Anyone taking Curcumin AND Tamoxifen?
Hi --
I'm sure this has been asked before, but I really want to take Life Extensions Super Bio-Curcumin because I'm having some severe back issues. My sister takes it and it really helps with pain and inflammation.
However, I'm on Tamoxifen and I don't know if I can take it. I consulted my Onc's office today, and they said since they aren't sure about the interaction, that I shouldn't take it. She did recommend Condroitin and Glucosamine. She said that they refer to patients on Tamox. I don't know if that helps w/inflammation but I'll give it a try.
Anyone else taking Curcumin and Tamox? or Condroitin/Glucosamine?
Best,
Chrys
Comments
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Yes, I am. I cleared it with my integrative oncologist. Make sure you get one that has black pepper. It's needed for absorption of the curcumin. The one my doctor recommended is Meriva-SR (Thorne Research).
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I'm also taking tamoxifen and curcumin. My naturopath recommended the curcumin and my oncologist said it was fine to take it with tamoxifen. I'm also taking the Meriva-SR from Thorne Research.
ETA: I order it from Amazon.
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Ladies - has the Curcumin helped in any way; meaning any noticeable differences. The Lufe Extension Super Bio Curcumin supposedly has the highest absorption rate.
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No, not really. I'm not having any issues, though. I feel perfectly fine. I decided to take turmeric/curcumin (among other things) because it's one of the main anti-cancer foods recommended in Anti-Cancer, a New Way of Life by David Servan-Schreiber. (A great resource if you're not already familiar with it, by the way.) I also try and eat a good hot curry every week and add turmeric in cooking as well. It's great added to brown rice. (Just remember to add black pepper if you're cooking with it.)
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I wasn't having any particular issues, with the exception of wanting to prevent a recurrence of my cancer, so I haven't noticed any difference being on the curcumin. I first heard about it's importance from reading Anti-Cancer by David Servan-Schreiber and would also highly recommend that book. My library had it as well as a DVD he did that summarizes the book.
If the Life Extension brand is helping your sister, it sounds like a good thing to try. Hope you have a good experience with it.
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I wasn't taking any supplements when initially diagnosed, reducing my risk of breast cancer recurrence or new breast cancer are the primary motivators in any supplements for me. Curcumin and Vitamin D3 were the first I began taking. In fact, I am taking the life extension brand that you are considering - recently stocked up! - it does contain whatever is in pepper to aid absorption. I have never seen any reference to curcumin being contraindicated while on tamoxifen. It was highly recommended by a physician/presenter at a Breast Cancer Research conference which I recently attended. I wasn't experiencing aches and pains before so I can't speak for its efficacy in that regard. I would try it!
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Thanks ladies! I truly hope there is no contradiction! I'm going to try it to help prevent recurrence and my back issues/inflammation!!
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Chrys23, have you considered daily low dose aspirin? I'd certainly consult your physician, but there may be some potential benefit to asa in both inflammation and cancer recurrance.
I was trying to read everything I could find on tamoxifen and curcumin interaction, as curcumin seems to offer some (speculative?)potential for benefit. Next logical step is always to consider if there is some downside. The area of potential interaction is the metabolism of tamoxifen into its active form, endoxifen. The concern is that curcumin might inhibit the enzyme pathway that facilitate tamoxifen into its active form. Similar to the fears that women who tested for altered cyp2d6 genetics might not receive full benefit from tamoxifen (something that went to the wayside after a lack of proof of a link). Those enzymes fall into a group known as cyp2d6. It gets more complicated the more you look into, but I couldn't find any evidence that it does inhibit the necessary enzymes. It does interact with enzymes however. At the same time, its impossible to give it a totally clear go ahead, without some actual study of women on tamoxifen who consumed curcumin regularly. Unfortunately I couldn't find any such research. So to sum it up, it appears there is no clear evidence against it, but at the same time none to prove it safe for tamoxifen users. It's up to you to decide the level of evidence you need to make a decision. So I guess what I'm saying is that there is no definitive answer that I could find.
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There is a study from Korea, published in 2012, that showed in rats, curcumin inhibited the metabolism of tamoxifen into its active form. It's stuff like that, which bothers me, and makes me wonder if the benefit is worth the risk.
Effects of curcumin on the pharmacokinetics of tamoxifen and its active metabolite, 4-hydroxytamoxifen, in rats: possible role of CYP3A4 and P-glycoprotein inhibition by curcumin.
Source
School of Medicine, Research Institute of Life Science, Gyeongsang National University, Jinju, Republic of Korea.
Abstract
The effects of curcumin, a natural anti-cancer compound, on the bioavailability and pharmacokinetics of tamoxifen and its metabolite, 4-hydroxytamoxifen, were investigated in rats. Tamoxifen and curcumin interact with cytochrom P450 (CYP) enzymes and P-glycoprotein, and the increase in the use of health supplements may result in curcumin being taken concomitantly with tamoxifen as a combination therapy to treat or prevent cancer. A single dose of tamoxifen was administered orally (9 mg x kg(-1)) with or without curcumin (0.5, 2.5 and 10 mg x kg(-1)) and intravenously (2mg x kg(-1)) with or without curcumin (2.5 and 10 mg x kg(-1)) to rats. The effects of curcumin on P-glycoprotein (P-gp) and CYP3A4 activity were also evaluated. Curcumin inhibited CYP3A4 activity with 50% inhibition concentration (IC50) values of 2.7 microM. In addition, curcumin significantly (P < 0.01 at 10 microM) enhanced the cellular accumulation of rhodamine-123 in MCF-7/ADR cells overexpressing P-gp in a concentration-dependent manner. This result suggested that curcumin significantly inhibited P-gp activity. Compared to the oral control group (given tamoxifen alone), the area under the plasma concentration-time curve (AUC(0-infinity)) and the peak plasma concentration (C(max)) of tamoxifen were significantly (P < 0.05 for 2.5 mg x kg(-1); P < 0.01 for 10 mg x kg(-1)) increased by 33.1-64.0% and 38.9-70.6%, respectively, by curcumin. Consequently, the absolute bioavailability of tamoxifen in the presence of curcumin (2.5 and 10 mg x kg(-1)) was 27.2-33.5%, which was significantly enhanced (P < 0.05 for 2.5 mg x kg(-1); P < 0.01 for 10 mg x kg(-1)) compared to that in the oral control group (20.4%). Moreover, the relative bioavailability of tamoxifen was 1.12- to 1.64-fold greater than that in the control group. Furthermore, concurrent use of curcumin significantly decreased (P < 0.05 for 10 mg x kg(-1)) the metabolite-parent AUC ratio (MR), implying that curcumin may inhibit the CYP-mediated metabolism of tamoxifen to its active metabolite, 4-hydroxytamoxifen. The enhanced bioavailability of tamoxifen by curcumin may be mainly due to inhibition of the CYP3A4-mediated metabolism of tamoxifen in the small intestine and/or in the liver and to inhibition of the P-gp efflux transporter in the small intestine rather than to reduction of renal elimination of tamoxifen, suggesting that curcumin may reduce the first-pass metabolism of tamoxifen in the small intestine and/or in the liver by inhibition of P-gp or CYP3A4 subfamily.
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http://cancerres.aacrjournals.org/cgi/content/abstract/69/24_MeetingAbstracts/3098
Curcumin makes cancer cells more sensitive to tamoxifen according to this.
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Thanks for the replies everyone.
Heidyhill - what do you mean by sensitive? I couldn't open your link. -
I take it. I also take the Life Extension 5-lox Inhibitor. Life Extension is a good company...
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This means they are less able to survive and grow. I don't supplement with curcumin but used a lot of curry while I was on Femara for joint pain. Maybe ask your doctor if this is OK? Or get a second opinion on supplementing? Tamoxifen has been gentler on my joints so I haven't been eating much curry.
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Curcumin is also supposed to inhibit cells from becoming tamoxifen-resistant over time (a good thing).
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I take Turmeric capsules. My medical oncologist has not said anything about it; I haven't directly asked her, but Tumeric is on my medications list that she has. My naturopath thinks it's great that I'm taking Turmeric and is also supportive of the Tamoxifen, and didn't mention anything about Turmeric being contraindicated...
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Hi everyone,
I am still not sure if I can take curcumin c3 that includes black pepper while taking Tamoxifen. Can you please let me know if you are taking it and if your doctor approved it?
Also, what other supplements are you taking with Tamoxifen? Dim? indole 3 carbinol?
Any input is appreciated even if you can answer partially.
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FWIW, one of my second opinions suggested not taking anything more than the US RDA of supplements with my Tamoxifen. The reason: they will never get to the bottom of all the contraindications. I took her advice, but keep with my large dose of D, as I was quite low and struggle to keep it up.
Given the latest on fish oil, I generally believe anything you add in has some consequence.
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I read that the fish oil thing was flawed. I still believe in my fish oil. I did learn to keep it in glass bottle, and not to use rancid oil.
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I'd like to hear about the fish oil debate, Fran, as I still have a lot of it and I think it really helped my joints. Any info you have would be helpful.
I generally subscribe to the idea that food based supplementation is best, but having worked outside this country quite a bit, I'm here to tell you we have truly destroyed our food in the US.
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Green Pastures makes an authentic, highly regarded old world fermented fish oil...best to take with their butter oil for better absorption...great company! And, they welcome and answer any questions! Also is best for vitamin D and K.
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Newtobc, because you asked, I took DIM for about 2 weeks. It gave me moderate to severe hot flashes. To me, on a non-scientific level, that showed it was doing something to my estrogen levels. However, I was about to switch traditional treatments (from Faslodex to Tamox) so I stopped the DIM so I could monitor the SE of Tamox. (I'm very side effect sensitive). If I can tolerate Tamox, I plan to add DIM back.
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I came across this post while searching for Curcumin benefits. I gave my oncologist a list of all of the supplements I am taking and she said it is ok to take Curcumin. I take Jarrow Curcumin 95 500 mg every day. Does anyone else take this one?
I take several supplements (including fish oil, magnesium, EGCG, calcium, Vitiman D3 and glucosamine) and I hope they don't interfere with the tamoxifen absorption. -
Sorry, but you didn't understand the article.Please, read the next line after the bold phrase: "The enhanced bioavailability of tamoxifen by curcumin may be mainly due to inhibition of the CYP3A4-mediated metabolism of tamoxifen in the small intestine and/or in the liver and to inhibition of the P-gp efflux transporter in the small intestine rather than to reduction of renal elimination of tamoxifen"
This means that Curcumin boosts the bioabailability of Tamoxifen!!!!! Biovailability is: The proportion of a drug or other substance that enters the circulation when introduced into the body and so is able to have an active effect.
It seems you misunderstood the whole report. Curcuming, according to that article and other scientific studies, Curcumine and Tamoxifen are synergestic, that is work very well together: www.mdpi.com/1420-3049/18/1/701/pdf
http://www.sciencedirect.com/science/article/pii/S...
http://www.tandfonline.com/doi/abs/10.4161/cbt.11....
Please read carefully the studies and also the sources.
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Tamoxifen is a prodrug of 4-hydroxytamoxifen, meaning an enzyme in the body modifies tamoxifen to create 4-hydroxytamoxifen. 4-hydroxytamoxifen is 50-100 times more potent than tamoxifen in its anti-cancer effects. The authors hypothesize that the increase in tamoxifen bio-availability is a direct result of curcumin's prevention of tamoxifen being converted into its more potent metabolite 4-hydroxytamoxifen.
While I haven't had a chance to read the full article, based on the abstract Timothy was quite right in his assessment.
That said, there are always going to be conflicting results. Trying to sort through everything and decide how much weight to give to each result is the hard part.
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I hope I remember this correctly - somewhere there is a thread by a lady who had her blood checked before and while taking Curcumin (and Tamoxifen) and she found it did interfere with the Tamoxifen.
I was very impressed by her thread when I read it - although she is a study of 1 and I always say I want 15,000 people in any study - I was impressed with her thoroughness and she isn't a mouse. I hate studies done on mice.
I will keep looking for the thread and post a link to it if I find it.
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I found it:
The relevant post is the start of the thread - Maggs09.
I suggest anyone taking Curcumin and Tamoxifen also read JohnSmith's post in the same thread. He has a February 2016 update that would make me stop taking Curcumin if I was on it and has prevented me from taking Curcumin despite my doctor and pharmacist saying I could.
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My Dana Farber pharmacist states that both Curcumin and Tumeric interfere with Tamoxifen.
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When I asked about the herbs I take, my Dana Farber pharmacist recently stated that Cannabis (high THC, not CBDs), Elderberry, Echinacea,Valerian and Tumeric interfere with Tamoxifen.
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