Bringing in 2014 with Tamoxifen!
Comments
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Kruise you mention iodine drops. I'm not taking any. What's it for? My biggest complaint is thoracic back pain which really feels mostly like muscle spasms. Had a break from it yesterday. Got lots of rest recovering from surgery.
I get mood swings as well, and snappy. Then so sad. And I feel almost guilty when my mind moves away from the cancer for too long. Like I should never forget. I won't. I know I'm blessed to be here.
Thanks for all the awesome smoothie ideas!
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Hi, all--I'm in the same boat...well, I haven't started taking it yet, but it's waiting for me in the cabinet. I'm quite nervous about the possible SEs. Can anyone recommend (a) whether to take it in the morning or evening--or midday; and (b) whether to start it at a particular time in the menstrual cycle (if you're still having periods)? Thanks in advance--and good luck!
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I started Tamoxifen mid-November after a bilateral mastectomy. When the oncoType DX came back negative, my oncologist reminded me it was time. I picked up the RX. I read through all the literature. I then did not take the pill. I needed another night to sleep on it. I realized I had NEVER started anything in my life that from the start required a commitment for at least five years. Certainly never a medication. I was surprised, at first, about my reaction. But realized it was okay to take a day and let all those words settle before I started the pills. And as I sat with it I thought about relationships that have lasted at least five years--my job, my partner, my undergraduate degree....The first couple of weeks were rough only because my body's reaction was to then have a two week menstrual flow. I have never bled for two weeks before. Then the bleeding ceased and has yet to recur. My biggest challenge since then is to remember to take the pill twice a day. I have messed up timing a couple of times and missed a dose completely just once. I try to take it at 8 a.m. (at work) and 8 p.m. (at home.) My acupuncturist who was treated for DCIS refused the initial recommendation for Tamoxifen and eventually got medical support for her reluctance.
Thank you for starting this topic...it is good to know others are out there.
Ponyo
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Any ladies out there this morning? I could really use your help! I had IDC in right breast and chose bilateral mastectomies. Nodes are clear, and margins are clear. I did chemo before the surgeries. So why should I take Tamoxifen. I am asking because today I meet with my MO. I know she encourages Tamoxifen.
I am 38 yrs old, still wanting my first child. I did chemo, got rid of both breasts, and have no evidence of disease now.
My heart is telling me that I should not take this drug. It will put me into menopause, cause horrible side effects, and may even increase my risks of having some problems gynecologically.
I cannot find any research on the drugs use as far as mets go.
I do not want this drug. Why are the doctor's trying to scare the hell out of everyone by saying that it will increase my chances of survival and avoiding mets?
I cannot give her an answer today, nor will I fill the prescription, no matter how much she tries to push it.
Again, I'm 38, had bilateral, all is clear, stage 2a, grade 2, no node involvement and want a child.
Please help! I leave in a couple of hours for my appt.
Thank you so much!!!
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I'm not an expert Bud. I am similar to you in that I had a MX and no nodes were involved. In my case, I did have a high oncotype test, so went ahead with chemo and am now on the tamoxifen. It is the right plan for me, I want to throw everything I can at this horrible disease.
Having said that, in your situation I would definitely question taking the Tamo now. Is there any chance that you could go through a pregnancy and then afterwards take the tamoxifen. My take on it is that you are young, may have a child, and you should do everything that you can to prevent a recurrence. Tamoxifen is a fantastic drug, despite its SEs. We are fortunate to have it in Our arsenal.
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budrfligal13, don't take the Tamoxifen.
Simple as that. It's not required.
I'll stand beside you and support you.
Not taking it doesn't mean you are irresponsible, or want to get cancer. Tamoxifen is a CHOICE. YOUR CHOICE.
You've already made one of the greatest sacrifices a woman has to make: her breasts. Why should you go through the turmoil of a daily drug like Tamox.
My story, briefly: I turned down Tamox in 2008, after Stage I lumpectomy. Cancer recurred. I have Stage IV now. Would I do things differently, if I could do them over? No way! I had almost 4 drug-free years. I know I'm an oddball. ... But the way I see it, my cancer is being treated with Tamoxifen now, so the drug is useful to me now. I honestly could not have handled these side effects if I was taking it as a preventive.
Doctors shouldn't force patients to feel that any one treatment -- surgery, chemo or pills -- is absolutely the only choice. I had one doctor who made me feel like sh*t for not having my ovaries removed. Another said I was foolish to turn down chemo. My current doctor at a world class hospital says chemo would probably not help me at all.
Different doctors, different opinions.
Do what makes YOU feel OK.
Saying no may be the healthiest choice of all.
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Hi everyone,
Kruise; Thanks for starting this thread..
Bud; there is a thread about getting pregnant after treatment. I think it goes into the question of tamox and this issue. Might be called, Ladies in your thirties wanting to have a baby..Or something along those lines.. Good luck.. As with so much to do with this disease it seems there is no 'right' or 'wrong' decision. Just the right one for you.. From what I have read, getting pregnant is ok after treatment, and could be a good thing.. Being past all that, but still well able to remember the yearning, I wish you well..
Glad to hear Michelle that tamox is treating you ok..And that you feel better on it than the other drugs..
I have been taking it- the tamox since mid August. Have been in menopause since chemo. Right after I started taking it; or maybe I had a virus from weakened immune system post chemo; anyway, had a sinus infection with a sore throat for six weeks or so. Was really unwell..Had a few courses of antibiotics etc...Finally got over that, summer here in Aus so that could've helped.. However, I find that I now have ongoing sinus problems and a persistent slightly sore throat. Not every day, maybe every few days. Feels like I am on the verge of getting something.. Wondering if this is tamox.... Also....Seem to be more susceptible to feeling the cold now.. Anyone else notice this?
Only other concern is that I have been having pelvic pain, however, this could be irritable bowel symptoms. Had IBS years ago, which now seems to/could have flared up following treatment... Am going to have a pelvic scan in February after my kids go back to school as I know, with tamox there is an increased chance of uterine problems.
Hot flushes; tick., night sweats; tick..
Weight gain or loss.. Neither..
Sorry to go on, have now been taking the tamox for six months, so am interested in hearing all your stories..Can't complain to my kids or friends, of course, am grateful for the medical treatment and for being here. But would be keen to hear if anyone else feels these physical effects..
Thanks for being there everyone..
Ingrid
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budrfligal13 - you haven't told us what percentage estrogen or progesterone positive your tumour was either - as I feel like that makes a difference on deciding whether it will benefit you long term. If my tumour had been 100% er+ then that would be a huge factor in my wanting to take Tamox. If the percentage is lower then the benefit is less. In my case the whole taking it thing was questionable too - because of the type of tumour but my onc told me there was benefit and I did a lot of other questioning and research about it. I'm 45 now though and had my children so not worried about menopause so much etc. My theory is I take it one day at a time - not look at it as something I must take for 5 years. Any sign of it affecting my quality of life or se's impacting me - I will stop. Even my rad onc said to me the other day 'take it for a couple months, then stop taking it for a month' and see how you feel. They are very relaxed about it. I just wanted to know that I had tried everything and given it a go. It is a terribly hard decision though and it will keep going round and round in your head until you are adament you have made up your mind. TarheelMichelle hit the nail on the head when she says she can look back and ask 'would I change anything - and answer with a no' - whatever decision you make you need to be able to live with it whatever happens.
Ponyo - you mentioned you were taking yours a couple times a day. Are you splitting your pill to do that? Or are you taking a lower 10mg pill twice a day. I am just taking one 20mg pill once a day. Have forgotten only once about it and took it quite a few hours later so took me a few days to get back to my normal time. Mine says 'take with food' - no wonder it can cause weight gain then. Lol.
CecilaVera - I take mine around 3pm. (I figure I will usually have food in my stomach then) and I am always awake etc. I weighed up the pros and cons for morning and night (main ones being it can keep you awake if taken at night and it can give you nausea in the morning) and decided on 3pm. It seems to be working so far - apart from the day I forgot! :-)
KatiAK - iodine is like an antedote to radiation. It helps with the radiation clearance from the body too - which gave me a lot of back and neck pain. I've also read a lot that iodine deficiency in women is one theory why bc is so prevalent. It would be best to see a natropath or herbalist near you to get on a plan for taking it though - as they can test you for the correct amounts etc. I hope you start to feel better soon - I know mood swings etc is a typical menopause se - but try and do something every day that makes you happy.
Hope everyone is doing ok and that so far January is going as well as it can be. We have a new little niece born on 2nd Jan so that is exciting - haven't met her yet tho. Also had a shock to find out a past school friend passed away suddenly on New Year's Day with an asthma attack. She had been so lovely and positive to me last year and told me about how she had been through treatment for cervical cancer in the past and then that happens. So we really do have to just do the best that we can and appreciate the moment.
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Hi Kruise we were on the fall radiation group together If im not mistaken. Day 10 on Tamox and my periods were delayed by a week and I feel all different. Ive put on weight and cant seem to loose and d worst part is insomnia. No matter how tired I am and sleepy too I get up 2 to 3 times sometimes with due to hot flashes and sometimes just because of a nightmare? And the fatigue as well. Atleast while I was on radiation I could still go to the gym. Now Im jist always tired. Anxiety! Is anyone suffering with that se? I feel like Im 60 instead of 42😭😭😭. Have any of you had to do your mamo ultrasound 6 months after your surgery? My Oncologist has asked me to do it but my breast is still so tender and I get the sharp shooting pains too at times. Wonder how Ill get thru them squeezing the life out of my breast during d mamo.
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Hi all! I started taking Tam dec 10. I had immediate hot flashes/night sweats, and joint/bone pain. Super fatigue. I was already in chempause still, and I suppose I will just stay there. At 38- I am not happy about it, but don't plan on having kids and want to do what I can to prevent recurrence and mets.
We are all different, so have to weigh different benefits and risks. It isn't easy to navigate cancer treatment or maintain quality of life with all the different dos and don'ts associated with treatment, but we have to make the best of it, right?
I hope the SE's lessen a bit, so I can get active again.
Best of luck to us all!
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So I went to my MO on Monday, which is 3 men. They're great, they've been wonderful thru this entire deal. But ... They're men so .... not too sympathetic in the "hot flash" department. Anyway they've decided the back pain has gone on long enough. We've scheduled a bone scan. My surgeon had felt that would be overkill since my cancer was small with no lymph involvement. But my onco score was 34. That's pretty high. My MO isn't very worried but wants us both to have peace of mind. It still makes me nervous. Every test makes me nervous. But - today was a good day. Minimal pain and my son's high school team won their hockey game ( and my son scored!).
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That's a good plan KatiAK - having the bone scan will let you know one way or the other. Let us know when you are scheduled to get it done.
Hi Lav - yes we were/are on the Fall Rads group. What a great help that was at the time. I still get pain in my radiated breast too - and at times I really do wonder what's going on in there as it feels like it can only be bad news yet I have had my mammo now - it was in December - so 10 months post surgery. It was tolerable. I was glad to get it done and see my specialist.
I know exactly what you mean about feeling old!!! I get up in the mornings and am so stiff and decrepit!
I'm not too bad with the Anxiety thing - there are moments but I have generally become very accepting of everything - whatever may happen. Maybe meditation or yoga might help you?
I wake a lot in the night too and know I just don't sleep as well as I did - and yes the hot flashes are still going strong during the day. Night time better - and certainly not as bad as when I was going through chemo.
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Hello everyone. Started tamoxifen on Dec. 28 and have mild hot flashes easily solved by dressing in layers. Also now my hair is grown in but very short that keeps me cool. I avoid my wig unless I absolutely need it.
I don't seem to have any issues yet and as I'm starting to exercise, my back pain is lessening.
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I'm going to join you ladies on this journey called tamoxifen. I got the bottle yesterday and just started the same day. I go back to work in a week so I thought I'd start right away to see what it is like. I did not get rads fatigue and I am hoping it stays that way. I do know what you mean about feeling older than before! This happens every time I get out of bed or get off the couch after sitting awhile! I already have hot flashes from chemo so I am used to that.
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my oncotype score is 19 and still trying to decide on chemo as well....going for second opinion on Friday...and still have to go through radiation and then five years of tamoxifen....
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My bone scan is Jan 30th. I was feeling good enough to almost cancel it but I think I'll feel better if I do it. A gal I work with is worried they'll find incidental stuff and have to chase it down even if it's not necessary. I prefer to believe that won't happen. Had a friend mention a lady who's very sick with spine Mets (while my back was hurting me yesterday) and determined I was doing the right thing. I notice on here tho, that several women have back pain from treatment. Why then, do my oncologists look at me like I'm crazy??
I hope everybody's doing ok side effects. I'm so looking forward to spring! I hope we have another nice summer ... I missed last year's.
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I don't start my tamoxifen until February - I get a month off between last chemo treatment and start of tamoxifen, but wanted to join you ladies to hear about your experiences. I have had horrible hot flashes throughout chemo and looking forward to them calming down, but maybe not while I am on tamoxifen. We'll see!
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I am definately getting the hot flashes now several times a day and the odd nighttime one - have done about 4 weeks now.
Hope you ladies don't mind me asking (but hey that's what this group and support is for aye!) but do you think tamoxifen is negative for your libido/sex life etc?? I'm not sure if it's just me!! Or whether menopause is the beginning of the end!! Hehe. Or is it just the fact we have been through so much.
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It does say in everything that I have been reading that one of the side effects of tamoxifen is a decrease in a woman's sex drive. I think this whole breast cancer thing is a sex turn off. Since my diagnosis, sex has been the furthest thing from my mind. Hoping that changes. It is a while for me before I start any medications since I am still trying to decide on chemo and then still need radiation. I just want to get back to a normal life. I am not looking forward to hot flashes again...been through that with menopause years ago. Good luck to you.
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My hot flashes were bad during chemo but did appear to decrease when I started my new antidepressant Pristiq, which can decrease hot flashes. I've been on tamoxifen since 12/28 and my temp feels fairly normalized now. I'm going on a cruise Feb. 1 to the Caribbean so I'm interested to see what warm weather will do to those hot flashes...
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Enjoy your cruise LisaSp - sounds like it will be wonderful!! Will be interesting to see how you go in the hot weather. I find anything simple such as drinking a hot drink, or eating anything spicy will set me off. Plus it's our summer here anyway so yes it has been hot too which exacerbates everything.
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I went on a cruise right after my radiation LisaSp. Though I wasnt even on tamox yet the hot flashes were bad and strange but after radiation even of its been 2 months post radiation I just cant have a late night. The air conditioning wasnt so great or my tolerance for heat was bad. But it was great just getting away from reality and just appreciating the beauty of the open sea made me realize that I had to be grateful iwas alive! Enjoy and have a great trip.
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Hello ladies. Thought I would join the club as I as well just started taking tamoxifen this past monday. Was not thrilled to it, but seems it is the right thing to do. From the initial path report after BMX, it looked that chemo was unavoidable - as my Ki-67 of both tumors looked intermediate risk - but my Oncotype scores came back unexpectedly low scores - 10 and 9, thus I am off the hook from chemo and so happy So even though I am worried about the possible SE, I can handle that. So far, TE has been the hardest part. My PS told me that I have the strongest and thickest pec muscles she's ever seen (dahh, I worked on it so that I can make my small boobs bigger) and that strong thick pec muscles have been screaming!! But this pain is calming down as I have done my last injection a week ago. So far, I don't feel any SE except yesterday I felt crappy... but it is maybe from something else. Today I worked out for the first time since my BMX at the end of Nov. 20 min. of elliptical.. feeling tired now but also feeling good!! Trying to stay active, keeping my healthy weight, as it may get tougher after I remove my ovaries (yes, need to do that as I am BRCA2+) and switch to Aromatase Inhibitor. How long does it take for the SE to start kicking in?
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Welcome kanam! I am impressed with the endurance all of you show who have had BMX and recon. You are some tough cookies. Good luck on the AI.
Thanks for the good wishes, Lav and Kruise. I'm looking forward to the trip especially as it has been so cold and snowy in Md. lately ( some days below zero wind chill). Cruising in the Caribbean is fine, hot flashes or not!
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I started Tamoxifen 6 days ago. The way my MO explained it was that if I didn't take the Tamoxifen that in my case there would be about a 5-6 % chance of recurrence and that if I do take the Tamoxifen that there is a 2-3% chance of recurrence. So, at this point, she wanted me to try it for a few months until I see her in April. So far, I have had some nausea and bone pain and I feel very fatigued all the time. Don't know if it is radiation catching up with me or what. Just don't really like feeling this way and I hope it improves. I can't imagine feeling like this X 5 years. I am exercising about 20-30 minutes every day and in the process of modifying my diet.
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Thanks LisaSP! Have fun on your cruise!! I am going to Japan on Feb 3 though 12, and will have to go to Orlando FL from 22 - 27. All for business. My business requires frequent traveling including international ones and that is why I was so freaked out when I first got diagnosed! And I was going to arrange my trip in between chemo, which my MO agreed that it was totally doable, but now I can freely schedule my trip Not to mention, I actually started off the new year with one week long crazy trip to Las Vegas for the trade show.... totally sleep deprived but fine. Only thing was that I lost my voice (for talking so much at the loud places)
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wow you sound super busy with your job kanam and I can imagine the traveling is tiring.
Hobbesla4 I am sure in another month you will be feeling a lot better energy wise. Good on you exercising everyday. That's what I need to start doing!! I just seem to struggle trying to fit it in.
Any one forgotten to take their tablet yet?
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Hobbes: I agree with Kruise just see how you feel in a month and you'll have a better idea what SEs are related to rads vs. tamoxifen. Great that you're exercising, I am trying but not as successfully.
Kruise: I forgot on Friday! All of my meds, whoops. Well, we're all human.
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Saw this today, interesting!
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Kruise, thanks for starting this thread! I started tamoxifen last week. Today is day 8 and so far I have not had a single side effect. Weird. I am worried that it means I might not be metabolizing it properly (the whole cyp2d6 study). I don't see my MO for a month. I was only in chemopause for 3 months and have now had 2 periods within 19 days of each other, and my blood tests show me as completely premenopausal still. I'm eager and hopeful to see if tamoxifen will stop them again so that I can see some sign that it's doing something. Or maybe the effects are just delayed, although it sounds like for most of you they were immediate. Sheesh, I never thought I'd be hoping for side effects from a medication :-)
kanam, I'm curious what were your Ki67 (and p53 if you had them done) percentages? My MO did not do an oncotype on me - we just plowed straight into chemo based on Ki67 and P53.
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