Arimidex - Coping with the SE's

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  • beau
    beau Member Posts: 374
    edited May 2011

    Hi Iago,

     Sorry to hear about your shingles - they sound nasty! you are always so helpful and positive to others on these boards. I am sure that you will make it through this too, but it can't be any fun. I hope that you are feeling better soon!

    Honkittle,

    Hang in there. If you read through this post, you will see that I was one of the folks who was really down and out from weeks 3-6 when I started on Arimidex (had numerous side effects including insomnia and some blahs, borderline depression). I am now doing much better, even though I still feel arthritic and stiff as a board. I also have a lot of neck pain from 3 herniated disks in my neck - Arimidex has really caused everything to flare up. Make sure that you take not only vit D but calcium. My onc (and lots of folks here) recommended that I take 1000 iu Vit D and 1200 Calcium daily. I think it has helped.

    Also, be sure to treat the mental health side of the equation if needed. Estrogen deprivation can definitely mess up your mental module. I hope that you are one of the lucky ones that skates through, but make sure you get help if needed.  

    Best, Beau 

  • slousha
    slousha Member Posts: 312
    edited May 2011

    Hi, beau

    I was so depressed during the last days because of all SE's from AI. It's getting worse every day. One day I couldn't walk because of knee, the other my hips were so painful, I was on the couch the most of day. I took a lot of painkiller, drank Schweppes tonic, read through your posts and suggestions of BS org. saying how effective the pains are against recurrence...My MO suggested me not to take D3 and calcium at sunny weather .(?)  I'm not young any more, should I my last years spent in pain because of AI?

    greetings Usha

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

    Usha Sorry you are in so much pain. I would ask MO more questions regarding no D3/calcium during sunny weather. If you have low vitamin D then it shouldn't matter. If you have osteopenia or osteoporosis then it shouldn't matter about the Calcium either. Only way they would know about either is a blood test for the D and a bone density scan for the later.

    But they should give you something for the pain no matter how old you are. BTW sometimes these side effects can go away or reduce after being on the drug for 3 months. Some can go away if you take a month break from the drug then try again. I would discuss this with your MO as well.

  • kira1234
    kira1234 Member Posts: 3,091
    edited May 2011

    My Dr. has also suggested I try another AL because I might not have so many SE's from another one. So far I am staying with Femara at least i know what to expect from it. I've been on it 6 months, and so far they aren't reducing for me, but not getting worse either.

    He has suggested Amiridex has less joint pain. Would love to know what you all think about that.

  • carolehalston
    carolehalston Member Posts: 6,887
    edited May 2011

    I have strange dreams but I had them before bc.  I take a benedryl knockoff at night as a sleep aid and this type of med can cause strange dreams and even nightmares.  I didn't realize this until a dermatologist prescribed an antihistamine for my mother to help with rashes and cautioned her that the med could cause nightmares.  My mother had this reaction and stopped the med.  Melatonin can also cause bizarre dreams and nightmares.  What puzzles me is that my bizarre dreams seldom have any basis in reality.  I can't figure out why such scenarios and places should exist in my subconscious.

    I've been taking celebrex for bursitis in my right shoulder.  The pain had disappeared.  This morning I got up and the pain was back.  It's not intense but it's there.  Very odd.

    I agree that all of us with bc have been shocked into a realization of our mortality.  In my case, this realization has affected my weight.  I tend to indulge myself when I eat out.  Consequently I'm about 8 to 10 lbs higher than my goal weight and seen to lack the discipline to drop these extra lbs.

    Happy Sunday to all.

  • beau
    beau Member Posts: 374
    edited May 2011

    Hi Sloucha,

    I am sorry to hear that you are so down. If you are really struggling,please talk to your onc about taking a break or switching to another AI or tamoxifen. My onc said that 55% of folks who take a break or switch have much more manageable  side effects.  Also, tamoxifen can be taken by post-menapausal women (it is only pre-menapausal women who can't take AIs). Tamoxifen often is much easier on the bones and has much less arthritis. One of my closest friends had breast cancer a couple of years before me and she tolerated Tamoxifen really well, but couldn't take the AIs. 

    Are you taking any NSAIDs like ibuprofen or aleve? They target inflammation and can really help. I take some as well as the pain killers. Yoga and meditation are also hugely helpful. I have to do some yoga every night or I wake up with cramps, pains, etc.

    Please hang in there, but don't suffer needlessly. It sounds like you need to help from your onc or PCP to help at this point. I hope that you feel better soon! Best, Beau 

  • lestwin
    lestwin Member Posts: 83
    edited May 2011

    I posted this on the after rads forum but then came to this one and some of you ladies seem to have the same problem I am now experiencing.

    Not doing so good today, had a terrible night with deep dark thoughts.  DH stayed awake almost all night because of me.  It's two weeks since I started the Arimidex and I know depression is a side effect but I have been so positive all through the last six months the horrible thoughts just came out of the blue.  I am going to take the pill lunchtime instead of morning and then tomorrow at night and see if that helps.  I'm not giving up this easy.  Have a good Sunday ladies.

  • Fearless_One
    Fearless_One Member Posts: 3,300
    edited May 2011

    Lestwin, yes, that is a side effect - give yourself some time - two weeks is very new.   Glad your DH is there for you....

    I have some depression, too.   But mostly sleep issues and HOT all the time - which REALLY sucks considering I live in the tropics.   It's already in the high 80's, 90's here....

  • Anonymous
    Anonymous Member Posts: 1,376
    edited August 2012

    Emell, Enjoyful,

    I think MASSAGE is the activity that gives me the most LASTING relief from joint & muscle pain.

    Also Acupuncture - I do both once a month.  The effect is cumulative - and really long lasting.  As for the fatigue - when Arimidex was brand - the company listed the side effects - starting with

    ASTHENIA - I had to google it - and googled and giggled when I read the Wikipedia definition ;-))

    See what you think - after you've looked up ASTHENIASmile

  • Enjoyful
    Enjoyful Member Posts: 3,591
    edited May 2011

    Emell -

    To me, the fatigue feels like I'm walking through thigh-deep mud.  When I first started with the Arimidex it was difficult to just walk around the block (and I'd have to take a nap afterward!).  After about 6 months I started to feel better but haven't returned to normal yet.  If it weren't for my morning pot of coffee I wouldn't be able to do anything at all!

  • Enjoyful
    Enjoyful Member Posts: 3,591
    edited May 2011

    Isn't Asthenia Greek for "feels like crap"?

  • Enjoyful
    Enjoyful Member Posts: 3,591
    edited May 2011

    Caerus -

    I love getting massages and they do help with the pain.  Unfortunately, I can't afford them too often!

  • slousha
    slousha Member Posts: 312
    edited May 2011

    Hi lago, beau and other dear ladies,

    Sorry, I was so down, as I wrote my last post

    My PDr. gave me ibuprofen and zaldiar and said I should take till 8 tablets a day. I'm afraid doing this for a longer time because of stomach issues. I'm asking why to take so much painkillers being in stage II. I should understand this if I would be in stage IV. Meaning, why to take toxins to bear other toxins??

    After my abdominal cancer surgery stage I - two years ago - I got thrombosis and cannot go with tamoxifen.  I have to stay with AI.  Above a year I'm coping with SE's, doing all suggested matters, mostly efficiently, but sometimes....

    thank you

    Usha

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

    slousha I'm taking ibuprofen myself right now to help with the shingles pain. I take 2 every 6 hours. I make sure I don't take the bills on an empty stomach. Even people who don't have cancer get pain. I took ibuprofen every menstrual cycle since the product was on the market in the 80's. Before that I was in so much pain I would pass out. Of course chemo took care of my menstrual cramps. I don't have to worry about that any more. Wink

  • ruthbru
    ruthbru Member Posts: 57,235
    edited May 2011

    Since we have been talking about shingles; there was something really interesting about the shingles vaccine in a medical advice column in the paper this week. The columnist, Dr. Gott says that anyone who has been treated with drugs that affect the immune system (ie radiation or chemotherapy)  should NOT get the vaccine because it is formulated with live viruses. He listed many sources for his recommendation including the Center for Disease Control and Prevention, Food & Drug Administration, the Mayo Clinic etc. something to keep in mind anyway.

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

    Ruth I just posted on the shingles thread regarding the live virus and not sure when you can actually get it about 2 hours ago.

  • ruthbru
    ruthbru Member Posts: 57,235
    edited May 2011

    Which forum is the shingles thread in? I will see if I can find this article online, if I can find it, I will copy it over. It sounds like one should NEVER get the vaccine in it's present (live virus) form.

  • lago
    lago Member Posts: 17,186
    edited May 2011
  • ruthbru
    ruthbru Member Posts: 57,235
    edited May 2011

    OK, I found the article and posted it there.

  • Nancyb7912
    Nancyb7912 Member Posts: 84
    edited May 2011

    Hello all. I've been struggling lately with dripping wet hair - back of my head - and I could literally wring the water out of it. I've always assumed it was lack of hormones due to the AI, but would like to be sure. Humid days and changing weather patterns are the worst. Anyone else have this problem?

  • Fearless_One
    Fearless_One Member Posts: 3,300
    edited May 2011

    Nancy, no wet hair, but that's because I crank my AC as low as it will go.  I am hot ALL the time.    And I live in the tropics, too.    I wish I was a** deep in snow right now.

  • mersmom
    mersmom Member Posts: 91
    edited May 2011

    Carolehalston,

    What is in Smart water  that makes it helpful for leg cramps? Tonic works great but it is loaded with sugar...the sugar free  gives me "digestive distress" as do most diet sodas. There have been huge changes in my body since starting the generic Arimidex. I battle everyday to fight off all the side effects  i talked to my insurance company and they informed me that unless I was allergic they would not cover one penny of it. Really wish the doctors and companies producing this drug would admit there are side effects so that the medical community would start helping everyone more.

    Hope all have a blessed week.

  • NativeMainer
    NativeMainer Member Posts: 10,462
    edited May 2011

    People with depressed immune systems need to be careful around children, too.  The MMR vaccine is a live virus vaccine and the Flu Mist nasal spay flu vaccine is a live virus vaccine, too.  Need to stay away from people after these vaccines for 21 days minimum.  I find it odd that I was told to avoid children having had the flu mist vaccine, but the same doc told me it was ok for me to take the flu mist vaccine after I refused to get the shot due to needle phobia. 

    I have more trouble with hot flashes when I'm in a very warm or very humid place.  I have a ceiling fan in the bedroom that runs year round no matter how cold the room is.  If I can't feel air moving, I will have a hot flash.  Very annoying.  

    I had a round of horrible dreams when I started taking Prozac many years ago.  That tapered off, then I started having nightmares again about the time I was diagnosed and all through treatment, but they all had to do with needles and pain.  Those tapered off, but over the last couple of weeks they've started up again.  Not sure why, no changes in meds, no procedures or anything coming up.  Hope it stops soon.  

    I think it's criminal how insurance companies dictate what we can and cannot do and take.  The people making these decisions often are not medically trained at all, they look only at the $$ end of things.  It really makes me mad, especially when there is no way to get around it other than to pay out of pocket;  Sometimes it's not worth it to have insurance.  

  • TokyoSing
    TokyoSing Member Posts: 140
    edited May 2011

    Caerus-Sunflowers, good to see your name again...... just back from my acupuncture treatment. That and yoga keep my joints going. Last week,after a particulary difficult week as far as SE's go: ankle pain, knee pain, flu like symptoms, low stamina, I decided to bite the bullet and go gluten free.  I guess gluten light is more accurate, since I sometimes will eat 1/2 a piece of toast.  But the difference!  I have gone a whole week with far less pain and have needed far less NSaids.  I sure hope it lasts.  Thanks for the advice.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited August 2012

    TokyoSing

    Gluten light - great description.  I went "whole hog" gluten free, also in hope of getting rid of some of this excess weight!  Now dairy free too - and my body feels so much better lighter, no matter what the scale says.  I have strong Spring ( tree pollen) allergies - and the lessening of mucus in my body since going dairy free feels like a real gift.  Not even a sniffle!  YEAH!!!!

    Re: Shingles Vaccine.  I was told ( by my docs at Dana Farber)) that it was safe to take it after waiting 6 months after chemptherapy.  That was about 3 ish years ago - have felt fine.

    Don't want to "jinx" myself - bu also get Flu Vaccine - and haven't been sick since chemptherapy.

    Well, except for Asthenia....Enjoyful, you really made me laugh!!!!  So much WORSE than "crap"  I've described it as Chronic Fatigue Syndrome ( which I've never had) times a zillion!  And the weirdest part for me, is, some mornings I wake up feeling FINE - and have no idea why, what I did differently? Just strange...

  • Lowrider54
    Lowrider54 Member Posts: 2,721
    edited May 2011

    Gluten free does work for most and you don't have to get rid of all of it - just as much as you can - it really helps with the joints.

    Dairy free?  Humm - with the new Xgeva shot, it recommends more calcium and I am already taking so many supplements and I love cheese - I wonder if a partial dairy cut back is possible and have a similar effect?

    The fatigue is brutal.  I get Vitamin D tests all the time and the 2000 units a day seem to have leveled that out.  Some days I pop up like a pop tart and other days, I don't even hear the alarm - this with no changes in routine or meds or supplements or food.  I do know that at stage iv and all the se's - there are some that just are not going to change - the fatigue is one of them.  So, the time has come for living with the energy I have instead of using it up working.  Yep, I am getting ready to 'retire'.  I have acheived stable and would like to enjoy life in hopes of continuing to remain stable and having the energy to keep fighting and living rather than fighting, working and then trying to have a life too. 

    Super Woman has left the building...

    LowRider

  • kira1234
    kira1234 Member Posts: 3,091
    edited May 2011

    LowRider, You will always be a super woman to me. You have always given such good advice with such a great attitude. Now put all that energy towards staying stable and enjoying your life, you deserve it.

  • Enjoyful
    Enjoyful Member Posts: 3,591
    edited May 2011

    Caerus -

    :-D

    Aren't the side effects odd?  Every day is a fatigue/pain adventure and I just can't find the pattern.  It sure makes it difficult to plan and accomplish anything. 

  • susand
    susand Member Posts: 226
    edited May 2011

    I agree with kira1234!  LowRider, you have helped more people than you will ever realize with your sound advice, sence of humor, and "glass half full" attitude.  Enjoy, enjoy, enjoy, and stay stable so we can all "hang out" for years to come. You are a super woman.

  • Enjoyful
    Enjoyful Member Posts: 3,591
    edited May 2011

    (((LowRider)))!!

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