tamoxifen
I am so torn and don't know if my tamoxifen is causing me to feel the way I do or not. I have been on tamoxifen since March 2010 and have not felt good since before radiation treatments. I have had a lot of headaches, muscle/bone aches and even shortness of breath (which I don't know if that is stress from the other symptoms) I hear of so many cases where it comes back with or without the tamoxifen and I am really feeling like if my feeling so bad is because of the tamoxifen it's not worth staying on. I'm damned if I do and damned if I don't. I hate this! Has anyone else had any similar feelings? Also, I am currently on high doses of vitamin d because of being deficient so not sure if my muscle/bone aches are from that. And just recently I was in hospital and through a MRI because of my headaches they found something on my brain that may or may not have been there forever so they have to keep an eye on it. There is so much going on in my body I don't know what to do anymore and everything scares me. Before I was diagnosed with BC I would never have worried about feeling all this stuff. Any information or advice I would really appreciate..I'm so confused!
Comments
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I have been on tamoxifen for about 3 months, and my main side effect is hot flashes and sleeplessness (probably related). The hot flashes are severe, much worse than before tamoxifen, and strange. I kind of feel hot and shivery cold at the same time, like I had a fever. I really wasn't sure about taking tamoxifen, though my oncologist and my PCP (and my husband) really urged me to do so.
Do you know what your recurrence risk is? That is what guided me. I had a recurrence risk of about 5% and tamoxifen lowered it to about 2%. It was worth it for me to try for the extra reduction. But for many people that small of a reduction is not worth the consequences. However, if I had a higher recurrence risk, I would be even more likely to take it. I would talk to your oncologist about what the risk of recurrence is with and without the tamoxifen and use that to help you decide.
In terms of the other conditions you describe, I have no experience with them in relation to tamoxifen. I get a lot of headaches, but I always have and the ones I have now don't feel any different from the kinds of headaches I've had most of my life.
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The major side effect I had from tamoxifen was hot flashes, but I did have a lot of joint aches the first several months after I started taking it, especially in my hips. All side effects dissipated after a while, even the hot flashes started lessening after the first two-three years. I finished up my five years in July, no regrets at all about taking it.
The shortness of breath in all probability is from your radiation treatments. I suffered terribly from it the first year until I got my PC to take me seriously. It is fairly common, some refer to it as radiation pneumonitis, which is basically inflammation in your lungs from the rads. My PC gave me an inhaler, and a prescription for Advair, which I was probably on for about 6 months. It is amazing how much better I felt. He also gave me a muscle relaxer to take before bed, and that helped tremendously as I felt so much more human once I reestablished my sleep pattern. I have not taken any prescription meds for two years, so they helped me reclaim my life, and at this point I don't need them. Fibromyalgia is pretty common among cancer survivors, so if you don't feel any better after a time, you might get screened for that. I do have friends that went off the tamoxifen onto an aromatase inhibitor and did better with those, but they had to have an ooph or the lupron shots if they were premenopausal. I found my PC was better at addressing my post treatment issues than my oncs. Hopefully you will feel better soon.
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Thank you DSJ and Jenn for your replies, My hubby, PC, Oncs and surgeon all think I should stay on it and you are right the benefits out way the side effects since it brings it down from 10% to 5% I just would like to breath normal again, so I'm going to talk to my PC next week about an inhaler and maybe I'll start taking my anti-anxiety med before bed to help me sleep. Its so overwhelming I'm just impatient with feeling better and I know I have to expect the ups and downs, Maybe my aches will get better after my vitamin D is to a normal level, I'm sure that's not helping me. Thanks again
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I've been on such an emotional roller coaster about the Tamoxifen. I filled my Tamoxifen prescription on Aug 30th but I just haven't been able to bring myself to taking it.
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I know Anghub, just when you think your on your way to kicking this in the butt, you have things like this to complicate things. I'm still trying to convince myself, that it will get better, it's so hard because everyone keeps telling me how great I look. Makes me think people must think I'm nuts...how could I look this good and feel so bad.
Jenn was your breathing like you couldn't get a complete breath and you would have to yawn or wait to get a breath that felt complete? Did this happen to you at all different times of the day? Even when laying down to sleep?
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hello sweetie, stay on the tamoxifen it really works to prevent recurrence, I was on it for 5 yrs and Im now 16 yrs, 17 in December cancer free(Praise God) you will have some side effects, but some of mine was from the chemo and radiation treatments, I pray that this will inspire u to hang in there, it,s worth it. L mast,0/3 nodes,stage 2, idc, cytoxen,adriamycin. God Bless Us All. msphil
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ThumperTami (do you have a rabbit?)-
You described perfectly the breathing issue I used to have, which started way before bc and tamoxifen. Mine stopped - both day and night when I started sleeping with an electric fan on my bed stand. In another thread last year, someone felt that that symptom was allergy-related and the fan blew the allergan away. I think it was stress. Do get checked for the radiation pneumonitis, but also try a fan. Moving air - I have found it great for breathing and of course for hot flashes.
I hope you feel better soon
Julie E
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Thank you so very much msphil. I believe I will stay on it and I know it's worth it and I will hang in there, with all the love and support out there for all of us I could I not? God bless you!
Julie, you could be correct, maybe I should start taking my allergy pills again, I have stoped taking them maybe this will help. I hate taking pills so much that I stopped taking those for the vitamin D and I do have terrible allergies. I'll start taking them tonight and see if I see improvement by the end of the week. Thank you for sharing and I'll try the fan trick too sounds very logical to me.
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I first noticed the shortness of breath about halfway through rads, but the oncs office thought I was having anxiety attacks. It continued and was gradually getting worse. I had times at night where I would wake up gasping for air. I coughed more frequently. The hot flashes made it worse. About a year after my treatment, I went in for a complete hysterectomy and almost did not come out of the anethesia. That was when they finally took me seriously about how bad it had become. My blood work came back with me being severely anemic, which can also be caused by the pneumonitis as when you are that short of breath, you are not getting enough oxygen through your blood stream. I was tired all of the time and would fall asleep if I sat down for any time at all. I just didn't feel good. It was amazing how much better I felt within a short while after starting on the Advair and the inhaler. I know from my years on the Komen message boards that this is pretty common among those of us who had rads, something the rad. oncs are not really willing to talk about. I still on occasion get a little huffy, but it is no where near what I had before, and I have not had to go on any meds since that original 6 month period. I do get my flu and pneumonia vaccine as I think a respiratory illness would hit me hard. I also try to avoid fumes from harsh cleaning agents and really heavy fragrances, as those can kick the shortness of breath in. I never had any respiratory issues before rads. A fan does help me breath better, but that alone would not have reduced the inflammation that was causing all my problems. Hope you feel better very soon.
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I found your comment about shortness of breath interesting in that I started having "episodes" last week - a few days after starting Tamoxifen. I have been wondering if it is the "T" or if it is the stress finally catching up on me. I was thinking stress but after reading all of the comments here now I wonder about it being caused by rads which I finished 3 weeks ago. It is so hard to figure this out!
Hang in there and thanks for posting as I wouldn"t have associated this with the rads.
Kim
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The shortness of breath happened with me early into taking the Tamoxifin also..and am taking radiation at same time. Was starting to think I was alone on this.
And the :"can't get a complete breath" ThumperTami is a very good way to explain it! You are breathing but the 'breath' just doesn't catch.
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NOOOOOOOOOOOO!!!!!!!! don't tell me that tamoxifen enhances the joys of stupidpneumonitis!!! NOOOOOOOOOOOOOOOOOOOOOOOOO..... I just got done convincing myself I was imagining or having flashbacks to earlier this summer.
Cr@p. I am on Tamoxifen, started August 28. I finished Zaps in early May but promptly came down with radiation pneumonitis and my oncologist wanted that cleared up before I started tamoxifen. I managed to get better without meds and just rest ---took until mid july---and finally started the tamoxifen. No real side effects so far except maybe a headache but I'm under stress so it could just as easily be that.
But walking up the hill to the bus last night I did notice myself getting out of breathe. I always describe it as something grabbing me around the lungs so they can't really open up and take in the air. [by the way, sometimes yawning will allow you to get a bigger breathe] I was thinking maybe it was just my imagination. . . .or at least I told myself it was my imagination. cr@p cr@p CR@P
I DO NOT WANT TO BE SICK AGAIN. I have a very thick immediate supervisor who had the chutzpah to say to me "but you aren't sick anymore, you said you were better," to which I replied, "I have been diagnoised with breast cancer, I'm still being treated, I just don't go to rads every day." He will not take me going back to easy days well at all. Oh heck, lets be honest, I won't take it well either.
Oh I am taking the tamox because I was a grade 3 that was going to be invasive at some point and because my boobies are funky and likely to develop other "stuff."
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I hope it's not the Tamox and stress/alergies instead, it's just hard to know. It is really nice to hear I'm not the only one who feels this way and 3monstmamma tell you insensitive supervisor that you are still recovering as well as being treated...that proves my statement of when you look healthy people assume you are and that you should be doing everything like you did before diagnoses...fact is we are not the same as we were before diagnoses and people better start to get that. I feel blessed but at the same time cursed. God Bless All of You! Thanks for sharing your stories and if anyone ever wants to send me private messages that's fine too!
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Wow! I miss one day of Tamoxifin and I feel somewhat human again! I need to refill my scrip Friday. Even though I am taking radiation treatments...I feel more "normal" then I have for weeks! Hummm that says a whole lot.
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againmine....I so relate to that, I have missed a couple days when I forgot to bring it on a little weekend get away and boy I had good sleep and I felt better then I have in a long time, I really think it causes a lot of SE that doctors don't acknowledge. I just refilled mine too! I however use to take it before bed everynight and now I am gradually taking it earlier eachday to see if I feel better if I take earlier in the day. When do you normally take yours?
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For what it's worth, my BS and I decided against Tamoxifin for me....I am already on a whole aspirin and Plavix, and as clotting is a possible SE, it was not a safe route for me to go.... I am happy with this decision....No regrets.....My rec. rate is about 5%, so I think I made the right choice for me...
Sandy from Cincinnati
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ThumperTami: I take mine in the morning...I wouldn't sleep at all at night, if I took it in the evening. I found this out when I took it after 2pm one day. I just refilled mine today so back on the Tamox train again. It really showed me how much it effects me when I can tell how I feel after just one day not taking it.
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Similar to previous poster, Sandy from Cinci (easyquilts) - Had lumpectomy and 30 rad zaps, met with onc. who gave me the option to take or not take tamoxifen -- given 95% chance of no recurrence w/out tamox. or 97.5% of no recurrence with tamox. -- and continue to be happy to have opted out. I did fill the prescription, and if my mind changes I know I can go on it, but truth be told, I sleep well at night, no aches, and am happily still peri-meno at age 45, no flashes, no tiredness (but never real felt tired during rads., just burned), so good inner peace. I do take a baby aspirin a day, just that, no other meds. Such a personal decision, thankful to have options.
sorry about dup. post below.
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Very similar to previous poster, Sandy from Cinci (easyquilts) - Had lumpectomy and 30 rad zas, met with onc. who gave me the option to take or not take tamoxifen -- given 95% chance of no recurrence w/out tamox. or 97.5% of no recurrence with tamox. -- and continue to be happy to have opted out. I did fill the prescription, and if my mind changes I know I can go on it, but truth be told, I sleep well at night, no aches, and am happily still peri-meno at age 45, no flashes, no tiredness (but never real felt tired during rads., just burned), so good inner peace. Such a personal decision, thankful to have options.
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Just an update for anyone who might be reading this in the future. I am now 4 months into tamoxifen. My hot flashes have receded. I still get them occasionally, but not nearly as intensely as I did in the first two months. It may be the cooler weather, or it may be my body getting used to the tamoxifen. But the hot flashes are very manageable, and I am now sleeping pretty well. Because I had a hysterectomy before all this started, I have fewer risk factors with tamoxifen and (assuming the hot flashes remain manageable), I am planning to stay on it for 5 years.
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Update...I've decided to keep taking my Tamoxifen and I now take it early in the after noon so I can sleep better at night. I have started juicing recently and don't know if that has been a help, but I am feeling pretty good most of the time. I am still having headaches, but just knowing that it is nothing more then a headache makes it more manageable. I do still notice problems with finding words when talking or forgetting where I was going in the conversation and I know I was never like that before starting on this. The muscle and bone aches are either getting better or I'm getting use to them, but I think the lack of vitamin D made these symptoms much worse..bad timing of becoming vitamin d deficient I guess. All in all I'm feeling good and using positive attitude as well as surrounding myself with love and laughter as my therapy to continue the fight. God Bless you all! Live Strong!
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thanks for the update ThumperTami, good to hear how well you are managing.
Julie E
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