Does anyone say no to Tamoxifen

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  • PS73
    PS73 Member Posts: 469
    edited November 2009

    Hi Eliz, sorry, I just saw your post now.  How are you feeling? I hadn't thought about tam for a while.  Did you make a decision about the tam?  My onc said that the tam helps with the herceptin or vice versa.  I told him I wanted to do the DIM and he said I could do both.  Ok, thanks for granting me the wish.  I just got a letter in the mail stating that tam is covered 100% by my company too.  Uggggh.  I know, on one hand you have to think - this makes us feel like crap so how could it be good and on another, its not like chemo was a walk in the park either.  So messed up.  Im so sick of searching for clinical trials on natural ingredients and coming up empty.  It really gets me pist. I get as far as invitro studies except the DIM I did see a clinical study posted about.  Also, interestingly enough, I just today found an article about pomegrante seed oil which is a natural aromatase inhibitor.  Not a clinical trial but a medical paper.  Here they are..

    http://www.ncbi.nlm.nih.gov/pubmed/12002340 

     http://ict.sagepub.com/cgi/content/abstract/8/3/242 

    http://www.liebertonline.com/doi/abs/10.1089/109662004322984644?cookieSet=1&journalCode=jmf

    I went on linked in to look for the lead research scientist and couldn't find him but...I found out more support info when I typed in answers for tamoxifen.  His company profile came up (just not his name). http://rimonest.com/about_punisyn.html  so far nothing done in human clinical studies but they have quite the backing from lots of universities and research institutions (which makes me feel like these studies are less biased).  Anyway, thought I would share some info on. 

  • kawee
    kawee Member Posts: 324
    edited November 2009

    Do any of you ladies have Lupus?  I do, and I am suppose to be taking tamoxifen.  Just wondering your experience with it.

  • vivre
    vivre Member Posts: 2,167
    edited November 2009

    Kawee-have you looked into the connection between iodine deficiency and lupus?

    http://www.iodine4health.com/disease/lupus.htm

    Michele-I had the same fears about taking arimidex. In fact, it freaked me out more than being told I had bc. I struggled with the decision for months, but kept reading all I could find, and finally came to the conclusion that blocking all my estrogens was not the answer when it was the inbalance of one kind of estrogen that was linked to bc. I found a hormone doctor who is helping me balance my hormones as well as taking iodine which  I believe is the most preventative thing I can do because I have noticed a huge difference in my breast tissue from it. As Patty says, check our our natural girls thread. We do not tell people what to do over there, but we offer alternative information for those who are interested.

  • SandraSchueller
    SandraSchueller Member Posts: 6
    edited November 2009

    Just had a lumpectomy on a very small pre cancerous lump last week. Had resigned myself to follow-up radation and felt that was enough, after all this is stage 0.

    My surgeon at the followup meeting on Monday strongly suggested seeing an ongologist to be put on either Arimidex or Tamxifen. He said if I was his wife, he would advise being on it. 

    I really must question the need as again, I am stage 0 with no family history of BC. Does anyone know of a stage 0 or even 1, taking these meds? 

    I really think the doctors are being too caustious and can't imagine trying to get through a work day with the mood swings, hot flashes, joint pain and lack of sleep. 

    I have an appointment with the oncologist - what should I be asking him?

    Sandra

  • Member_of_the_Club
    Member_of_the_Club Member Posts: 3,646
    edited November 2009

    Sandra you might want to also post your question in the DCIS section.  I assume a lot of the women there have faced the same decision.

  • musiclovermom
    musiclovermom Member Posts: 452
    edited November 2009

    I have been on tamoxifen for almost 3 weeks. I have not noticed any side effects yet. BUT who still has their period on Tamoxifen? ME obviously! The women I know don't have periods due to menopause or chemo.

    Does anyone have input on this?

    Kimberly

  • kawee
    kawee Member Posts: 324
    edited November 2009

    Sandra, I had DCIS with 1mm invasive.  Even before the second surgery, before they discovered the invasive (at stage 0) they said I needed to take tamoxifen.  

  • HelenaJ
    HelenaJ Member Posts: 1,133
    edited November 2009

    Hi Kimberly,

    I'm 47 and have been on tamoxifen for nearly 9 months and still have my regular period.  No chemo for me.  Also no major side fx.

     big hugs

    Helena

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

    Sandra, I know 2 people with DCIS, 1 was offered tamoxifen and declined it, the other was never even offered it as an option.  5 years later, they are both fine. 

    I would ask the Onc, what is the risk percentage of reocurrence with, as well as without taking the tamoxifen.  And don't accept the answer that it reduces risk by 50%.  You need to know what your risk is to start out with.  That is the risk that gets reduced down to 50%.  For example, if your risk is 10% that DCIS comes back, and tamox reduces that by 50%. your risk becomes 5% of having a reoccurrence.  There is a whole school of thought that DCIS may in many cases never have become invasive and may be getting way overtreated. 

  • kawee
    kawee Member Posts: 324
    edited November 2009

    The way my oncologist explained it to me was right now I have a 98 to 95% of surviving this breast cancer (DCIS with 1mm invasive), but now that I have had breast cancer I have a greater risk of getting it in the other breast, or even the same one.  Even my rheumatologist wife had DCIS in one breast, then in a few years got it in the other.  My oncologist says that's why I should take the tamoxifen.  Not necessarily for this cancer, but any future breast cancers that could occur.

    So, have I started it, NOT YET!  Still thinking about it.  They even want my sister to take it, because now she is at a greater risk because of mine.

  • Yazmin
    Yazmin Member Posts: 840
    edited November 2009

    I declined to take Tamoxifen 4 years ago. My understanding is: Tamoxifen would have given me a 1% chance of avoiding a recurrence over a period of 5 years (I understand that this 1%  "risk reduction" in absolute statistics, versus relative statistics, is what most women can expect). I  personally decided it was not worth risking the different side effects (one of which would be uterine cancer).

  • DGHoff
    DGHoff Member Posts: 624
    edited November 2009

    So interesting reading all of these posts.  I just found out that, after being on Tamoxifen for over a year and experiencing virtually no side effects, that I do not carry the proper gene to effectively metabolize it.  So, I can either keep taking it for what little good it may do, or I can get a lupron shot and go on Femara. Ugh. Don't think I'm too keen on that idea either. Such a quandary, and it's all kind of "shot in the dark" for the doctors. My Dr. even said, "you know, we may get totally new information at the upcoming breast cancer conference in December".  I don't know that I want to be a guinea pig. Think I might have to go on over to the alternative thread and find out how folks are balancing the hormones naturally. 

  • Merilee
    Merilee Member Posts: 3,047
    edited November 2009

    DG

    Those are not your only options. Please do check out the Natural Girls thread

  • SandraSchueller
    SandraSchueller Member Posts: 6
    edited November 2009

    Marie,

    Based on

      In the present study, the proportion of early-stage CBC (stage 0+1) was slightly, but not significantly (P=0.33), lower in the tamoxifen-treated group (74%) compared to the nontreated group (82%); if a difference at all, sensitivity of mammography (NKI/AvL data not shown) cannot explain this, because sensitivity was 87% in both groups.

    IMy BC was stage 0 and had alumpectomy last week. - based on the above study, the need for Tax or Ai is mote. Am I correct that taking either of these drugs would rhave minimal results?

    Have an appoitment with an oncologist reccomending the hormone therapy and really think this is not necessary - even questioning why do the radiation I agreed to. Again, stage 0, completly contained and now removed.  

  • SandraSchueller
    SandraSchueller Member Posts: 6
    edited November 2009

    So you are saying that as stage 0 grade 2 your onogoligist did not put you on Tax. or AI? I'm at the same levels and don't think I should go on these drugs either. How about radiation, have you gone through that?

  • MarieKelly
    MarieKelly Member Posts: 591
    edited November 2009

    Sandra,

    Like you, I was diagnosed with cancer that was DCIS grade 1. Unlike you, mine was ALSO grade 1 invasive (IDC)...a combination of both 40% DCIS and 60% IDC in the same small tumor. I was told that I needed lumpectomy, tamoxifen or arimidex and radiation after the lumpectomy.  I refused everything except the lumpectomy and it's now been nearly 6 years with no recurrence. I just had the wide margin lumpectomy and that's been the end of it since  then - except for yearly mammograms.

    So obviously, I didn't really need any or all of what I was told I should have other than the surgery...despite also having invasive grade 1 cancer.  All that other treatment was being offered to me under a standard of care which unfortunately, was developed from studies that included mostly women who had more aggressive types of cancer than I had. I felt very comfortable refusing treatments I knew weren't going to benefit me and could potentially harm me. Not everyone has that level of comfort, though. Unlike standards of care, refusing certain treatments is a very individual decision.

  • SandraSchueller
    SandraSchueller Member Posts: 6
    edited November 2009

    Marie Kelly, Thanks for sharing.

    Yes, I have had my lumpectomy last week. Through research have pretty much decided to say no to to the Tamixifen or Arimidex. Still deciding on the Radiation however. Just doesn't seem necessary for stage 0 Grade 2.

    Anyone else who skipped the radiation with these "specs"? 

  • kawee
    kawee Member Posts: 324
    edited November 2009

    Sandra, they did a study at Harvard Medical School and those with DCIS who didn't have radiation had an unacceptable high level of reocurrence.  I know that before my second surgery when it was thought mine was not invasive and just DCIS, 6 Dr. (rheumatologist, GP, oncologist, rad oncologist, gyn and breast surgeon) all told me I needed to do the radiation.  I was like you.  I kept getting opinions.  Finally my daughter asked me "mom, how many more opinions are you going to get?".  Anyway, go online and read about it.  There's alot of stuff.  Good luck.  Whatever you decide will be right for you. 

  • Mandy1313
    Mandy1313 Member Posts: 1,692
    edited November 2009

    I had radiation so I don't have strong feelings against it. But I thought it fair to say that my radiation oncologist, who is very well regarded in the rads community, said that the studies that found the recurrence were done without regard to the margins and that in some cases there may not have been clean margins. He felt the studies were flawed.  I have not read the studies so I cannot comment further just to repeat what he said.

    Mandy

  • vivre
    vivre Member Posts: 2,167
    edited November 2009

    I agree with Mandy, what are your margins? I had a great surgeon and he got wide margins and my nodes were clear. I did rads but still wish I had not. I am so scared about the long term effects. I have been working like crazy to try to detox all the radiation. I just hate the thought of this stuff in my body. And yes I know it is still there because it showed up on my thermographs. It did show lesser degress each time. I am hoping that my next therm looks pretty good. I have noticed a huge difference in the way my breast feels since I started iodine,so I am hoping this stuff is the key to getting the gunk out, once and for all. I think it is great you are doing the research and making a better educated decision than I did. I just blindly did whatever my docs said. But never again.

  • MTG
    MTG Member Posts: 646
    edited November 2009

    Sandra - My two cents, if you're interested: In the scheme of things, IF you find the right radiologist,  radiation has a very tiny downside and a big upside, so I'd say go for it. Now, when I say "right radiologist", i do  mean shop around. 3 factors will help in minimimizing the downside (1) ink vs. permanent tattoos - although tiny, I did not want a permanent reminders and my rads team agreed to use sharpies instead, (2) I found a rad onc who doesn't feel that burning the skin is necessary - some do, some dont. My position was "Hey, I didn't have skin cancer" and she agreed so I used Apple Cider Vinegar soaks which actually rid the skin of radiation as well as reduced burning  (while still permitting it to do it's thing internally) and lots of moisturizers (I'll IM you the research on Apple Cider Vinegar if you'd like. And (3) uses blocks to minimize radiation to internal organs. You need to ask exactly how much lung/ heart/ throat/ whatever will be hit and if there are ways to prevent. Whatever you decide, I'm sure it will be the right decision for you. Good luck and please keep us posted. 

  • Member_of_the_Club
    Member_of_the_Club Member Posts: 3,646
    edited November 2009

    Well, local recurrences can show up as skin mets which is why they radiate the skin as well.  Just something you should consider.

  • MTG
    MTG Member Posts: 646
    edited November 2009
    Member_of_the_Club wrote:

    Well, local recurrences can show up as skin mets which is why they radiate the skin as well.  Just something you should consider.

    Good point. My rads nurse raised that as well and didn't want me to use Apple Cider Vinegar during the boosts for just that reason. In my case the radonc over ruled and said it was fine which is why asking our docs is always the best way to go.

  • liztaylor1
    liztaylor1 Member Posts: 95
    edited November 2009

    Hello,

    I chose both lumpectomy and rads (35 treatments - finished these last Thursday).  Looking at the stats for re-occurrence, seemed (for me) best choice was this process. Said "no" to the tamoxifen or AIs.  I was OK with the stats without the drugs and didn't like to potential side effects from tamoxifen.  Feel fine with these choices.

    Best,

    Liz

  • c3353
    c3353 Member Posts: 3
    edited November 2009

    Hi everyone,

    I just had surgery to remove DCIS (right breast) which was noninvasive - wide clear margins - 2 nodes removed that were negative. Left breast Papilloma (benign) removed. It has been 2 weeks since my surgery and I have an appt with the radiologist on Dec 2nd. I have chosen not to take Tamoxifen. THANK YOU SO MUCH FOR THIS THREAD. THANK YOU SOOOOO MUCH! I wanted to know if there were women out there that had not taken the drug and what was their success rate. I started reading from page 16 and I am up to page 12 now on this thread and I will read every last one to the end. I want to know what is the NATURAL GIRLS thread and where to find it. I really want to read that as well. Thank you ladies so much, I am basically in tears because I DO NOT WANT to take this drug and doctors make you think you have to. Please excuse me if I am not using the right lingo. I am trying to become more educated with this. I was always one of the women that did not want to hear, see anything about Breast Cancer because I was afraid. Now I am forced to deal with it and I want to make sure that I am making the correct decisions for my body. I really need to hear from women that opted not to take it and are doing just fine without it. Thanks again so much - I hope you great ladies can help me.  

  • MTG
    MTG Member Posts: 646
    edited November 2009

    I love the Natural Girls thread. Lots of good information....even for those of us who are taking Tamoxifen (a personal choice not a mandate; I didn't want to take it either but had my major qualms addressed). Here's the link to the Natural Girls thread: http://community.breastcancer.org/forum/79/topic/730113

    And welcome C3553. There are lots of incredibly well informed and passionate ladies here.

  • Susers
    Susers Member Posts: 36
    edited November 2009

    c3353

     I was on Tamoxifen for about 1 year (was supposed to be on it 5). I hated all the side effects from it and think the Tamoxifen along with the long term effects of chemo really screwed up my body and I am still trying to heal from it all.

     To make a long story short, my oncologist kept pressuring me to go back on it and one time I left his office in tears as he had me in the grave if I did not get back on it. Well, this last visit he did not even attempt to go there and  basically told me this time that I could pretty much consider myself cured. He said this because most recurrences happen within the first 2 years after surgery, chemo etc, and I had no signs of cancer and was doing great.

     I find being off Tamoxifen though is a lot more work and I am happy to be doing the extra right work to keep the BC or C from coming back. I am on a lot of supplements and am very cautious about consuming sugar and alcohol, the two cancer fuels.

     Good Luck! Our bodies were designed to heal themselves and they can!

  • vivre
    vivre Member Posts: 2,167
    edited November 2009

    Hey Susers, good to see you again. Are you comin down for my prevention convention. At least I know you are one person who will not complain it is cold in Chicago in Feb.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited January 2010

    Hey Lisa, I am in the same boat I cannot take Tamox.My onco gave me the choice of doing the "Chemo." He had greater fear of "overtreating." He is steadfast in his opinion that the "Chemo" (vs. my not being able to takeTamox) will be "minimal" to my recovery (like 1% legup in the early years.) Still it is what it is and my fear of having a rogue breast cancer cell showing up in my lungs or bones is tremendous. He tells me the breast cancer that I have (even at Stage I with lymph nodes clear) will return in the lungs or bone and treatment outcome will be very poor for me. I am going for the Chemo, the radiation and lotsof prayers.  

  • vivre
    vivre Member Posts: 2,167
    edited January 2010

    Hey, you gals, do not let the doctors scare you so much. Do your homework. Tamox is not the only therapy out there. PLEASE read the info I just post on the iodine, thyroid and bc thread. Iodine deficiency leads to hormonal inbalance. Supplementing with iodine can lower your risk substantially, and the side effects are good ones: more energy, scar tissue disappears, lumps and pains disappear, etc etc. Good luck.

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