Estrogen Blockers ... To Take Or Not To Take

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Comments

  • navigatinglife
    navigatinglife Member Posts: 7
    edited December 2010

    Hi,

    Iam new to this blog. However I just read your post about taking ALs.  I am stage 2 breast cancer.

    Chemo, surg, left axillary node removal (17) never found source of cancer in breast, but surgeon assures me that is where it is coming from.  Finished radiation in June of this year.  Started taking Arimidex in October.  By December was having anxiety and skin itching from inside out til I was clawing myself to death.  Went off Arimidex for 2 weeks and just started on Aromasin.   I wondered why I just don't feel as energetic or as good as I used to before chemo!   Did not realize (but had a sneaky suspiscion) that AL's might be the culprit of slight depression, bone aches, just generally not feeling good.  Please tell me it's not a five year journey of misery. 

    Please reply with your experience with Aromasin.

    Cissy

  • DebbieSue
    DebbieSue Member Posts: 6
    edited January 2011

    I had my first bout of bc 11 years ago when I was 38.  Even though I was ER and PR neg my onc suggested I take tamoxifen.  I was on it for 2 months when I started bleeding heavily.  I was also very depressed.  The bleeding continued daily for several months until I was able to get a uterine ablation done.  The onc said he understood why I wanted to quite taking it.  I was comfortable with my decision as well.  My rad onc was not so supportive.  She gave me quite a lecture on how I would not likely live for two years without tamoxifen.  In any case, I lasted 11 years before my recurrance.  This time it is ER+ and PR+.  The onc suggested Zoladex and Arimidex.  Unfortunately, the s/es for the Zoladex were just too much for me to handle.  These treatments cause me to become too depressed to function.  I've regrettably decided I need to quit this treatment too.  It's a very difficult decision to make and I'm not making it lightly, but I really don't have a choice if I want to be able to continue working etc.

    Good luck to you in your journey.

  • mmm5
    mmm5 Member Posts: 1,470
    edited January 2011

    Debbie Sue

    Was this truly a recurrence or a new cancer since it was different in nature? Was it in the same breast or the other?  I don't mean to be nosy but just trying to discern if this would be truly a recurrence? 

  • Bonnygg
    Bonnygg Member Posts: 115
    edited January 2011

    I was on Tamox for a couple of years. One SE is blood clots. I ended up with a huge DVT after breaking my ankle when I dumped my Harley. Spent 7 days in the hospital over that.

    Onc put me on Femara & I started taking calcium & D. My fingers went stiff. I couldn't bend them. After struggling for nearly a year, I stopped taking the fish oil, mutli-vitamin & the calcium. It took about 5 days & I had relief in the the fingers. I did a little research and come to find out there is more than one kind of calcuim and the type I was taking had an SE of arthritic joints. I switched to a different kind of calcium and SURPRISE, no more arthritic fingers.

    My sister takes Arimidex and doesn't have much if any of the SE's.

    Try eliminating everything except the AI for about 5 days and see if things are better. Then, introduce one thing at a time.

    I was on Effexor for the *power surges* that would melt paint off the walls. I felt like I was in a fuzzy cloud & conecnetration was non existant. Not having Effexor just wasn't an option. But, I worked with my onc and we cut the dosage back to a sub-clinical level. Worked like a champ.

    I have to admit that for both the Tamox & the Femara, it takes about a month of being on them before the body chemicals balance out.

    You can also adjust when you take them. I was told to take them in the am. Bull hockey on that. I took the Tamox at night. I'm doing the same thing with the Femara... at night.

    Try doing your AI with some mild, non-acidic food. I tried the Tamox in the am with orange juice. That didn't work for me either.

    Make sure you are drinking enough water. Both Tamox & Femara need lots of water.

    And don't forget the old pregnancy trick for morning sickness. A couple of soda crackers with your meds might be enough to get you over the nausea.

    The choice of meds or not is an individual decision. My humble $0.02 is do whatever you can to stay above ground. Adjust when, how, where on your meds & I'll bet you'll find the right balance.

     Good luck.

    bonny

  • pixelpup
    pixelpup Member Posts: 49
    edited January 2011

    Hi Everyone,

    Is there a way to use Adjuvant online if you are not a Dr?  Thanks.  Alison

  • BarbaraA
    BarbaraA Member Posts: 7,378
    edited January 2011
  • DesignerMom
    DesignerMom Member Posts: 1,464
    edited January 2011

    pixelpup-  Everyone just says they are a doctor and uses it.  There is some debate about the statistics on there, but it does giving a good starting point for research.  I think it is almost the same as the cancer math site.

  • InTwoPlaces
    InTwoPlaces Member Posts: 354
    edited January 2011

    I have signed up several times on Adjuvant online without any sucess, I can't log in.. Does any one else have this problem?

  • pixelpup
    pixelpup Member Posts: 49
    edited January 2011

    Thanks!  I will :)

  • lago
    lago Member Posts: 17,186
    edited January 2011

    Cancermath has a disclaimer for tumors over 5cm and more than 10 nodes:

    Note: The tumor size and/or number of positive nodes entered exceeds the values against which the calculator has been validated, 50mm and 10 nodes respectively. 

  • Janeluvsdogs
    Janeluvsdogs Member Posts: 242
    edited January 2011

    A good oncologist never uses somebody's made-up software calculations. A good oncologist should know enough to treat the person.

  • pixelpup
    pixelpup Member Posts: 49
    edited January 2011

    I tried again, and it won't work for me either...

  • annien
    annien Member Posts: 1
    edited February 2011

    Hi Alison,

    I was also on Arimidex for about 8 months with horrible side effects. I felt I had aged 30 years. My hands, knees and large toe joints stiffened making getting out of bed in the morning difficult.My right large toe joint became very inflamed and has still not gone down. My muscles were so tight  I felt at times I could fall down my stairs. I work full time and have always been very active. I also experienced vaginal dryness so severe (even with using lubricants) my skin ripped and I was bleeding after intercourse. I'm only 54 y.o.and finally just told the Oncologist I couldn't take the side effects any longer.She put me on Tamoxifen and within days 90% of my muscle and joint stiffness had gone away. I, too, have stage 1, ER +, lumpectomy with rad. only. I felt wonderful about changing meds because my quality of life was quickly going away. We all react differently to medications so try and just concentrate on your own experience with side effects.

    Good luck to you,

    Anne 

  • Alcie1
    Alcie1 Member Posts: 68
    edited February 2011

    I had a 1.1 cm IDC, very low oncotype score.  I had surgery, 1 node, was convinced I HAD to have radiation but no chemo.  I tried all 3 AIs but couldn't tolerate any of them.  They made me feel like a 99-year-old arthritic with level 8 - 9 pain all the time.  Some days I couldn't get out of bed without help.

    After about 9 months of trying really hard to take the drugs my oncologist said I could stop.  That was a year ago.  If I could have just had the dose reduced I could probably have gone on, but it's one dose no matter how big or small you are, no matter if you have estrogen or not in your system. 

    The last med, Aromasin, made my hands so bad I got trigger fingers - after only 3 pills!  I tried every treatment, but ended up with surgery after suffering 8 months.

    I'm feeling much better now, off the meds, but it took months to recover.

  • pixelpup
    pixelpup Member Posts: 49
    edited February 2011

    Hi Anne and Alcie,

    Sounds like we've had the same horible side effects from the AIs!  I have to see my Onc in a month and haven't even told him I stopped taking them yet.  I'm much better since I have.  I'm sure to get another lecture from him though.  Then he'll suggest Tomax.  Anne, are you still okay taking it?  I'm post menopausal and don't know how I'd react yet.  Also, I read the chapter in Dr. Lee's book about Tomax and it scares me with other side effects.  These decisions we all make are SO difficult!  We just have to find what works for us.  I'm on my 3rd month of Progesterone Cream and I'm seeing some improvements with it.  It helps with anxiety...just seems to calm me overall.  I'm excited to get my saliva hormone test results back soon.  One day at a time...right :)  Alison

  • pixelpup
    pixelpup Member Posts: 49
    edited February 2011

    I am curious if anyone's Onc has ever taken into account estrogen levels from a saliva test when prescribing AIs or Tamoxifen.  Recently, I got my results back and my estrodial level was about as low as it gets.  It was 0.5 (Range is 0.5-1.7 for postmenopausal women.)  Should this make me feel more confident about not using Tamoxifen?  Has anyone else experienced this?  I'm confused, but it doesn't sound like my body is producing enough estrogen to warrent the side effects of the Tamox.  My Onc doesn't believe in saliva tests so I'll got no help there.  Thanks.  Ali

  • Mary4Anne
    Mary4Anne Member Posts: 1
    edited February 2011

    I just finished Femara after 7 years. I had joint pains etc. and alot of hair thinning. I was wondering if anyone knows if your hair will come back?

    I am afraid after stopping the drug. So does that mean that you were protected and now that you are off it your chances of reoccurance goes back up?

  • Medigal
    Medigal Member Posts: 1,412
    edited February 2011

    Which foods produce estogen?  Does anyone know?  I always was told to stay off Soy but did not know there was others.  Thanks if you have any info.

  • lago
    lago Member Posts: 17,186
    edited February 2011
    MaryAnne: I have read other posts where women did get their hair back after going off the ALs like Femara and Arimidex. I am about to start generic Arimidex in a few weeks. I still don't have my hair back from chemo so if it does thin I won't know if it's from chemo or Arimidex...

    but I rather be a little bald then have cancer. Tongue out

    I was also under the impression that when you take hormone blockers they basically starve your cancer since they "feed" off the estrogen. Because they don't have anything to feed/stimulate their growth the cells die. I have read that cancer cells that are still "asleep" can get stimulated years later but they really don't know. Also if  a cancer recurs it may have different tumor markers.

    That is my understanding.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited June 2011

    Odd that they're using giving it as a treatment for some mets.

  • lago
    lago Member Posts: 17,186
    edited February 2011

    July It could also be that the tumor cells mutated after being treated with anti estrogen and possibly weren't hormone positive anymore. If you notice the tumor does start to grow again later… making the tumor sensitive to ALs again.

    According to the article:

    "In the 30 percent of participants who responded to estrogen, tumors often began to grow again after a period of months or years. But in a third of these recurring cases, the researchers showed that the women's tumors had become resensitized to anti-estrogen therapy. The tumors shrank or stopped growing when the patients went back on their original aromatase inhibitor treatment."

  • Anonymous
    Anonymous Member Posts: 1,376
    edited June 2011
  • annettek
    annettek Member Posts: 1,640
    edited February 2011

    I am curious as to where anyone ordered their saliva tests? I need a clear reading of my full hormonal panel. I tried Armidex (posted on other threads) and one pill caused sucha  horrific reaction- no more. I only did it since I figured "how bad could it really be"....my answer is REALLY BAD...for me.

    Thanks

  • Anonymous
    Anonymous Member Posts: 1,376
    edited June 2011

    Is there a list of labs online?

  • DesignerMom
    DesignerMom Member Posts: 1,464
    edited February 2011

    july-  I just sent you a PM.  (Click on the personal messages tab).

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