Androgen Deprivation Therapy Toxicity and Management for Men Receiving Radiation Therapy

Table 1

Suggested management for patients receiving androgen deprivation therapy.

At time of ADT^1 initiation
Patient education on spectrum of expected side effects
Education on initiation of exercise program
Patient resources at http://go4life.nia.nih.gov/
Education on diet and weight management
Obtain baseline weight
Patient resources at http://www.choosemyplate.gov/
Inform primary care physician of modality and duration of ADT
Baseline lipid panel
Blood pressure measurement
Insulin resistance screening
Smoking cessation
Baseline DEXA^2 scan
Assess fracture risk at http://www.shef.ac.uk/FRAX/
Year 1
Ensure continued followup with primary care physician
Blood pressure management
Lipid monitoring
Weight management
Diabetes screening
Ongoing screening for depression, sexual side effects, and hot flushes
Year 2-3
Ensure continued followup with primary care physician
Blood pressure management
Lipid monitoring
Weight management
Diabetes screening
Ongoing screening for depression, sexual side effects, and hot flushes
DEXA scan
Reassess fracture risk at http://www.shef.ac.uk/FRAX/

1Androgen deprivation therapy, ²dual-energy X-ray absorptiometry.