Bottle 'o Tamoxifen

ksusan

Scottie, check it on Drugs.com, where it's very clearly listed as a major interaction. You may want to revisit this with the pharmacist; it is alarming to me that their system doesn't see an interaction.

http://www.drugs.com/interactions-check.php?drug_list=2145-0,896-1617&types[]=major&types[]=minor&types[]=moderate&types[]=food&types[]=therapeutic_duplication&professional=1

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

stage1

Activas is the only brand I can take with no skin problems. I broke out with Teva. About teeth grinding.... Gosh I never thought it might be related to Tamox...but yes, my grinding started right when I switched to Tamox from Anostrosole

stage1

Labelle, can you tell me what an endo does as opposed to the PCP for thyroid disease ? My script has gone up to 75 MCG and I am kinda worried, how much meds can I take. PCP tells me not to worry. Thanks for any help.

LynnBM

Thanks everyone for responding back to me about the SE of Tamoxifen. Has anyone experienced hair loss from the Tamoxifen specifically or loss of libido? I am fortunate enough that I don't have to take chemo so I know there is hair loss with that but I read that there is a possibility of hair loss with Tamo? Thanks

ksusan

I have not had hair loss at 7 months. I'd say my libido is about the same as during this entire crisis--low but provocable.

Beachbaby65

LynnBM, I take the teva brand and I have no hair loss or loss of libido. I do have joint pain, ed extremely dry eyes, and insomnia ( since. Chemo though), and chills. I take gabbapentin which is helping the hot flashes, and glucosamine chondroitin, which helps my joints. I also have sporadic muscle cramping that can be severe in the arch of my right foot, and my left calf. It's doable for me till I'm confident I'm in full menopause and can switch to an AI . I've been on the Tami for a little over a year now.

Suzanne50

In regards to hair loss - my hair thinned a lot during chemo but I didn't lose it all (I did penguin caps to save my hair). My hair is now growing in like crazy and I have been on tamoxifen for 3 months. So no thinning here! I do take biotin and use a shampoo to promote growth (can't remember name..).

lala1

How many of you Tamoxibabes are post menopausal with the option to go on an AI but have elected to stay on Tamoxifen? My MO has given me the option and pros and cons of each and I can't decide what to do. Thoughts?

Blownaway

Lynn mb - I have. My hair came back beautifully after chemo, then when I started Tamoxifen, I lost a lot of it again.

Blownaway

lala1 - I'm on Tamo instead of AI because of osteoporosis.

Scottiemom11

ksusan. . .I had already looked at drugs.com and mentioned this to my pharmacist. In any case, I intend to ask MO when I see her next month.

Thanks,

Scottie

Anonymous

lala1, I'm like Blownaway and I'm on Tamoxifen for two years until my osteoporosis has improved. I would've liked to start on Arimidex or one of those drugs but it's too risky with bone loss.

lala1

Blownaway and LovingisLiving---Did either of your doctors tell you the percentage difference in your recurrence rate? I've heard the newest trials, TEXT and SOFT I think, said there was significant improvement in reduction of recurrence by switching. But then my BS said it was really just a percentage point or two and that the possible increased joint pain as well as the potential increase in cholesterol and heart issues as well as developing osteoporosis makes it not worth the switch in his opinion. I just want to make sure I'm doing what I can to keep my recurrence risk down and numbers are what speaks to me.

ladyb1234

Layla, I am pre-menopausal but my Mo continues to check me for being post-menopausal. She has outlined to me the pros and cons of Tamoxifen and AIs and highly suggest that I go on AIs after being post-menopausal for I think 1 yr solid. She believes there is a significant improvement with AIs for post-menopausal women and only suggest I stay or go back to Tamixifen if I can't tolerate the Ai. She has me taking the test every 6 months. She beLieves I will register post-menopausal with my last test, which I just took and should get results on Monday, as I have been steadily declining since chemo and after pfc and tamoxifen. I have been on Tamoxifen for almost 1yr. She originally stated I would probably be on Tamoxifen for 2/3 yrs depending on how long it took me to become post-menopausal

keepwalking

lala1 -

Count me in the post-menopausal camp - taking Tamoxifen due to already having significant osteoporosis. My MO plans for me being on Tamoxifen for 2 - 2.5 years and then switch to AI. I am hoping that it will greatly help the osteoporosis as I had a negative reaction to the bisphosphonates so am only battling it otherwise by eating lots of calcium foods/dairy and weight-bearing exercise (walking) . However, I have already seen a 40 point improvement in cholesterol level (!) after 3 months - now down to the normal range!

To address recurrence rates: According to a study published in July 2015 (see here) recurrence rates were slightly improved for 5 years AI versus 5 years Tamoxifen. However, in comparing 5 years AI to 2-3 years Tamoxifen + AI for total of 5 years, there was no statistical difference in recurrence rates. So, I feel comfortable in starting out with Tamox because of the benefit in my situation (although it seems I am losing a bit of protection in the early years). But, if I can improve the osteoporosis sufficiently I will probably make the change to AI to increase the protection in the latter years and thereafter.

As far as the Tamox side effects go, I am not happy about the 5 - 10 extra pounds, despite watching what I eat and exercising. But my hot flashes are actually better than they were before - have now just added cold flashes. I notice a few more aches and pains than I had before, but I wonder if that would be even worse on an AI?

BlueHeron

I am young and post-menopausal, last MP at 45, I'm now 47. I'm on tamoxifen as I have osteopenia and I REALLY don't want it to get worse. Assuming I live to an old age (hopefully!), if I'm already osteopenia, brittle bones could have a very large impact on QOL as well as longevity.

My MO said that yes, AI showed lower recurrence rates, but for low grade disease, the actual numbers are not that large so in reality the difference for me is negligible. It was, she said, mostly a matter of choosing my side effect profile.

lala1

Thanks, ladies. This is helping me. My docs echoed your thoughts BlueHeron...."mostly a matter of choosing my side effect profile". I did have a sister who died of a heart attack about 8 years ago at the age of 39. She was overweight with all the usual health issues but it reminds me that I have to consider my heart health as well. I've read that the AIs can increase cholesterol levels, whereas Tamoxifen can improve them, but it's also easier to lose weight on them. I work out every day and watch what I eat but still can't lose weight. At least I'm maintaining though so I'm okay with that. I've had the hysterectomy so I don't have to worry about the endometrial cancer. And I go every year and have my eyes checked. I guess I could always try an AI and switch back if it's terrible. But as my BS pointed out, I am doing really well on the Tamoxifen so why upset the apple cart? And he said most of his patients report substantially more joint/muscle pain on the AIs vs Tamoxifen which usually leads to them quitting their meds. Anyway, thanks for the input. It helps with my decision.

notdoneliving

Blownaway stage1 Thanks for your response! Sorry I haven't gotten back to you. Yes, I had radiation. Finished 12/29. That's great that you used a thyroid shield. I didn't know it could be an issue. I started synthroid yesterday. Low dose. We'll see what happens.

I wonder if others who've had weight gain should have their thyroid checked

Now I feel like I should go to a cardiologist and pulmonologist. Those are the things I was told could be affected.

I've also been having rib pain. Anyone else?

notdoneliving

labelle Thanks for sharing your info! I'm so glad I called in to my MO and talked to the nurse and nurse practitioner! I'd never heard anything about thyroid and no one thought my weight gain was a big deal. Water and exercise. Water and exercise. That's all I hear. I'm not doing enough of either, but I hate when things are thrown back on the patient.

<end rant>

Can people share about their supplements? Which, why...? Thanks

Scottiemom11

Notdone. . .I'm on calcium, mag citrate, multi vite, one for hair, skin and nails, D3, Omegas, and probiotics. I was on thyroid for several years before BC so just have my general physician keep me at a high end level.

Scottie

Loral

lala- I'm on Tamoxifen because of bone loss and osteoarthritis..My choice not to take AL

lala1

So what I'm hearing is that most of the people who are post menopausal and staying on Tamoxifen are doing it because of bone issues. If there were no bone issues, most would swap to an AI?

And Notdoneliving--I've been having rib pain but have realized that it really only flares up when I do my strength training 2 or 3 times a week. I'm guessing I'm trying to lift too much for what my implant/sling can handle. Or else I'm trying to stretch too far in my yoga class. I've backed off a bit this week and don't have as much pain.

notdoneliving

Scottiemom11 Wow. That's a lot. Did you get advice about what to take? I feel like I'm on my own!

lala1 After I initially felt the rib pain, it went away. Then it kicked back up after doing some yard work. It's hurt for about a week. Considering the season, I will be continuing with the outdoor work. I wonder what's actually happening...stretching of muscles that hold the rib in place?

lala1

Notdoneliving---For me, I have one of the Alloderm slings and it almost feels like it pull/stings where maybe it's attached to my rib cage. Or at least that's what I've decided since my docs usually just shrug and tell me to be more careful with my workouts.

Also, you asked about supplements.....I actually take quite a few, all of which are for specific things. Tamoxifen is my only prescription. Other than that I take:

fish oil, baby aspirin and multivitamin which were all suggested by my MO for general health and reduce chance of blood clots from Tamoxifen

Vitamin D 5000IU per my BS request because he said higher levels are shown to reduce risk of recurrence.

Magnesium chloride (SloMag) for regularity.

Magnesium Glycinate for joint/muscle pain as well as hot flashes.

Peridin-C and iCool for hot flashes.

Olive leaf extract to keep these pesky winter colds at bay.

Turmeric and ginger for joint pain from Tamoxifen (which work amazingly!).

Probiotic cause Tamoxifen messes with my digestion.

Ground Flaxseed--1 spoonful a day

All of these are with my docs blessings. This regimen keeps my Tamoxifen SEs at bay and lets me try to live a "normal" life.

Anonymous

Checking in here after Easter festivities. Hope everyone had a good day. It was beautiful here in San Diego.

As far as Tamoxifen vs AI, my oncologist said the benefit is practically the same (one or two points isn't big), but that AI is preferred because the side effects are less serious I guess. The risk of bone loss and higher cholesterol is more manageable compared to blood clots and uterine cancer (God forbid). Having said that, someone with osteoporosis on a baseline scan would do better with Tamoxifen for a couple years until a new scan shows improvement. And Speaking of cholesterol, I dropped 50 points off my LDL without medication in one year! No dairy is the biggest change I made and I plan to keep it going.

notdoneliving

thanks lala1. I bought some flaxseed but it smells like oil paint. Couldn't bring myself to eat it. 😟

lala1

Notdoneliving---maybe it was rancid? I heard when it goes bad it smells terrible. I buy a bag of flaxseeds from the store and grind a small container's worth that will last me about 2-3 weeks. I keep it in the freezer so it won't go bad.

momwriter

Lala-

I am in the same boat as you regarding AI vs. tamox. If have been on Tamoxifen since June 2013- will be 3 years this June. I do feel there is a low level of toxicity with tamox. My main side effect with tamox is that it messes with my digestion (slows me down) and dries me out and that consequently gives me some skin issues. It also makes it very difficult to lose weight though I'm sure some of that is menopause as well which I think I'm just fully entering. I get some joint/muscle aches but is manageable. I am worried that an AI would have worse side effects though I believe it is probably more effective. I am 50 and believe I am post-menopausal at this point. I meet with my MO on Wednesday and will hear what she says this time.

I take fish oil, magnesium, sometimes biotin, sometimes D (but constipates so usually don't), digestive enzymes,

bikefam

Just read through the last few weeks of posts, and like anything bc related, it sounds like the experiences with Tamoxifen are all over the board. I've been on it for almost a year, am post menopausal, and the only side effect I have is hot flashes. Like during menopause, I find that if I exercise, they are not nearly as bad. I had to stop exercising for 5 months when I had my TE in place, and the hot flashes were much worse. Now that I can exercise again, they are manageable.

Question: One of the SE listed is cataracts. I asked my eye doctor about it and she looked it up and found that women on Tamoxifen should have their eyes checked for cataracts every 6 months. She had never heard of that before and she has other patients on T. Has anyone else heard of this?

lala1

momwriter---I'd love to know what your MO says about switching you. My BS says the side effects of an AI would be worse than the slight benefit and my MO just kinds shrugs and says he'll do whatever I want. I don't see him again til Sept so I have some time to decide. I did meet a lady today in yoga that went thru all the BC/chemo stuff last year and is now on Arimidex. She said her MO picked that one because it's a little gentler to her heart (she has slightly high BP and cholesterol) and he said the AIs can cause some harm to your heart. She's also got osteopenia but he just added calcium supplements. But her biggest problem is trigger finger which AIs can cause. She said she really struggles with the joint and bone pain, especially in her back, but her hands hurt all the time. She sees the same MO as me and he told her acupuncture for the back pain (which she said is helping) but that he really can't help with the trigger finger. As my husband would say "Why swap a black dog for a monkey?" Whatever that means! But he's right...I just have to decide if the increased SEs are worth the decreased recurrence rate. So let me know what advice your MO gives you. I'd love to hear the pros and cons of each.