One drug that is said to be a fatigue fighter is dexamethasone 1-mg (think I spelled it correctly). I don't know first hand, never tried it, did also do radiations via Cyclotron(neutron) & later IMRT (photon) rare combo with max exposures(which I asked for), no complications thus far 7yrs.+ since done, did have fatigue set in and it went away, too. Not saying you or anyone else could not have any complications, alot has to be said for the expertise of whom does whatever proceedure one chooses in PCa treatments or any proceedure. The patients own body-presentation(condition) type variables could also make a big difference in this mix and healing times, yada...yada..yada.
With a patient doing only radiation as a treatment your psa's afterwards are a different threshold to monitor, because you still have a prostate and it will heal, thus a working prostate will give off psa values. So psa value of 1.0 and such is not bad or worrisome.
Radiation bounce can occur many months after doing radiations, and sometimes as far out as 26 months, psa will raise quickly, followed by a drop (this is why you get further psa tests not real long afterwards to confirm), only happens in maybe 33% of rad patients. When it happens naturally the patient freaks out (thinking psa failure), monitor afterwards.
Also, psa numbers do not drop as soon thereafer as it does with surgery, you might take 3-12 months(possibly longer maybe) to reach nadir psa level (the lowest number you would or can achieve) followed either by holding steady thereafter or rises.
Zap those little _____ (hey your futures so bright you gotta wear shades)
Post Edited (zufus) : 11/15/2009 6:20:47 AM (GMT-7)