Start Tamoxifen-April/May 2011

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  • TonLee
    TonLee Member Posts: 2,626
    edited May 2011

    Randi,

    Taking it at night really keeps me from feeling tired during the day...hope it works for you too.  I want to attribute all my aches and pains to Tamoxifen, because I don't want to think it's mets....hopefully it was just a muscle spasm...I dunno.

  • TonLee
    TonLee Member Posts: 2,626
    edited May 2011

    Oops....I just looked at my pills....I've forgotten to take Tamox for the last 9 days (I put my PM meds in a container and must have forgotten to add the Tamox).....back on it tonight....

  • Rennasus
    Rennasus Member Posts: 1,267
    edited May 2011

    MDG (Maria), welcome to the Tammy party! I have been on it since March 24.

    I was perimenopausal prior to BC (have had hot flashes off and on for the past 2 years). My last period was Dec. 31st. The Tamox made the flashes a little worse (it takes me longer to cool off) BUT the hot flashes occur less frequently. That is the good news! Also, my aches and pains have resolved, as had my dry skin. What my doc said seems to be true....the SE's work themselves out.

    I am still playing with the time of day I take the Tamox. It def. makes me more tired when I take it in the AM. But I still need the Xanax at night to fall asleep, even when I take Tamox at 6PM.

  • Rennasus
    Rennasus Member Posts: 1,267
    edited May 2011

    PS to TonLee: That was happening to me when i was taking them at night too! I was forgetting to take it! So I switched back to the AM, taking them an hour after my Synthroid... but may go back to evening, as I can feel the difference in my energy level...

  • TonLee
    TonLee Member Posts: 2,626
    edited May 2011

    Renn...glad to read you're doing well!  WOO HOO!

    Since I forgot to take my Tamox, I have to wonder now if the Glutamine is helping my joints...lol...guess I'll wait and see....

    Welcome Tammy!

  • Randi64
    Randi64 Member Posts: 177
    edited June 2011

    Hi , Is anyone feeling anxious or depressed since starting the Tamoxifen? A few days ago I started feeling very anxious and a bit depressed. I did call my onc who said this can happen,YUK! Never depressed or anxious before and the feeling is just awful! I may start on an antidepressant to see if that helps as I would hate to have to stop the Tamoxifen!

  • TonLee
    TonLee Member Posts: 2,626
    edited June 2011

    Randi,

    I've read about women on Tamoxifen suffering from depression because of Tamox (on other threads)....so yes, it is def. a SE for some.  If you just started...you may want to consider waiting a few months to see if it works itself out....I've also read a lot of the SE's the first few months tend to dissipate with time.

  • Rennasus
    Rennasus Member Posts: 1,267
    edited June 2011

    Randi, could it also be "post-treatment" blues...? I don't know where you are at with your surgeries and treatments, but if tamox is the last link in your BC chain, sometimes we can start feeling anxiety or depression that we have been suppressing. I agree with TonLee, give it a few months to see if the feelings are temporary. The majority of my SE's from Tamox have gone away in the 2+ months I have been on it. Only the fatigue has stayed with me!

  • Latte
    Latte Member Posts: 1,072
    edited June 2011

    hi everyone, just found this thread. i started tamox at the end of March. In the beginning I had extreme thirst and constipation - both of which are gone now, and nightly leg cramps (I take magnesium every night which keeps them mostly away). The only SE I have remaining is that I can't sleep - i find it really hard to go to sleep and then i wake up after a few hours - i am a single parent with a 3 year old, so i don't want to take sleeping tablets. I am taking melatonin, which worked in the beginning but i guess my body got used to it because it doesn't help any more. but all in all, this isn't as bad as i thought it would be.

  • Randi64
    Randi64 Member Posts: 177
    edited June 2011

    Thanks for the replies. This is the last leg of my treatment as I have completed chemo and BMX although have to have exchange surgery in July, I guess it could also be Post-treatment blues,just have never felt so down and anxious. I was thinking I was doing so great on the Tamoxifen and then bam, just a few days ago...Thanks again for the support:)

  • wenweb
    wenweb Member Posts: 1,107
    edited June 2011
    Latte It seems from other threads I read, that people increase the melatonin dose when it no longer works.  There is a Malatonin/Vitamin D thread where there are some that take up to 20mg a night.  This is not just for sleep of course, but it seems that you could try taking 1 1/2 or 2 tablets to see if that helps your sleep.  Also, I have read that the Melatonin can cause a fit full sleep, which I guess would be the experience I have had with it.
  • TonLee
    TonLee Member Posts: 2,626
    edited June 2011

    Welcome Latte...my hubby takes melatonin to sleep....but not regularly so I guess he hasn't built up an "immunity" to it.

    QUESTION.

    Dizziness.  Anyone having this?  I've never been dizzy in my life....it's the kind of dizzy you get before fainting....never done that either, but been close a time or two.  It's getting really bad....dizziness and vision distortion.

    Weird.

  • Rennasus
    Rennasus Member Posts: 1,267
    edited June 2011

    TonLee...I had 2 bouts of dizzyness last week. (NOT the kind you get when you drink too much, but the kind that feels like vertigo.) Is that what you are experiencing?

    Randi: Give Tammy a little time. {{{hugs}}} 

    Latte: I have had insomnia from Tamox and also extreme tiredness. If you are taking it at night, try taking it in the AM. Some women also split their dose in half and take it AM and PM. I haven't tried that yet, but I may! 

  • GirlFriday
    GirlFriday Member Posts: 461
    edited June 2011

    Just out of curiousity, when did your worst SE's start. I've  been on Tamoxifen since May 19...and although I feel "off" and have had to take the covers off and on most nights, I haven't had a true hot flash or anything else.  Is there a "therapeutic level" Tamoxifen has to reach before SE start?

  • Rennasus
    Rennasus Member Posts: 1,267
    edited June 2011

    GirlFriday: There is a test you can have done to see how well Tamox is metabolizing in your body. I haven't had it yet, but I plan on getting it when I see my doc in a couple weeks.

    For me, the SE's came one at a time, resolved, then another presented itself. Initially I had excessive thirst (and excessive urination). That lasted about a week. Then insomnia. Then I switched to taking Tammy at night, but then I had extreme fatigue. THEN I had itchy dry skin (that was the worst SE for me). All of my usual moisturizers irritated my skin. So I switched to cocount oil for a couple weeks until the SE abated. No I am using a "natural" moisturizer that has aloe in it and my skin is back to normal. I also had a little vertigo as I stated above.

    My hot flashes have changed since I have been on T. Before they were frequent and fast (I am 52). Now they are less frequent, but it takes me a LOT longer too cool down from them. That has been a consistent SE since I started taking it in late March. 

  • Latte
    Latte Member Posts: 1,072
    edited June 2011

    Girlfriday - apparently it can take around a month for SEs to show up - i've been on tamox for just over 2 months, and said to my dr the other day that i was still waiting for the hot flashes to hit - he told me that i could stop waiting, and if they haven't hit then they won't (I had an ooph just before i stareted tamox too)

    rennasus - i was looking into the tamox metabolism test -from what i could find online, and my onc confirmed it for me - it's not the great predictor that they originally thought, and is now  not recommended as much as it used to be. About AM or PM, I am already taking it in the AM, and still have trouble sleeping. Although I think that this site and Facebook probably are equally as much to blame as the tamox :-)

  • GirlFriday
    GirlFriday Member Posts: 461
    edited June 2011

    Ha Latte!  Love the FB and BCO ref for interupting sleep!  I heard the metabolizer test is not used as much either. My onc said it was not something she does any more. I'm almost 38, and I just figured I'd have hot flashes, as they seem to be the most common...I would consider I have night warm flashes, but nothing to write home about.  I take in the am...insomnia has been prevalent in my life for years, but I haven't noticed an increase since I started.  I guess time will tell. 

  • wenweb
    wenweb Member Posts: 1,107
    edited June 2011
    For what it's worth, my first and now my second onc both poo pooed the idea of the Tamoxifen metabolizer test.  My BS however kept bringing it up during the conversation of whether I should switch to Tamoxifen from Arimidex.  Finally, I asked him if he would order the test.  He said he would, and he did in spite of saying that everyone would think he's crazyInnocent  Turned out that I'm a half metabolizer, which I think accounts for something since the results could have been different ie: that I'm not a metabolizer at all.  It's still okay to take Tamoxifen even if you are a half metabolizer, but it could have gone either way.  My BS is my hero and also my favorite BC Dr.
  • Rennasus
    Rennasus Member Posts: 1,267
    edited June 2011

    Latte, I agree! LOL!

    wenweb, thanks for sharing that! I'm gonna still ask for it. But I'm gonna still take my Tammy.

    BTW, has anyone had fewer SE's by splitting the 20mg pill in half and taking 10mg in AM, 10mg in PM?

  • wenweb
    wenweb Member Posts: 1,107
    edited June 2011

    I've been a bad bad girl.  I've only been taking 10mg for the past 3 days.  Since I'm a half metabolizer, I wonder if that means that I would only metabolize 1/4??  Hey, I only weigh 95 pounds.

  • mrsbeasley38
    mrsbeasley38 Member Posts: 62
    edited June 2011

    browless grumpy old women .....i like that Kiss  funny

  • mrsbeasley38
    mrsbeasley38 Member Posts: 62
    edited June 2011

    I have been experiencing knee soreness and stiffness after being on Tamox for 2 months.  I hope it goes away.  I did start taking the glucosamine and chondroitin too.  will let you all know if it helps.

  • TonLee
    TonLee Member Posts: 2,626
    edited June 2011

    Mrs B,

    My knee pain comes and goes...hopefully the glucosamine will help...

    I am really feeling the rads....I am so much more tired at night now...can't stay up past 10 pm without falling asleep on the couch....and ~ahem~ I'm a bit of a grump when I'm tired...so, everyone has been getting the sharp side of my tongue....I didn't realize it (and still don't honestly) until my husband made note of it last night while watching movie

    I mean really, WHO eats popcorn for 2 hours!!  All that crunching, and digging around in the plastic bowl for the perfect piece, drives me insane!!  Just EAT IT AND BE DONE ALREADY!!

  • pejkug3
    pejkug3 Member Posts: 902
    edited June 2011

    Bwahahahahahaha! 

    TONLEE, that just made be laugh.  I haven't even started rads and I'm a grump.  My family better lay low for a while.  ;)

  • mks16
    mks16 Member Posts: 415
    edited June 2011

    Hi all!

     I thought I'd join this thread, although I am trailing behind you girls by a month or more, but your SE are fairly recent and that should help.

    I took my first Tamoxifen yesterday morning, exactly two weeks after my last Taxol. So far I hate it. A mild but persistent headache started few hours after the first dose and its still there, even after extra strength Tylenol. I had hot flashes from Taxol, but they seemed to last longer last night. Lots more sweating and chills too. 

    How is everyone doing with weight management, considering it's been a month or more since you all started Tamox?

  • ShannonR
    ShannonR Member Posts: 307
    edited June 2011

    mks16 - I just found out that my chills I kept experience were a TX SE.  I kept thinking "is this my anemia, my thyroid ?"  Then my ONC said it was related to the TX.  So I am either warm, sweaty or freezing.  My hot flashes are not so hot...more warm and they kind of make me dizzy.  When I drink alcohol, they do get hotter I have noticed.  I totally dont sleep.  I am trying melatonin (which is good for people with ER positive anyway) and researching black cohosh, Evening Primrose Oil etc.  Trying to stay away from pharmaceuticals for now but I may be fill all those scripts for Xanax, ambien etc.  Anyone else use Clonidine ?  I have heard this blood pressure medication is good for TX SE's. ? So glad to find this board !

  • TonLee
    TonLee Member Posts: 2,626
    edited June 2011

    Mks, no problem on the weight front....but I am almost done with radiation (which uses more calories) so we'll see....

    Shannon, the sleep thing is hard....I take 500mg of Magnesium Citrate..something we need anyway..it helps me sleep and keeps me "regular" lol....

    My hot flashes have decreased in severity over the last few weeks, but my joints still hurt.  My hip hurts now, and that's never been an issue....someone mentioned it might be rads....again, we'll see :)

    My husband used to take Clonopin.  Is that what you mean?

  • TonLee
    TonLee Member Posts: 2,626
    edited June 2011

    Just want to add...probably the WORST SE so far is the short term memory loss.....it is HORRIBLE....I leave water running...forget to unload groceries.....one distraction and whatever I was doing is forgotten.....I HATE THAT!

  • mks16
    mks16 Member Posts: 415
    edited June 2011

    I've been experiencing some short term memory loss already... I attribute that to all the stress we've been through, not too happy that there's more of that to look forward to!

    Shannon, I haven't heard of Clonidine before. I used to take several high blood pressure medication, but lately with all the talk about how some of them cause BC recurrence, I've only been taking beta blockers and its not enough. I will talk to my cardiologist about introduction Clonidine to my daily drug menu, as it seems to be harmless enough. And if it helps with Tamox SE, all the better!

  • wenweb
    wenweb Member Posts: 1,107
    edited June 2011

    Since I had hot flashes before I even was diagnosed with BC, I found that the chills came after a hot flash.  Makes sense that you get hot (and maybe break a sweat), and then become cold.  That's why it's covers off, covers on...will it ever end??

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