I'm interested in conversations about and I want to talk about
Know exactly what you want?
Show search

Notification

Error


External Beam Therapy

User
Posted 11 Jan 2016 at 20:01
Hi Colin

Great news you've finished the RT, appointment in 6 months is good news also.

Where I had my RT they recommended aqueous cream for any soreness

Best wishes,

Arthur

User
Posted 11 Jan 2016 at 20:08

Well done Colin
Best wishes on recovery.
Chris

If life gives you lemons , then make lemonade

User
Posted 11 Jan 2016 at 20:35

Thank you all for your best wishes.

Arthur you mention the aqueous cream, I did buy a tube but the radiotherapy nurses told me it is not on their recommend list any longer. Due to a irritant ingredient ???

Colin

User
Posted 11 Jan 2016 at 22:18

Originally Posted by: Online Community Member

Hello Sandra

I was prescribed some cream by my local GP. I stopped using it after 10 days as instructed. Unfortunately the problem is returning. The Onco said I must have a very sensitive skin and to stop using the cream and see how it goes ???

Colin

 

What was the cream Colin? 

Could you ask them about Nappy Cream (Drapalene or something. Sensitive enough for babies' bums anyway)

Edited by member 11 Jan 2016 at 22:19  | Reason: Not specified

We can't control the winds - but we can adjust our sails
User
Posted 11 Jan 2016 at 23:58

I experienced some slight soreness during some of the time when I had my RT. I was prescribed Bepanthen ointment which is a very mild baby ointment mainly used for nappy rash. I was told to use it sparingly and dab it on using some tissue paper - worked for me.

Barry
User
Posted 12 Jan 2016 at 08:30

Sandra, the prescribed cream given to me was Daktacort Hydrocortisone Cream to be used twice a day and to use Sudacrem in between. The use of these was a great relief.

Barry, the Sudacrem is used for nappy rash etc so much the same as you used. I will still use this as required.

User
Posted 12 Jan 2016 at 15:29

Hi Colin
I bet your glad its finished, great result with the PSA down , my first check had come down to 0.30 just had second after 6 months and down again to 0.13. The R/T is OK I found the tiredness was the worst and the sore behind they gave me Proctosedyl Ointment which worked fine, you will soon be back to normal I'm sure.
All the best

Alan

KEEP POSITIVE and CARRY ON

User
Posted 12 Jan 2016 at 16:09

Thanks Alan

I'm hoping my PSA is low enough, but we'll see what it comes down to in 6 months time. We're you on HT.

All the best

Colin

User
Posted 12 Jan 2016 at 19:55

Hi Colin
Yes I was but only for 6 months, Zoladex implants I still get the hots but not as bad now. After I had my 2nd PSA check last December I think I'm a bit more relaxed for the first time in 18 months , so much so, I'm a retired plumber and am thinking of fitting a new bathroom suite at home so I must be better or mad at my age (73).
My Oncologist & specialist nurses are great and very reassuring which helps a lot , so I'm going for it .
I've found everybody on this site very helpful and understanding and you need reassurance from people who understand.

KEEP POSITIVE and CARRY
Cheers
Alan

User
Posted 12 Jan 2016 at 22:39

Daktacort Hydrocortisone ointment is an antifungal usually prescribed where there is a fungi and bacterial infection which can cause inflammation and itching. Daktarin is similar and used largely but not exclusively for athletes foot, although Daktacort can be used for this purpose also. So this is not usually prescribed just to treat soreness caused by RT unless the situation calls for an antifungal preparation..

Barry
User
Posted 13 Jan 2016 at 16:26

On the EBRT theme, I had opted for HDR Brachytherapy with a top of 15 sessions of EBRT 2 weeks after the brachy. 6 months HT (bicalutamide) before and after.

Anyway, I had googled my oncologist at Clatterbridge some time ago and she was a leading light in a trial reducing EBRT to 20 sessions but with more sophisticated targeting. In short it deliver much higher doses to the actual tumor than to the rest of the prostate. I raised it at my appointment today and I was told that the trial had ended but that the consultant would consider me for the 20 session treatment outside of the trial. It wouldn't affect the speed of the process as the HT would be required in any event.

Tempted I must admit as it cuts out the brachy (and a night in hospital) and is by definition a bit less invasive although they do have to place markers in the prostate but this can be done as a day procedure.

I have another meeting with her in February. Apparently high level meetings will have taken place by then with the possibility of rolling it out more generally.

User
Posted 13 Jan 2016 at 22:13

Hi Pete48
Read Daily Mail 12/1/16, "High-Dose prostate therapy that halves trips to hospital" by OONA MASHTA
I have just read this in yesterdays Mail I wish I could have got on it, apart from the less time factor the side effects are possibly less ,an interesting read.
Cheers
Alan

KEEP POSITIVE and CARRY ON

User
Posted 14 Jan 2016 at 08:26

I also read the article in the Mail. I would have preferred the 20 sessions instead of the 37. I'm sure this will soon be the norm for EBRT. Must be quite a saving for the NHS not to mention the patients cost of travelling. Would cut my mileage from nearly 4000 miles to 2200 miles.

Still no complaints

Colin

User
Posted 14 Jan 2016 at 10:28

I'll let you know if I can have this. My meeting with the Oncologist is on the 10th of Feb. Apparently consideration is being given to rolling it out more generally in my area.

User
Posted 17 Jan 2016 at 13:48

John had the 20 sessions. There are some things to take into account -
- the trial was partly looking at how high a dose can be safely given
- where the tipping point is between effective treatment and increased risk of side effects.

So the common regime is 37 fractions of 2Gy = 74Gy. Men on the trial had 19 or 20 fractions at anything from 2.4Gy to 3.4Gy

John had 20 sessions at 3.3Gy = 66Gy .... Radiotherapy is cumulative so the 66Gy delivered in bigger slices has the same strength as the 74Gy. John sailed through the treatment, worked throughout, went to the gym every day and continued with his rugby - needed an afternoon nap on his desk sometimes though. When he was put on the trial, they were only selecting younger fit blokes for the higher doses, so it will be interesting to see what dose is suggested for Pete now the trial is completed

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 17 Jan 2016 at 15:01

Thanks for the update Lyn - hadn't fully appreciated that the initial trial was for younger guys although there was a 68 year old in the Clatterbridge part of the trial according to the Daily Mail.

I'll keep everybody updated after my meeting with the Onco on 10th February.

Meanwhile, I pick up my bicalutamide (150 mg) from the chemist tomorrow. The ride starts here!

User
Posted 17 Jan 2016 at 15:11

I don't think the trial was targeted at younger men but the highest doses were only given to men who were younger and/or particularly fit to begin with. I guess the thinking was that they would best cope with any increased risk of fatigue etc. but we are talking three or four years ago for John now so things have probably moved on a lot.

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 18 Jan 2016 at 08:26

Well I am scheduled to start 20 session RT on Thursday. Not young (66) but all the consultants agree that apart from the PC I am in good health and I get my daily exercise of a 30min walk every day (something I will have to reschedule when the course starts). I was led to believe that here (Royal Berks, Reading) it is now the norm to give 20 session courses and it would be the exception to be moved to 37.

Edited by member 18 Jan 2016 at 10:58  | Reason: Not specified

User
Posted 18 Jan 2016 at 11:25

H Pete48

Good luck with everything ,I was on Bicultamide for 30 days prior to starting Zoladex, I'm sure you will be fine. http://community.prostatecanceruk.org/editors/tiny_mce/plugins/emoticons/img/smiley-smile.gif

Regards

Alan

 

KEEP POSITIVE and CARRY ON  

User
Posted 18 Jan 2016 at 12:05

Hi Pete
I've been on 150mg Bical for 4 months now. It actually hit me hard for 2 weeks but I'm ok now. My 33 RT due to start in April. I've been told with my figures that it's not likely to be curative, so I have just had a long chat with Onco secretary to ask if I can have 20 instead. Waiting to hear back. I'm not looking forward to it at all tbh especially if not curative , so the less sessions the better.
Very best wishes to you
Chris

If life gives you lemons , then make lemonade

 
Forum Jump  
©2025 Prostate Cancer UK