Hello doctor, My dad has been diagnosed with metastases and it has spread to his spines and lungs. He had prostate problems for past five years. Doctor on consultation here gave him few medicines which included Dexon. Once he stopped the medicine, he is hving hiccups continuously. Kindly advise on medicine to be taken.
Hello. Will you be able to provide me with details like: I am answering assuming few things like he is heavy metastatic prostate cancer recently diagnosed and must have been started on some medication (probably androgen deprivation) along with steroids (Dexona). It looks like a metastatic prostatic carcinoma stage IV. If he has been diagnosed recently and has not yet taken any kind of hormonal treatment (antiandrogen medications), then the best treatment option for him is to go for a small surgical procedure known as orchiectomy or removal of both the testes. Dexona for short-term use has some benefits but for long-term use, it has got a lot of side effects in many patients, for example, blood sugar increase (can lead to diabetes) increased blood pressure, gastritis, insomnia, weakening of bones, muscle weakness, etc. Dexona cannot be stopped at once, it has to be tapered off slowly as per your physician's advice. For hiccups, he should take tablet Ranitidine (Aciloc) 150 mg twice daily for one week and tablet Metoclopramide (Reglan) 10 mg three times a day for three days. I want to know whether he had prostatic problems due to cancer or due to benign prostatic enlargement. If you can send me the biopsy report, bone scan report, blood reports, PSA (prostate-specific antigen), and serum testosterone level report, I would be in a better position to give you more valuable suggestion. For more information consult a medical oncologist online -->