Vivelle Dot Patch for hot flashes

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BB_Fan
Veteran Member


Date Joined Jan 2010
Total Posts : 1011
   Posted 6/16/2011 1:47 PM (GMT -6)   
While on HT I was put on this patch to protect against bone loss. I didn't realize that they also were effective against hot flashes. Hot flashes deminished over time until I no longer had any, and pretty much forgot about them. When I stopped HT about 3 weeks ago, I stopped using the patch. Now hot flashes are back with a vengence. They started slow, but are now almost as bad as when I started HT. I presume they will start to deminish again soon, but this was really a surprise.
Dx Dec 2008 at 56, PSA 3.4
Biopsy: T1c, Geason 7 (3+4)
Robotic RP March 2009
Path Report: T2c, G8, organ confined, neg margins, lymph nodes - tumor vol 9%
PSA's < .01, .01, .07, .28, .50. ADT 3 5/10. IMRT 7/10.
PSA's post HT/SRT .01, < .01
End ADT3 5/11 PSA < .01

ralfinaz
Veteran Member


Date Joined Jan 2011
Total Posts : 735
   Posted 6/16/2011 3:28 PM (GMT -6)   
BB_Fan,
The hot flushes are caused by low testosterone and you probably have not recovered from the recent HT. If they are bad enough, you can ask your urologist for a shot of Depo-Provera (150 -200 mg) and that should help.

Going back to the estradiol patch would also help with the flushes, but would slow down your T recovery. If they are not too bad, do nothing and your T rebound will eliminate them.

RalphV
Phoenix, Arizona
Disclaimer: I am a long-term prostate cancer survivor. My comments are not intended as medical advice. The intent is to provide information. Seek direct recommendations from your medical team.
Surviving prostate cancer since 1992 at age 58. RP; Orchiectomy; GS (4 + 2); bilateral seminal vesicle invasion; tumor attached to rectal wall; Stage T4; Last PSA September, 2010: <0.1 ng/m

Carlos
Regular Member


Date Joined Nov 2009
Total Posts : 486
   Posted 6/16/2011 3:59 PM (GMT -6)   
BB,  The Vivelle Dot seems to have worked very well for you.  Was there any downside to its use?  Just trying to accumulate as much info as I can should I have a PSA relapse.
 
Carlos

Dx 2/2008, at age 71, PSA 9.1, G8, T1c
daVinci surgery 5/2008, G8(5+3), pT2c
BCR 2 1/2 yrs after surgery
IMRT, 68.4 Gy, 12/2010 - 2/2011
PSA 0.07 three months after IMRT

BB_Fan
Veteran Member


Date Joined Jan 2010
Total Posts : 1011
   Posted 6/16/2011 4:11 PM (GMT -6)   
Breast tenderness, and I bit of enlargement. Probably from the patch and casodex. Had radiation but it didn't quite do the trick.
Dx Dec 2008 at 56, PSA 3.4
Biopsy: T1c, Geason 7 (3+4)
Robotic RP March 2009
Path Report: T2c, G8, organ confined, neg margins, lymph nodes - tumor vol 9%
PSA's < .01, .01, .07, .28, .50. ADT 3 5/10. IMRT 7/10.
PSA's post HT/SRT .01, < .01
End ADT3 5/11 PSA < .01

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 6/16/2011 4:52 PM (GMT -6)   
ralph,

isn't depo-provera a birith control drug? pretty sure that is what my daughter was on for a while, it was an injection if i remember rightly.

david
Age: 58, 56 dx, PSA: 7/07 5.8, 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, on catheters for 101 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incont & ED: None
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06, 2/11 1.24, 4/11 3.81, 6/11 5.8
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, 21 Catheters, Ileal Conduit Surgery 9/10

Fairwind
Veteran Member


Date Joined Jul 2010
Total Posts : 3743
   Posted 6/16/2011 5:10 PM (GMT -6)   
7 months into HT, my hot flashes are becoming VERY annoying..My doctors don't seem to have any solution but my U-docs nurse swore that a supplement called Black Cohosh would do the trick..She recommended taking the pills with Soy Milk, and substituting Soy Milk for cows milk in all things..

So I'll get religious about taking the Cohosh and let you know how it works..

My GP recommended I remove refined sugar from my diet completely as he had done. He said the sugar consumption in the United Stated was astounding and VERY unhealthy, leading to all sorts of problems in addition to the rampant increase in obesity and diabetes..
Age 68.
PSA age 55: 3.5, DRE normal.
age 58: 4.5
61: 5.2
64: 7.5, DRE "Abnormal"
65: 8.5, " normal", biopsy, 12 core, negative...
66 9.0 "normal", 2ed biopsy, negative, BPH, Proscar
67 4.5 DRE "normal"
68 7.0 3rd biopsy positive, 4 out of 12, G-6,7, 9
RALP Sept 3 2010, pos margin, one pos vesicle nodes neg. Post Op PSA 0.9 SRT, HT. 2-15-'11 PSA 0.0

BB_Fan
Veteran Member


Date Joined Jan 2010
Total Posts : 1011
   Posted 6/16/2011 6:48 PM (GMT -6)   
Fairwind, as about the viville patch. It did wonders for me,
Dx Dec 2008 at 56, PSA 3.4
Biopsy: T1c, Geason 7 (3+4)
Robotic RP March 2009
Path Report: T2c, G8, organ confined, neg margins, lymph nodes - tumor vol 9%
PSA's < .01, .01, .07, .28, .50. ADT 3 5/10. IMRT 7/10.
PSA's post HT/SRT .01, < .01
End ADT3 5/11 PSA < .01

zufus
Veteran Member


Date Joined Dec 2008
Total Posts : 3149
   Posted 6/16/2011 7:24 PM (GMT -6)   
Other patches include Mylan (larger) can be had in .1-mg, a friend on mine went on patches exclusively and uses 4 Mylan patches of .1mg per week and showing results in his 13 yr. battle on PCa. Vivelle patches in Canada .025/ 24 hr. 40 ct= $150 in US dollars at www.northdrugstore.com  )

Ralph has a link to estradiol information and some from Dr. Premoli whom has plenty of patients using it. The pluses of estrogens- cancels hot flashes and sweats (alot or all), assists in bone density and helps against memory loss from using LHRH drugs. Breast tenderness is among the only noticeable side effects, not a big deal. Breast enlargement might happen, but same with using casodex and ways to offset that may work with drug or radiation to breats with electron rays. www.pcainaz.com/Pages/ETE_eng.pdf   (info on estrogenics and estradiol etc.)

Post Edited (zufus) : 6/16/2011 7:27:23 PM (GMT-6)


Old Sailor
Regular Member


Date Joined Aug 2009
Total Posts : 208
   Posted 6/16/2011 8:22 PM (GMT -6)   
Fair, Mayo doc put me on effexor for the hot flushes.  Not completely eliminated but much better now.  Coming up on 6 months on HT, so far not too bad.   The Old Sailor

Fairwind
Veteran Member


Date Joined Jul 2010
Total Posts : 3743
   Posted 6/16/2011 9:35 PM (GMT -6)   
The common thread here seems to be estrogen in one form or another suppresses hot flashes..

The Black Cohosh is loaded with phytoestrogen as are Soy beans..

I'm taking two of the Cohosh a day, 540mg, 12 hours apart. I'll let you know if it does anything...
Age 68.
PSA age 55: 3.5, DRE normal.
age 58: 4.5
61: 5.2
64: 7.5, DRE "Abnormal"
65: 8.5, " normal", biopsy, 12 core, negative...
66 9.0 "normal", 2ed biopsy, negative, BPH, Proscar
67 4.5 DRE "normal"
68 7.0 3rd biopsy positive, 4 out of 12, G-6,7, 9
RALP Sept 3 2010, pos margin, one pos vesicle nodes neg. Post Op PSA 0.9 SRT, HT. 2-15-'11 PSA 0.0

ralfinaz
Veteran Member


Date Joined Jan 2011
Total Posts : 735
   Posted 6/16/2011 9:47 PM (GMT -6)   
Purgatory said...
ralph,

isn't depo-provera a birith control drug? pretty sure that is what my daughter was on for a while, it was an injection if i remember rightly.

david

David,
Yes it was developed as a birth control drug. It does work is reducing hot flushes because is a progestin and can potentially metabolize to androgen/estrogen. If the flushes are debilitating and PSA is under control, that is a fast way to solve the problem.

RalphV
Phoenix, Arizona
Disclaimer: I am a long-term prostate cancer survivor. My comments are not intended as medical advice. The intent is to provide information. Seek direct recommendations from your medical team.
Surviving prostate cancer since 1992 at age 58. RP; Orchiectomy; GS (4 + 2); bilateral seminal vesicle invasion; tumor attached to rectal wall; Stage T4; Last PSA September, 2010: <0.1 ng/m
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