoy happy years, albeit with the need for careful monitoring.

          Barry
          Read conversation
            User
            Posted: 04 May 2026 at 10:18

            Natural prostate support focuses on simple, consistent lifestyle choices that help maintain prostate health, especially for men over 40 who may experience symptoms like frequent urination, weak flow, or interrupted sleep.

            At the core of natural support is nutrition. Certain foods are known to benefit prostate health. Tomatoes, rich in lycopene, help reduce oxidative stress. Leafy greens like spinach and kale provide essential nutrients that support overall wellness. Pumpkin seeds are packed with zinc, which plays an important role in prostate function, while fatty fish like salmon provide omega-3 fatty acids that help reduce inflammation.

            Herbal support can also play a role. Saw palmetto is one of the most widely used natural remedies for supporting urinary function and reducing symptoms associated with an enlarged prostate. Other helpful herbs include beta-sitosterol, pygeum, and stinging nettle root, which may help improve urine flow and reduce discomfort.

            Regular exercise is another key factor. Simple activities like walking, stretching, and pelvic floor exercises help improve circulation and reduce pressure on the bladder. Staying active also supports hormone balance and weight management, both of which are important for prostate health.

            Healthy lifestyle habits make a big difference. Reducing caffeine and alcohol intake, especially in the evening, can help minimize nighttime urination. Staying hydrated during the day while limiting fluids before bedtime can improve sleep quality. Managing stress is equally important, as chronic stress can worsen symptoms.

            Finally, maintaining a healthy weight and getting regular check-ups ensures that any prostate concerns are addressed early.

            Natural prostate support isn’t about quick fixes—it’s about building daily habits that support long-term health, comfort, and quality of life.

             

             

             
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              User
              Posted: 15 Jan 2026 at 14:56
              Time to update again and things are still not where we want them to be. OH has had 4 Ra-223 injections. That was quite straightforward although OH has been having increasing back pain. It was unclear if the pain was from the Ra-223 or from the cancer metastases. PSA was still rising every month from 61.3 at the first Ra-223 injection to PSA 98.5 at the fourth injection 31 Dec 2025. Our oncologist decided on another Ga68 PSMA-PET scan which was done on 6 Jan 2026. This led to a telephone consultation on 13 Jan where we were told the PSMA PET scan showed early spinal cord impingement at the T4 spinal area and an urgent response was needed with five fractions of 20Gy radiation to the thoracic spine and one to the lower lumber spine/ left Sacroiliac joint. That starts tomorrow 16 Jan. I am grateful they found the spinal cord compression (SCC) before we had an emergency at home and needed to rush to A&E, but we are left a bit down that it has come to this stage so quickly. Not sure comes next but we will get there soon. Take care everyone.
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                User
                Posted: 13 Dec 2025 at 19:46
                I understand. Sending my support and a hug. And I wish your husband all the best with the cabazitaxel, and, if needed, the Ra-223 and the new therapies coming through clinical trials.
                Read conversation
                  User
                  Posted: 13 Dec 2025 at 17:56

                  My hubby has aggressive, incurable G9 PC diagnosed in 2015.  Since last year the cancer has spread into lymph nodes and bones despite all the hormone therapy and 10 cycles of Docetaxel only had a minimal effect on it.  His PSA, which had reduced from 95 to 6.4, started rising again as soon as it finished.   He’s just had his 2nd cycle of Cabazitaxel (apparently known as a ‘last resort’ chemo) and we’ve yet to find out whether it’s started working.  Possibly some RA-223 after that.

                  From the posts by others in much the same situation, it looks very much as though the options are running out and suddenly it feels like the end of the road is approaching.  We’re trying to be philosophical (after all, he’s lasted longer than many men) and are playing it down to friends and acquaintances.

                  Unlike me, my hubby has always rejected forums, support groups, counselling, research etc so has  always been a bit in the dark about the various treatments he’s been on.  I haven’t told him about the above-mentioned posts, but even he has the feeling that time is running out at last going by some of his recent remarks.

                  His way of forgetting about it is to immerse himself in his voluntary work while I find Buddhist mindfulness meditation helpful but it always feels as if there’s a dark cloud overhead these days and times when I start worrying about getting end of life care (after my friend’s awful experience); also dreading being without him after having been together for 57 years.  All we can do now is make the most of our time together.

                  Sorry – just needed to vent!

                   

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                    User
                    Posted: 16 Nov 2025 at 17:11

                    Hi Phil,

                    Thanks for your reply.

                    I’ve read other people’s comments that they didn’t feel so bad on Cabazitaxel.  Peter’s worst ones last time were the oral thrush and strange taste.

                    I’m sorry it wasn’t as successful for you as hoped.  Although Peter had all 10 Docetaxel cycles his PSA only dropped to 6.4 from 95 and started rising again as soon as he’d finished the Docetaxel despite the Zoladex and steroids.  The last BT in September showed 27 but it’s probably shot up again since then. The PC was back in the  lymph nodes, bone mets too now in femur, rib and clavicle although he’s not in pain at present.

                    Beginning to wonder how many options are left.  Radium 223 has been vaguely mentioned.   Meanwhile he starts the Cabazitaxel next week.

                    Wishing you well on your own journey.

                    Hazel

                     

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