Stage III but stopped Hormonal Therapy
I' made the decision to stop taking my Aromasin. I've been on Arimidex, Tomoxofen and Aromasin. I just don't want to do the side effects anymore. It's been a few months since Aromosin. Will this really and truly make difference and make me more likely to recur?
Comments
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Shana-
I can relate to the negative side effects of the AI's. They can truely be terrible. I started on Femara and couldn't deal and now I am on Arimidex and its tolerable. NOt great , but tolerable. I know others who have had the opposite experience.
I don't know what you recurrence based on your stats. I am sure your oncologist could tell you how much risk reduction you get from AI's. For me , I get 25% reduction in my recurrency- I am stage 3a and node positive as well, a grade 2.
What does your Onc say?
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My Onc has a no estrogen in your system philosophy. I have a quality of life philosophy. Arimidex was the worst for me but the others were bad enough to go and try to live without them.
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You will be more likely to recur, but I'm sure you know that. Some people are willing to take the risk. I am not, but I am also not having serious SEs from Aromasin. Wishing you the best!
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How much more likely to recur if you use thins like I3C? I am finding letrozole made me utterly miserable as well as all the aches and pains etc but as 95 percent pos i need something.....
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I don't know Lily. I depend on research based statistics. Never heard of 13C.
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Tectonic Shift - I felt like you in the beginning but over the last 6 months have become progressively worse, pain, misery, depression, no real quality sleep (and I don´t get that with drugs either), feeling like an alien trapped unable to move, not myself at all, first 4 months on this were fine......and i was so relieved as want the protection but the cost was increasingly high and last few months been hell
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I completely understand where you are coming from, I'm so tired of feeling bad. I still have fears but the further away from BC I get the more I want to do the same. I've thought the samething myself....is it worth it and truely going to matter, am I just filling the pockets of the medicine company, is my BC mutating due to taking it...who knows. Maybe taking it is just a false sense of security and thinking I can still control this monster. I hope I'm as brave as you are one day, I'm not there yet but I wish you all the best with your decision and good health.
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It's bad enough being past menopause and feeling hormonally depleted. So why do I want to feel worse on the AI's. I may feel more like taking them if I were younger but at this stage of my life I don't want to spend the last decade or so feeling like crap.
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Such a relief to know i am not alone! I dont drink coffee and its only letrozole that leaves me so fatigued, just get normal tired now if not enough sleep, totally different......i am wondering about taking half a pill each day as i am someone who needs lower doses of other drugs as i get side effects from standard doses but would they do anything? Also evidence is emerging that its the kind of oestrogen and the balance that matters rather than creating a no oestrogen environment......
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No fizzy drinks at all either! I do everything you are supposed to and supposed not to......it is definitely the lack of oestrogen......
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One had to balance whether they can handle the SE of the meds, rather short term, or handle recurrence and possible mets and more treatment plans long term. I have chosen the first. I am on tamoxifen but also a compatible anti-depressant that took care of SE...but if you have thought it through, then the decision is up to you. Since you asked if it would make you more likely to recur....yes. That's why the anti-hormonals are used and can reduce recurrences about 50%. No one knows if and when something will happen....but you just have to weight risks and benefits. I don't see chemo as a therapy either. I'd be a bit scared. I have had BC twice; the first time no tamoxifen, second time, started taking it as soon as I found out.
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I think age as a lot to do with it. I was 34 at dx and have many more years to go...hopefully, hence the Aromasin
If I was older I'd be more likely to take a chance too Barb, I don't blame you at all.
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I'm 54 and I'm hoping for another 30 to 40 years. I take my letrozole faithfully. I do not want a recurrence. I figure that there is no side effect that would be as bad as mets, further chemo, complications from mets and death. I have hot flashes and lots of joint stiffness. That's about it. Really at this point my fear of recurrence is my biggest psychological battle.
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I can understand quitting when you are in such pain. I was having such joint pain I could hardly walk on
Arimidex. Taking Apple Cider Vinegar helped quite a bit, but it was still bad. Finally, I decided to go
gluten free for one week to see the difference. IT WAS A MIRACLE for me! Joint pain lessened by
about 80% and all of my other SEs have lessened dramatically. I highly recommend giving it a test trial!!
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I am thinking of halving the dose as i am very sensitive to all kinds of medications and need lower doses for many, has anyone else tried this?
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Lily - on tamoxifen but for a while before doing diep reconstruction, I had to quit all meds, including tamoxifen for about 6 weeks. I still wonder did that hurt me to not take it during that time. But now have really, really bad foot pain when walking, cramps in both feet constantly. I work out 3 x a week at the gym but still have the awful SE's/cramps.
Elizabeth: what determined your doc to put you on something other than tamoxifen? My onc said since I was on the "borderline" into menopause, she wants me on tamoxifen for another 5 yrs. And from what SE's I hear others on femara and arimidex have, I hope to stay on what I'm on.
Shanagirl: I do get why you want to stay off hormonals. It's your call - not anyone else's.
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Thanks everyone! I just went thru total knee replacement and went off the AI's during the whole ordeal. I'm now feeling great, walking 2 miles a day and just have the normal joint aches for someone who's just turned 64. I can't imagine going back on the AI's and going thru the extra bone pain, dryness, vaginal atrophy, brittle nails and hairloss, all during this part of my life. I want to try and go it without the AI's. But I will have a heart to heart with my Onc..
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ShanagirlBarb sounds like you have made the same decision as my mom did. It's a tough one, but has worked for her so far.
She was diagnosed with BC in Jan, 2011 at age 68, went on hormone therapy in Mar, 2011, and had a unilateral MX in April 2011. Despite being Stage IIIb and having a high Onco score, and despite being recommended to have chemo and rads after surgery, she decided to not do the chemo and rads, and only to do HT which she did for 11 months. In Feb 2012, she went off the HT completely due to severe SEs with all three types that she'd been prescribed. I thought then that she was making a huge mistake, but hey, it is her decision.
For her, it was all about the lack of quality of life that she was having due to side effects with the HT. Fast forward now, she's almost 70 and she's doing well -- still NED!! I am so thankful for this as it has been a huge concern that she's flying by the seat of her pants, but so far, so good.
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I think this is such an individual decision. So I was on arimidex for 6 years. The side effects were rough. Went off after 6 years .!! 4 years later mets to spine. I had few years without side effects. But ended up with mets to spine. Back on femara Not easy but I feel ok getting off AI when I did. There is no for sure. You do what works for you
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Hey Barb!
Hope you don't mind me popping in here. You have tried so very, very hard to stay on the hormonals and put up with significant side effects. I completely agree with you that QOL is very important. In my case, I got bone mets despite being on tamoxifen. I won't go into the details but instead just wanted to reinforce that each of us is unique. Our cancers are unique and what we need to do to reduce risks are unique. So if you don't earnestly believe, with all your heart, that the hormonal treatments are keeping the cancer away then it is your decision to stop taking them. Your onc cannot guarantee that you won't get cancer whether you keep taking them or not.
Back when I was stage IIIc I really felt, deep in my heart, that I still had cancer cells floating around. I felt the genetic tie between myself and my sister was very strong so her experience really influenced me to believe that stage IV was a real possibility. I tried Aromasin until I was getting to the point of needing a cane or walker. I would have gone through all the hormonals if given a chance. But for me it just didn't matter. I do have to say that the bone mets were worse than any SEs from the treatments but they are now under control and taking pain meds everyday allows me to have a pretty active life.
Do what your heart tells you is right.
Wishing you the best!
Christy -
I had early bc in 2006 and tried all the AI's over a period of months and went off them without consulting onc. I was diagnosed with mets last year and the six million dollar question is if I had continued AI's would I have got secondaries? You can't live with regret, just have to stand by your decisions.
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