Tuesday, November 28, 2017

I thought there were no side effects from Xtandi, the new high-powered hormone that I'm now on. I think I spoke too soon.

I take warfarin because of a heart defect - it reduces my stroke risk when I go into atrial fibrillation. I get monthly blood tests to check my warfarin levels, and they started getting inconsistent after being steady as a rock for a long time. My cardiologist checked the literature and sure enough, Xtandi can interfere with Warfarin. He made a dosage adjustment and it appears that my warfarin levels are now good.

I went in for a regular checkup with my cardiologist and my echocardiogram showed my heart rate to be elevated. He scheduled me for an EKG and possible holter monitor the next week. In the meantime he told me to up my metoprolol dose from 50 to 100 mg, and to check my heart rate on my home blood pressure machine.

While I was seeing some slower heart rates, I was still seeing several fast ones as well. The EKG showed my heart rate to be fast, and he increased my metoprolol dose to 150 mg, and sent me home with a holter monitor for a day. 

I haven't heard the results of the holter test, but I'm thinking I'll be stable again.


Bottom line: powerful hormones can affect your body in many ways. 

 PS - my PSA has dropped from 20 to 10 to 7.5. Every month should show lower readings. This is due to the Xtandi.
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2 comments:

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