TAMOXIFEN - NEUROLOGICAL SIDE EFFECTS?

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  • Chevyboy
    Chevyboy Member Posts: 10,786
    edited December 2011

    I know!  When we are almost begging them to help us, to just beLIEVE us, they just take their time getting back to us!   I just stopped the Tamoxifen, without my Doc's approval... I didn't get my hearing back, but "other SE's" might be helped by going off of the pill.

    I honestly wish I could still take it....Or any of the other ALS...but I'm just too afraid...

  • FLwarrior
    FLwarrior Member Posts: 977
    edited December 2011

    Blue Cowgirl, sorry you are going through all this!   I only took tamoxifen for 2 months.  I developed the hand/foot neuropathy, but always thought it was taxotere induced.  Perhaps it wasn't taxotere... perhaps it was tamoxifen??? Who knows??? (It is better now...not gone, but much better.) I had bearable hot flashes, not nearly as bad as some of the ladies here.  (However, the hot flashes are less severe and less often, now.) The HUGE problem I had while on tamoxifen was SEVERE DEPRESSION.  I stopped taking it and the depression lifted and thank heavens is now gone.  It was absolutely awful!  There was no way I could have continued, I stopped taking it mid-November and I am SO MUCH BETTER now!  I don't take the decision lightly, but it was the right decision for me.  I hope you get better very soon!

  • BlueCowgirl
    BlueCowgirl Member Posts: 667
    edited December 2011
    Just wanted to update that MRI is normal!

    I am so grateful for this but at the same time, struggling for answers...
  • PinkHeart
    PinkHeart Member Posts: 1,193
    edited January 2012

    BlueCowgirl~

    I'm sorry to hear you are dealing with this neuro issue on top of everything else.  I hope you get answers soon and that your outcome is good.

    How long has it been since you stopped taking the Effexor?  Did you wean off of it?

    I am officially diagnosed with "antidepressant withdrawal syndrome."  I have been off and on six different antidepressants over the past 12 years originally prescribed by a neurologist for migraine (Effexor, Prozac, Paxil, Lexapro, Cymbalta, Zoloft).  Even if I was weaned off of them, I had strange neurological effects from ALL of them including Effexor.  My main symptom was what they refer to as "brain buzz" or brain zaps."  They would be severe for 3-4 days, but continued for up to 3-4 weeks.  I also had various unpleasant symptoms during the course of taking antidepressants, not just while weaning off.

    At the time this first happened to me my PCP was perplexed as the drug manaufacturers did not recognize/acknowledge this was happening to patients, and it was not listed in side effects on the PIs.  Withdrawal symptoms are now listed!  

    To help wean me off the antidepressants, my PCP would switch me over to Prozac and then wean me down off that.  Prozac has a much longer half-life than all the others so this way the withdrawals effects would not be as severe.  Prozac is listed as the worst inihibitors of tamoxifen.

    I was on tamoxifen briefly (two weeks) and had markedly increased depression, and severe intense knee & hip pain.  I'm supposed to start taking tamoxifen again soon,  I learned that antidepressants inhibit tamoxifen.  I just fought my way through some severe depression (with therapy) as a result of not coping well with the BC Dx, complications from surgery, and ongoing pain. 

    I am not against antidepressants at all -- just wish that they didn't do what they do to me.

    Again, I wish you peace and wellness.     

  • PinkHeart
    PinkHeart Member Posts: 1,193
    edited December 2011

    Should you be interested, I recently started another post about side effects of Tamoxifen, and new literature revealing studies of the high rate of non-adherence of BC patients, primarily due to side effects.

    http://community.breastcancer.org/forum/78/topic/779963?page=2#idx_43

  • coraleliz
    coraleliz Member Posts: 1,523
    edited December 2011

    BlueCowgirl-Great news! Still no answers for your symptoms. Hoping you find some relief SOON! I think my neuro issues are easing up a little. Could just be wishful thinking. I'm seeing a new MO next week. Maybe I'll be told something different.

  • BlueCowgirl
    BlueCowgirl Member Posts: 667
    edited January 2012

    Hello everyone and Happy New Year! I really appreciate everyone's contributions to this thread. Thank you. 

    Heathersmom  - I am so totally with you on the SE vs benefit struggle. I am going to ask my MO about the Tamox metabolizer test, thanks for letting me know about that (or reminding me? chemobrain or Tamox brain, maybe I already knew that existed but not sure...so thanks! Written down now so will not be lost. I hope you are finding some relief from your SEs during your break, and please know that you are in my thoughts as you consider how to proceed.

    Chevyboy - So very, very sorry about your hearing loss. I am thankful that you are proactive in getting the word out! This is NOT something on the labels, not something the doctors tell you, etc. and I find it hard to believe this is "rare" enough to be omitted from the "real" medical literature! Look at the Wikipedia entry for Tamoxifen...No mention of even any of the very common symptoms like leg pain let alone less common ones...I am going on a little Wikimission, that's the whole point of that site right? Not to get on too much of a tangent, but you DESERVED to know that this drug could cause deafness. I am so sorry you and Merilee have to deal with this.

    Sbaaronsen,  I am interested in learning more about natural remedies not just for SEs but for treatment if neccessary...I am respecting MO's wish to not ingest "anything new" until I have gotten more input from a neurologist. I hope you find a combination of therapies that work well for you!

    Calamtykel - You have been through so much, I am so very sorry you have had to deal with all of this. Your post was such a good reminder to trust your body above your doctor...Sorry if I offend anyone here, but really - such a poignant example of that point! I did look at the cancermath calendar (thanks for the link) and according to that, Tamox chages my survival rate by about 15%-20%, and that seems pretty significant. However, that calculator confuses me a little - my pathology showed both ductal and lobular, DCIS, and cribiform (no option for all that on there!) and I am very strongly ER+, so I think my results may be even more dramatic than someone who was weakly ER+, right? A little confusing to me, but makes me not want to give up on Tamox just yet! Best wishes to you and thank you so much for your supportive words.

    Eulabt - Thank you for your kind words. Are your SE's still improving? Are you considering alternatives to Tamox? Whatever your path, I hope you are doing well.

    FL Warrior - The depression has been so hard for me too, I am so sorry you too have dealt with this. Glad to hear you are doing better!

    Pinkheart - My goodness woman, you sure have been through a lot! (thanks for link to other thread!) In addition to the neuro stuff, I to have been struggling with depression and severe knee pain which radiates both down to my feet and up to my hips. Blah. I hate that you have to deal with this too on top of everything else! I was only on Effexor for 5 days (or thereabouts) - when I was in the hospital, doctor took me right off it, so I don't know if I was on it long enough for a withdrawal reaction or not? What do you think? Best wishes to you, your attitude and strength are an inspiration to me.

    Coraleliz - SO glad to hear your neuro issues seem to be improving. Best wishes with your new MO and thanks for your concern and support.

    Whew, I hope I didn't miss anyone, because I have read and re-read everything here, and so appreciate every word of it. THANK YOU and big strong healing wishes to you all!!!

    My neuro function (self-testing, LOL) has improved pretty dramatically, though I don't know if that's because I'm taking 1/2 dose of Tamox or undiagnosed thing that's totally different. Sigh. Here's hoping it gets figured out, I am READY for NORMAL!!! Neurologist appt on Weds.

  • Chevyboy
    Chevyboy Member Posts: 10,786
    edited January 2012

    Morning gals...Bluecowgirl, that was so sweet of you to include all of us in a "personal message" on this thread!  I was afraid to even mention "hearing loss" because I didn't want to make anyone else afraid to take Tamoxifen, but then I thought, what if I talked about it, maybe this could help someone else who is losing their hearing? 

    I kept taking Tamoxifen for 2 months, after my one ear plugged up...And my PC treated it as though it was allergies...then the other one plugged up.  So two months after it started, I quit the Tamoxifen on my own!  I called the Onco on a Sunday, so afraid because I couldn't hear, & the stand-in said he had never heard of it... I didn't care, I wasn't about to take any more.

    Then when I saw Merilee ALSO lost her hearing, I PM'd her... She is a lot younger than I...I've read a few more women on this board that also have hearing loss.  She & I both have tried to make a change with the FDA, & have hearing loss listed as a SE.

    So just maybe, one of the gals on here, will notice that they can't hear as well, and stop Tamoxifen before they become deaf.  Our Docs don't seem to want to believe that this can happen.

    And YOU bluecowgirl....Having things going on in your head???  That would scare me to death. I had a brain-concussion when I was a teenager, & having amnesia for about 8 hours, then losing my memory of all of my school years....it's a wonder I can put a sentence together!   My brain healed, over many years....I was just living in the "now" for so long....the "now" started about the time I met my DH when I was 18.   So take care of yourself!

    All of the women you mentioned on here...and have posted.... My heart goes out to all of you, for fighting through your breast cancer, and all of the side effects!   It's such a bond we all share on this thread...

    Thank you bluecowgirl, for starting it.  Take good care.

  • Member_of_the_Club
    Member_of_the_Club Member Posts: 3,646
    edited January 2012

    Coming in late but withdrawing from effexor can have neuro side effects for some people.  Have you thought of going on another SSRI just to see if thats it?  

  • cycle-path
    cycle-path Member Posts: 1,502
    edited January 2012

    Bluecowgirl: If cancermath doesn't have your precise diagnosis, try inputting different parts of it and see what you get. For example, it doesn't give risks for someone who has both lobular and ductal cancer, so run it once with lobular and again with ductal and see what the difference it. (Probably not much.)

  • BlueCowgirl
    BlueCowgirl Member Posts: 667
    edited January 2012

    Member-of-the-Club - It's so hard to know what to do...my MO thinks I should go back on Celexa if I feel I need an SSRI for depression, but again, don't want to take something that is not compatible with Tamox. As long as I'm getting better, I am going to wait to see if things continue to improve...At least that's my plan, neurologist may feel differently. Is it really possible that I would have such severe withdrawal symptoms after only a few days of low dosage use?

    Cycle-path - Great (or chemobrained?) minds think alike: that's exactly what I did with cancer math and came up with a range of 15-20% depending on inputting different diagnoses. What I do believe is that I may likely get a stronger benefit from hormonal therapy than the average ER+ woman, since I am so strongly ER+ (95-100%) and there was no adjusting for that on the calculator at all. 

  • itsjustme10
    itsjustme10 Member Posts: 796
    edited January 2012

    Within 2 days of starting Tamoxifen I started having horrible side effects - to the point where I couldn't even stay awake, and about an hour after taking the pill, my head would get all strange - it's hard to describe - I wasn't dizzy, more light-headed, and everything looked fuzzy to me. 

     The most upsetting part was then the nurse-practitioner told me I couldn't be having side effects so soon, and to keep taking it.  So, I tried taking it at night (hoping to sleep through the worst of the effects), but that didn't work.

    I only took it for about a week, but it took about another week for the symptoms to even begin easing.

     I'm done with all the medical pills and side effects .. I've been researching the natural things, because this was just unacceptable.  And I didn't complain once during chemo.  This was 1000 times worse for me. :(

  • BlueCowgirl
    BlueCowgirl Member Posts: 667
    edited January 2012

    I am DONE with Tamoxifen. Time to explore alternatives. Chevyboy, I think we should keep this thread alive because I think it is so cool that you want to spread the word about deafness as a SE. Bless you.

    I will post more later...just too raw right now. Love and best wishes to all my sisters who had a reason to read this topic.

  • Chevyboy
    Chevyboy Member Posts: 10,786
    edited January 2012

    I just HATE when I am making a good point, & I stop to look up a word & I lose the whole * thing!

    As I was saying....We want to believe that Tamoxifen will benefit us, and supposedly keep us from getting cancer again, but there ARE women who are taking this and still get cancer.  It stands to reason that maybe it MIGHT help prevent ER & PR positive cancer from starting or coming back, but there are so many other types we can get!   It is a preventative, tool, that is supposed to help us after radiation or chemo....

    And a lot of women, on these boards have SOME side effects, but they battle through them.  But some of us have profound problems, and have to make it on our own!  We don't get much support from our Doc's either....

     It's up to us...like you itsjustme.....!  I know what it's like, talking to our team that are supposed to know a LOT more about Tamoxifen's side effects, but who can't fathom SE's like what we are having!   But since my team couldn't believe or help, I found it all out by searching on the Internet.  After I showed all of the reports to my Oncologist, and sent them to the FDA, AND the drug manufacturer...I just took matters in my own hands and quit that darn pill! 

    I'll never be able to hear like normal people again, but what else could I do?  I just wish the FDA would require drug companies to warn people of what COULD happen, & put it on the labels, so if those SE's started happening, we would know to STOP taking it. 

    Wishing you all the best....Take good care....

  • Chevyboy
    Chevyboy Member Posts: 10,786
    edited January 2012

    http://www.drugs.com/imprints/barr-904-1100.html

    This is the company that I sent my pills to... A phone call gave me their company name, after I described my pills....so I called them, and they requested more information AND the pills.    Haven't heard a thing.... Maybe what I was taking was different than the brand name Astra-Zeneca?  Maybe the generic is "different" from what Tamoxifen started out as? 

    And unless there are many more women who had deafness from Tamoxifen, a class-action suit is not even available....besides it couldn't bring my hearing back.

    And you know, I wouldn't want to take Tamoxifen away from all the women who believe in it, & who it might help!.....

  • sbaaronson
    sbaaronson Member Posts: 230
    edited January 2012

    Blue Cowgirl,

    I saw Dr Mary Hardy at the Simms-Mann Integrated Oncology center - UCLA. If you aren't in Los Angeles, I wonder if you could get a phone appt? She has me on a routine that makes the side effects, while definitely noticeable, less miserable. In addition to her herbs and supplements, I drink water in a way I never did before. Don't let yourself become dehydrated in the slightest. I think it makes a difference! I will say, because I do to my family and friends, there is no doubt in my mind that I traded much of who I used to be (in terms of energy level, sexuality and emotional health) for life. I am trying to cross the 2 year mark on Tamoxifen and re-evaluate at that point. 7 months in... 

  • cycle-path
    cycle-path Member Posts: 1,502
    edited January 2012

    justme: "Within 2 days of starting Tamoxifen I started having horrible side effects... the nurse-practitioner told me I couldn't be having side effects so soon"

    While most of the SEs I've been experiencing came on later, the constipation started after taking only two pills. So, quite clearly there are things that can happen almost overnight.  

    Chevyboy: "Maybe what I was taking was different than the brand name Astra-Zeneca? Maybe the generic is 'different' from what Tamoxifen started out as?"

    Astra Zeneca no longer makes Tamox. From what I understand, the "active" ingredient in all versions of Tamox is the same: "tamoxifen citrate." However, there are quite definitely different inactive ingredients in the pills that come from different manufacturers.

    We're discussing that issue here: http://community.breastcancer.org/forum/78/topic/780358?page=1#top 

  • Chevyboy
    Chevyboy Member Posts: 10,786
    edited January 2012

    Thanks cycle.... I found the link, & posted there....maybe we can make a lot more gals aware!  I had no idea THAT many different companies made "Tamoxifen".....

  • BlueCowgirl
    BlueCowgirl Member Posts: 667
    edited January 2012

    Well, it took me a while, but I finally feel ready to post about this. I was diagnosed by my neurologist with a "Cerebral Embolus with Infarct" - a stroke. My neurologist and my MO both feel strongly that there is a good chance it was caused by Tamoxifen use, so I have been off Tamox for a few weeks now. Neuro says my prognosis is good for full recovery - at this point, my balance has gotten significantly better, but I still have left-side weakness. I am about to start physical therapy to help with this.

    It's ironic, really - the buzzing in my head and the dizziness I first posted about, my neurologist maintains are NOT related to the Tamoxifen or the stroke and are more likely side-effects from SSRI withdrawal. So in effect, it was by sheer luck that I mentioned these symptoms to my MO, who gave me the first of many neuro balance tests that indicated a bigger problem.

    I'm not sure how to use what I've learned to help other women, but I have a strong sense that I need to. This may be a rare side effect of Tamoxifen, but there is no doubt in my mind that had I kept taking it, I would have had more strokes, more brain damage, possible death. How to warn others without being an alarmist? I don't know yet. I *do* know that I felt the need to share this, and will try and figure out how my experience can be used to help others...There is something there, of that I am sure... 

  • BlueCowgirl
    BlueCowgirl Member Posts: 667
    edited January 2012

    Bump for the daytime crowd :)

  • PinkHeart
    PinkHeart Member Posts: 1,193
    edited February 2013

    BlueCowgirl~

    I'm really sorry to hear about your stroke diagnosis, but glad that you have an answer and now recognition and treatment.  It spooks me a bit because of my history of migraine, SSDI withdrawal syndrome, and heart attacks.

    I assume your MO took you off of Tamox?  What did he prescribe in place of it?

    Blessings!

  • coraleliz
    coraleliz Member Posts: 1,523
    edited January 2012

    Tamox was just stopped for me due to dizziness & vision changes. Nowhere near as bad as your's, Bluecowgirl. Hoping your neurological symptoms improve soon. So frustrating & now your treatment plan is probably once again undecided. Take care.

  • peggy_j
    peggy_j Member Posts: 1,700
    edited January 2012

    Met with my MO yesterday and wanted to share a couple of pieces of info. She said that neuro SEs are more commonly associated with chemo (which I think we know). But other tidbits: she said if the tingly occurs on both feet it is likely to be systemic. If it's just one foot, it might be something local, possibly even a clot.  Also, she said that a lack of B12 can result in some tingling and it's easy to check (blood tests) and fix. I also had a few transient episodes of disequilibrium (on the days after flying). She said this is rare on tamox (of 100,000 patients, maybe a couple dozen might see it) and there's a question of causality vs. association. My symptoms passed but if they return she recommended I see an ear-nose-throat person to get that opinion before proceeding. Just an FYI in case this helps anyone.

  • coraleliz
    coraleliz Member Posts: 1,523
    edited January 2012

    I've been of the Tamox for 3 days now and the dizziness is almost all gone. Since I didn't have chemo, I have to think it's the Tamox. I can even turn over in bed without getting dizzy. I'm supposed to start back on 1/2 dose(10mg) in a week.

  • Narnia
    Narnia Member Posts: 1
    edited June 2013

    Hi Chevyboy

    My cancer is very similar to yours, 1cm, grade 1, stage 1, ER pr +her - and I stopped the tamoxifen because of neurological se. My onco said just stop taking it. Now I am worried about recurrence. Since ur post is from 2009, was wondering if ur ok and had no recurrence so far? Pls pls reply ASAP. I am so scared and worried . Thank u

  • serendipity3016
    serendipity3016 Member Posts: 1
    edited June 2013

    I am so late in this thread to comment, but it fit my search criteria. I was diagnosed w BC 5 years ago, had so many side effects w tamoxifen than I stopped taking it, and CA metastasized to spine and lungs. 7 months of Taxol, my oncologist took me off it bc I responded so well, I'm now 5 months out and have so many strange neurological symptoms, along with the typical ones, that it's driving me crazy. These symptoms had already commenced when I had my bone scan and CT at MD Anderson a month and a half ago, and those were all stable, my oncologist just urged me to use OTC meds for the joint pain. I've had the feeling of wind from a rolled down car window blowing in my ear, symptoms of sciatica in left side, weakness in right side (arm and leg), and if nothing is showing up in bone scans, it has to be pharmacological. I am so stressed out, I'm a physical therapist, so I know these symptoms are neurological, but my oncologist nor any of the online drug info wants to list these symptoms as SE to this drug. Help.

  • PotofGold
    PotofGold Member Posts: 1
    edited February 2017

    Merilee,I am so pleased to read your reponse I have felt this past week that I was imagining my hearing loss in my Left hear along with the dizziness, nausea and pain across the base of my skull and neck.  I wonder if you recovered any of your hearing?  Last night I chose not to take the tamoxifen, and today I have woken today brighter, I wonder what the other options are if I don't take the tamoxifen.  I had been taking my tamoxifen dose at the evenings and since November 2016. 

  • Moderators
    Moderators Member Posts: 25,912
    edited February 2017

    Hi PotofGold-

    Welcome to BCO! This is an older thread, and it's unlikely you'll get a response from any of the original posters. You might want to try posting in our Bottle O' Tamoxifen thread, lots of information there, and members who may have some insight: https://community.breastcancer.org/forum/78/topics....

    The Mods

  • cliff
    cliff Member Posts: 290
    edited February 2017

    I feell sorry for you, a pill called carvedilol got me, caused epalepsy like symptoms and got me almost banned from driving. that was for my congestive heart failure about 4 years ago. an adjustment from 35 to 4.5 mg fixed it. I have been on tamoxifan for around 19 months and havnt found any side effects from it, however, the exgiva once a month to keep my calcium from going does have a very painful side effect.

    one month, I had the shot at 4 pm, and woke from a dream at 6 pm that I was in a car wreck and my left side was crushed. the pain from the non existent wreck lasted for 6 days. not thats a "side effect"?

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