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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medication For Pain In Back,calf And Buttocks While Suffering From HRPC Prostrate

Sir, my husband is 55 years old. Suffering from HRPC ( Prostate) from past 3 years.. He suffers from leg pain from quit often but from 3 past three months having heavy pain in his back, calf & bums.. He is taking zyona injection in every 3months and having Zelgore 250gms from past 6months for his HRPC prostate. Side by side he also takes medicine like paxidep,trypter,lonazep, shelcal etc. Regards, Seema Mathur
Tue, 11 Oct 2016
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General & Family Physician 's  Response
Hello Madam, I understand from your question that your husband is suffering from hormone refractory variant with possible bone metastasis, but its unclear if he was previously prescribed any drugs for the pain.
There are two possibilities for the pain
1)first and the most likely cause is the metastasis
2)rarely zelgore (Abiraterone acetate) can have pain in the legs as a side effect.
if i was your doctor i will definitely refer you to a palliative center(for pain management) as he needs morphine(not available over the counter from medical shops).I suggest you ask your Oncologist to refer him to palliative care.
In the mean time give him Tramadol Hydrochloride 25mg twice daily for first two days and then 25 mg thrice daily from the third day on.
I hope i have satisfactorily answered your question.
thank you.
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Suggest Medication For Pain In Back,calf And Buttocks While Suffering From HRPC Prostrate

Hello Madam, I understand from your question that your husband is suffering from hormone refractory variant with possible bone metastasis, but its unclear if he was previously prescribed any drugs for the pain. There are two possibilities for the pain 1)first and the most likely cause is the metastasis 2)rarely zelgore (Abiraterone acetate) can have pain in the legs as a side effect. if i was your doctor i will definitely refer you to a palliative center(for pain management) as he needs morphine(not available over the counter from medical shops).I suggest you ask your Oncologist to refer him to palliative care. In the mean time give him Tramadol Hydrochloride 25mg twice daily for first two days and then 25 mg thrice daily from the third day on. I hope i have satisfactorily answered your question. thank you.