PLease help with Hot flashes

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Have any of you been suffering from Hot Flashes due to Chemo pause ??? If so do you have any advice on how to get rid of them or even minimize !!!

I am 43 years old and have not had my period since I started chemo in august.  I have now finished chemo 5 weeks ago but I am not seeing any relief from the hot flashes. I really hope my regular cycles start again because I can't stand these menopausal symptoms !

Any advice would be appreciated, I do not want more chemicals in my body so I am looking for more natural ways. I have tried taking 800 U of vitamin E daily but it has not helped.

Thanks,

Marie

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Comments

  • Yazmin
    Yazmin Member Posts: 840
    edited November 2009

    Marie:

    Welcome to the Club, I guess. Have you tried Evening Primrose Oil?

  • pk0199
    pk0199 Member Posts: 586
    edited November 2009

    Marie,

    I don't have hotflashes due to chemopause (didn't have chemo) but had an ooph in Aug. Hot flashes are getting a little debilitating. Right now I am trying acupuncture, had one session last week, another tomorrow. If you are interested PM me and I will let you know how it is going.

    I was also going to try the vit E, but see you have done that already. Also in regards to Yazmin suggestion and I am trying to phrase this more as a question as I have read things Yazmin has said and I know she is much more knowledgeable than I am in this regard. If you are ER/PR +, are you not supposed to stay away from Evening Primrose , Black Cohash and similar supplements? My gyne told me that. Yazmin I would be very interested on your take on this.

  • spar2
    spar2 Member Posts: 6,827
    edited November 2009

    I use a low dose of citalopram for hot flashes and also cold wet washrags that I sometimes put in the freezer.  I bought a chill pillow.  Have to have a fan blowing on me at night.  It has gotten much better now.   Talk to your onc. about it because there are several optiongs to control the hot flashes. including clonidine patches, effexor, lexapro.  Hope you get some help soon.

  • Yazmin
    Yazmin Member Posts: 840
    edited November 2009

    pk0199: I have been staying away from Black Cohosh, indeed, but was not aware that we have to be careful with Evening Primrose Oil as well. I am certainly going to research this issue and post if I find anything...

  • marie111
    marie111 Member Posts: 119
    edited November 2009

    Pk0199: I am very interested in knowing if acupunture works for you as this is something I was thinking about trying. I have also read to stay away from Evening Primrose Oil. Let me know how the acupuncture works for you

    Stay cool !

    Marie

  • LJ13-2
    LJ13-2 Member Posts: 235
    edited November 2009

    A small fan or piece of folded paper work wonders.

    And it's proven to work.

  • seagan
    seagan Member Posts: 166
    edited November 2009

    I've found acupuncture extremely helpful for hot flashes.  It may take a series of treatments until you notice a difference, but because it's so relaxing (at least it has been for me), it's a wonderful support even while you're waiting for the flashes to subside. 

  • Nan56143
    Nan56143 Member Posts: 349
    edited November 2009

    Dear Marie,

    My daughter was dx with TNBC...triple negative breast cancer, in June of 2007. She did the ACT chemo regimen all 3 every 3 weeks for 6 TX's, and then 28 rads. Suffice it to say all the TX's did a number on her body, physically, mentally and emotionally. In the Spring of this year she started researching, and changed her diet dramatically, implementing the Anticancer diet by David Servan-Shreiber, and then researched BHRT...biodentcal hormone replacement therapy. She started taking the BHRT in June and finally has her life back.

    Many conventional doctors will tell you that you cannot take hormones after a dx of BC. Well, they are dead wrong! You have to seek out an antiaging specialist who prescribes the BHRT and is wiling to work with you after your dx and TX's. They are out there Marie, and most insurances will cover the tests, but not the consultations. My daughter's BHRT is mixed by a compounding pharmacist, and there are times when she and her doctor have to "tweak" them for maximum effect, but she no longer has chemo brain, has gotten her libido back, feels wonderful, no more neuropathy...on and on. She is now 47 years old, and feels like she did when she was in her thirties.

    Two years before dx she had Shingles, and then in the Spring she got them again. She feels that had she not gotten the BHRT that she would have been dx with mets by now

    Her immune system was extremely compromised, and her DHEA and Cortisol levels were the highest of the over 3000 patients they had seen. Her adrenal glands were almost burned out. Her vitamin D3 levels were only 44 then and now they are 82.6, and she is not taking as much D3 now as she was before. It was the hormones, well actually the hormone imbalance, and her body could not absorb the D3. We all need hormones to live, and when they are not balanced, we develop many diseases. Do some research Marie, and if you want links, I can give them to you. It is time for alternative treatments...not more drugs.

    Nan

  • Barbeqrn
    Barbeqrn Member Posts: 200
    edited November 2009

    Nan, 

    I would love some info on your research links...I think I feel the same as your daughter did....more tired than I should be, joints hurt from Taxotere, no energy any more...I need to check out the diet she is on too!  What tests would I get to initailly check everything?  Thanks!

  • Yazmin
    Yazmin Member Posts: 840
    edited November 2009

    There is so much confusion about medicine and supplements alike that it is hard to know what is what. According to this Medical News article, Evening Primrose oil fights breast cancer:

    http://www.news-medical.net/news/2005/11/03/14257.aspx

    And Sloan-Kettering seems to agree, with a word of caution (in bold):

    Clinical Summary

    Derived from the plant Oenothera biennis, evening primrose oil (EPO) is used for rheumatoid arthritis, premenstrual syndrome, eczema, fatigue, diabetic neuropathy and mastalgia. EPO contains gamma-linolenic acid (GLA), a primary fixed oil that is converted to dihomo-gamma-linolenic-acid, a prostaglandin precursor (2)(3). In vitro studies indicate that EPO may inhibit platelet aggregation (6)(7). Clinical efficacy data are inconsistent, although one study showed GLA to be an effective adjunctive therapy for breast cancer (4). Conclusions from a meta analysis indicate that EPO is ineffective in treating mastalgia (1). GLA may prevent weight regain in individuals who recently experienced major weight loss (5).
    Adverse reactions include headache and GI disturbances. EPO should not be taken during pregnancy (8).
    One study reported a reduced seizure threshold when EPO was combined with phenothiazine antipsychotics (9).
    Although EPO does not have intrinsic estrogenic properties, several manufacturers do combine EPO with phytoestrogens, and product labels should be carefully reviewed.

  • pk0199
    pk0199 Member Posts: 586
    edited November 2009

    Thanks for the info Yazmin. Will check some labels out!

    Had another acupuncture session last night. Feel a bit worked over today. I had pulled my bicep about 1 month ago so my acupuncturist worked on that last night too. Arm is very bruised and sore today, aches right down into my hand. I am not deterred though, will give this a few more sessions before deciding if it is worth it. I think I notice a bit of difference but she also has me altering my diet so not sure where the difference is coming from. She has taken me off sugar (ugh, I am a sugar hound), trying to keep away from the "white" carbs, a bit more protein (apparently wasn't eating enough), more nuts (hard since DS is allergic) and more fruits and veggies. Most of it is easy except the sugar, struggling there. She even has me taking Acai juice, and I think I have read some stuff on the alternative forum on the great properties of that.  Anyway will let you know if the hot flashes tone down. See her again for another poke session Monday.

    Have a great day all.

    Penny 

  • rgiuff
    rgiuff Member Posts: 1,094
    edited November 2009

    My Onc recommended a natural supplement for hot flashes called tincture of rhubarb.  He said studies done in Germany show it to be very effective.  He also told me that the only way to find it was probably going to be online.  I was ready to order it, but then the hot flashes just started to die down, so I never got to try it.

  • apple
    apple Member Posts: 7,799
    edited November 2009

    this is perhaps too simple, but it works for me.  i just down a large glass of cold water.. and moments later it is gone.  perhaps the extra hydration helps.

  • marie111
    marie111 Member Posts: 119
    edited November 2009

    I just came back from a visit with my ONC and she says no problem with Evening Primrose Oil or Black Conash (not sure of spelling). So I will start with Evening primrose and see how that works. I have been having hot flashes due to chemo pause and have to start tamoxifen next week, my ONC says the hot flashes could get worse URGH !!!!! I better find a solution quickly !

    Marie

  • Ruthy81674
    Ruthy81674 Member Posts: 67
    edited November 2009

    Hi Marie,

    My heart goes out to you. I was 43 when this also happened to me. I went through hell when I went through chemopause. I had unbearable flashes at work, and was exhausted from insomnia. Once I had a hot flash at night I would be unable to go back to sleep. My quality of life was very poor until I read a book by Dr. John Lee. I began using bioidentical progesterone and got my life back. I now go to a naturopath in Houston who specializes in BHRT. I was very afraid of hormones because of what the "traditional" Drs. had told me. However I am now 50 years old and feel wonderful-except for my poor reconstruction result. I was also very afraid because of having 2 positive nodes. I just decided that I could not live with the miserable quality of life that the chemo and tamoxifen were doing to me. I wish you the very best.

    Ruthy

  • marie111
    marie111 Member Posts: 119
    edited November 2009

    I will definetly look inro BHRT.

    Ruthy: I guess you are not taking tamixifen ? Did the chemo pause go away or are you still suffering from symptoms or did the BHRT take all the symptoms away. Did your period ever come back ?

    Thanks

    Marie

  • Ruthy81674
    Ruthy81674 Member Posts: 67
    edited November 2009

    Hey Marie,

    I threw the tamoxifen away and my periods came back some time after I began using the bioidentical progesterone cream. I am now 50 and my periods are becoming irregular as is normal for a woman my age, but I have no miserable hot flashes or insomnia. Marie I did this after a lot of personal research on my part. I am an RN and was educated enough to be scared silly, but after reading a lot of great information including Dr. John Lees work I was convinced that progesterone is key to stopping the proliferative effects of estrogen when there is not enough progesterone. If you like you can send me a private message. I would be very happy to give you my no. and talk with you. I'm just so grateful for finding this info when I did because I was afraid I would never sleep or have any interest in sex again!

    Ruthy

    Ruthy.

  • pk0199
    pk0199 Member Posts: 586
    edited November 2009

    Well it has been 4 days since my last acupuncture treatment. I do think I notice a difference in the severity and number of hotflashes. They are by no means gone, but seem much more tolerable.

    Penny 

  • Yazmin
    Yazmin Member Posts: 840
    edited November 2009

    rgiuff, Ruthy, Marie, Penny: what a WEALTH of information in just a few posts.... Thank you all.

  • Nan56143
    Nan56143 Member Posts: 349
    edited November 2009

    Barbeqrn,

    Am I permitted to post links for antiaging specialists here? It depends are where you live, and in California antiaging specialists are everywhere. The progressive state? lol!! Lori's doctor is in Pittsburgh, and he was more than willing to work with her even though she was dx with TNBC. It is just not right for a doctor to tell women who were dx with bc, and having gone through what conventional doctors prescribe for tx's, to then tell women that "this is the new normal", and they just have to deal with it...or...take more drugs.

    Suzanne Somers' new book Knockout has so much information and I would suggest you buy it. No matter what you may think of Somers, she has done her research and the doctors that she interviews are the best in the field of Alternative medicine. One doctor prescribes BHRT for his patients whle they are taking chemo, and I am sure there are many more. Since learning of BHRT, I have thought this should be prescribed for everyone during chemo, and then I read of this doctor doing just that. Makes perfect sense.

    If you are not taking Melatonin, you might want to read about that also. It is a cancer fighter, and of course a hormone just like Vitamin D3. I can also provide links for these if permissable?

    Please write back to me about posting the links. I post on the TNBC site, and I limit postings of alternative or complimentary meds to just the alternative thread.

    Nan

  • Anonymous
    Anonymous Member Posts: 1,376
    edited November 2009

    Marie111  Those hot flashes are awful.  I take very low dose (371/2 mg) Effexor, and it helps tremendously.  A big glass of ice water helps also.  Stay away from red wine and spicy food, it''ll bring them on.  I never knew about evening primrose oil.  I had heard it's good for hot flashes, but I never worked for me when I started menopause.  PK0199 is right about the Black Cohosh, stay away from that.  My onco said that too.  Black cohosh is a phyto estrogen so stay away from it since you are ER & PR+.  Hope you're feeling better soon.

  • inspiewriter
    inspiewriter Member Posts: 876
    edited November 2009

    Like Spar, the Chillow was a great relief. I keep 2 in rotation and use them nightly. Highly recommend them.

  • marie111
    marie111 Member Posts: 119
    edited November 2009

    Just to let you guys know I have been using black cohosh and it has helped. The flashes are not gone but have diminished in intensivety and frequency. My onc had said it was OK to use but the bottle says do not use if you have breast cancer.  I will check again with ONC :-))))

    Marie

  • monee
    monee Member Posts: 91
    edited November 2009

    My hot flashes were AWEFUL, debilitating and depressing. I take cymbalta and I have NO flashes at all now. It is a true relief.

  • linn56
    linn56 Member Posts: 210
    edited November 2009

    What I think worked for me was flax seed. I did not have chemo, just regular ol'menopause.  I have been taking ground flax seeds for years, probably 20. It was recommended to me for my hormonal migraines, and it really helped. I did research at the time but have forgotten it all with subsequent events. Had it on the old computer but that crashed. Just 2 Tablespoons on my oatmeal in the morning. Works on dry cereal too. It's tasty: like ground almonds. I keep it in the freezer so the volatile oils can't spoil. I think that may be what helped with my menopause too. My hot flashes were manageable, just a few months long, and mild enough that all I needed was to take off a layer. (Then put it back on, a few minutes later!). Maybe for chemopause you would need to take more. When I start Tamoxifen I plan to take more.

    I bought the evening primrose oil but never took it. I read that oil in capsules was often rancid and then becomes useless. Since I had no way of telling if the oil was rancid, I just lost interest.

  • pk0199
    pk0199 Member Posts: 586
    edited November 2009

    Hi all,

    Just wanted to check in and let you know how the acupuncture is going for the hot flashes. I am actually amazed at how well it has worked. My acupuncturist/chinese medicine/Dr from China also put me on vit e, vit B6 and VitD and has also altered my diet a bit (no sugar-not following that one as close as I should-I am a sugar hound, but have cut back significantly) any way the combo with the acupuncture has dramatically decreased the flashes by number and severity. I have not had to sit down and "cool off" because I felt sick for at least a week. Alcohol still brings on a flash, good thing I don't drink a lot. Anyway if anyone is contemplating trying acupuncture, I would encourage you to try. It is just one less pill to have to take.

    Penny 

    ps just thought I would add that I was very skeptical going into this, thought it was a bunch of hooey. 

  • marie111
    marie111 Member Posts: 119
    edited November 2009

    Penny:

     Great news about the acupuncture. I am definetly going to try it.  I was also taking B6 and E vitamins but did not find it helped alot.  I added black cohosh and that helped but I stopped because of wanings to not take with breast cancer ! I am anxious to try acupuncture as I really believe it will help.  I will let you know !!!

    Stay cool !

    Marie

  • kjbell
    kjbell Member Posts: 974
    edited November 2009

    When I was about 45, the flashes started. Nothing stopped them except birth control pills. Then at 47 I was dx so bye bye pills, welcome back flashes. While on chemo they were unbearable. They offered accupuncture at the chemo center and it really made a difference. And it was very relaxing! Its been 8 months since the accupuncture ended. The flashes are back, many all day and night, but I do not sweat nearly as bad as I did. I just get very hot and red. I take 75 mg of Effexor and am scared to stop because I don't want them to get worse. I would love to try the bio's.

  • MACNMEDD
    MACNMEDD Member Posts: 2
    edited December 2009

    HI NAN,

    I HAVE BEEN MISERABLE SINCE TAKING THE TAMOXIFEN FOR 4 YEARS-THE HOT FLASHES BECOME DEBILITATING AT TIMES AND FOGGY BRAIN.  I WOULD LIKE TO GET LEVELED OUT--CAN YOU SEND LINKS FOR ME?

  • MACNMEDD
    MACNMEDD Member Posts: 2
    edited December 2009

    HI RUTHY,

    I ALSO HAVE READ DR. LEE'S BOOK.  I AM CANCER FREE FOR 4 YEARS, HAD NOT CHEMO OR RAD BUT THE TAMOXIFEN IS ABOUT TO DRIVE ME TO LUNACY.  THE HOT FLASHES ARE HORRIFIC AND THE FOGGY BRAIN IS BAD.  I HAVE DONE NOTHING EXCEPT THE NORMAL AMA PROTOCOL BUT WOULD LIKE TO INVESTIGATE FURTHER.  I BOUGHT THE PROGESTERONE CREAM AFTER READING THE BOOK AND IT IS STILL IN THE DRAWER.  DO YOU HAVE ANY LINKS I COULD FOLLOW?

    DD

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