Bringing in 2014 with Tamoxifen!

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  • MyraVH
    MyraVH Member Posts: 23
    edited June 2014

    thanks Salina888. i think and i know i'm being impatient. i felt the soreness around January/February and I remember I was having PT and lymph therapy (not because of lymphedema but due to tissue cording). By March the wrist pain was obvious then the left elbow and forearms. later on, i noticed both shoulders and elbows but the most irritating is the right wrist pain which i can move but there are sudden shooting pain at certain movements which i cannot point exactly what. i try to be as active as i can. i resumed climbing last February and only stopped due to the reconstruction surgery last April and I haven't gone back yet. I used to go for yoga classes but when i had the expander, i was doing the poses on my own choosing poses I can do. now i cannot even lift a carton of milk without pain nor a 2 lb dumbbell without my arms going shaky. i walk - 2 miles at least on treadmill at an incline, go for long hikes and try to build endurance but i can feel i'm weaker than i was in February or March, I cannot rely on my arms or legs as much and at one time I rolled on my side as i was high stepping during a hike. I ended up on my back in the middle of Best Buy aisle as I cannot get up from a crouch as I looked at something on the bottom shelf. what scares me the most is for the pain not to go away. i cannot go back to work with my hands shaky. and it's been months now. i read in other entries that it goes on for years. :(

  • Salina888
    Salina888 Member Posts: 96
    edited June 2014

    Myra- I hope time will make things better.  Is it possible that you are overworking yourself?  I tried to work through the pain, but I think that made things worse, so I took things super slow.  If my arm, wrist or elbow was hurting, I didn't do any exercise with it.  The same went for my legs.  I'd go a couple of weeks without doing a thing, but stretching, and a little bit of walking.  Even driving was hard on my arms, they would get soo tired just from holding the steering wheel.  In time, it does get better, but I still have achy bones especially when I bend down, or try to stand up from the sitting position. (I don't think that will ever go away) I used to bench press 90-100 lbs easily, and do 30 push ups like nothing.  I started off benching 5 lb dumbbells, now I am benching 40 lbs, and I do my push ups angled against a wall or a table. (Too much weight hurts my wrists)   

  • levassel
    levassel Member Posts: 267
    edited June 2014

    just a quick note....just saw my MO.  Confirmed my aches in places that I've have previous injury was valid.  I'M NOT AS CRAZY AS I THOUGHT.  Yeah!  If you have arthritis tamox will make that ache more.

    Laurie

  • levassel
    levassel Member Posts: 267
    edited June 2014

    just a quick note....just saw my MO.  Confirmed my aches in places that I've have previous injury was valid.  I'M NOT AS CRAZY AS I THOUGHT.  Yeah!  If you have arthritis tamox will make that ache more.

    Laurie

  • RedReading
    RedReading Member Posts: 2,143
    edited June 2014

    Hello ladies.

    Well since achy bones, muscles and joints seem to be high on the list, I thought I'd chime in with what I learned about that subject at my Living with Tamoxifen class.

    First off, it is a very real and serious side effect. Please don't let your medical staff downplay it. It affects your quality of life.

    Second - exercise. If you can only manage a walk around the block, do that. Transition moves are difficult so lunges or squats will hurt much more than walking will. 100 Participants in a walking study reported that after 6 weeks of walking, the mean joint pain scores had decreased by 10%, fatigue decreased by 19% and joint stiffness decreased by 32%. Stretches are better than weight bearing exercise because Tamoxifen makes ligaments and tendons a tiny bit more brittle.  Work up to weights slowly. 

    Third  - if your pain is really bad, some medications may help with that. Tylenol Arthritis, Advil, Ibuprofen and Motrin have been known to help. I take 1 Tylenol Arthritis each morning now, with the approval of my MO and it does take the edge off. She said what we are going through is very close to Arthritis, which is why it works for us.

    Fourth - in the vitamin dept - Glucosamine with Condroitin is recommended. Calcium 1000mg with up to 1200 IU of Vitamin D attached. Copper, Magnesium and Zinc will help  too. There is actually a Caltrate product that has all of those in them. Do not take iron unless your doctor feels you need it for your blood. There are a couple studies that suggest iron might be used as a binder by cancer cells. l don't know much about that except my MO said no iron supplements for that reason.

    I hope you are all on the road to recovery and can put achy bones, muscles and joints into the past. A reminder that I am not a medical person in any way. I am just passing on what I have learned at class.

    Have a great evening everyone.

  • Salina888
    Salina888 Member Posts: 96
    edited June 2014

    Thanks Red, much appreciated! :)

  • lovewins
    lovewins Member Posts: 881
    edited June 2014

    thank you red!

  • momwriter
    momwriter Member Posts: 310
    edited June 2014

    Thanks, Red, very helpful! 

  • DawnCT
    DawnCT Member Posts: 143
    edited June 2014

    Yes,  thank you,  Red.   Very helpful! 

  • rettemich
    rettemich Member Posts: 369
    edited June 2014

    Awesome Red Great Info. Thank you so much.

  • Stenokim
    Stenokim Member Posts: 172
    edited June 2014
  • rozem
    rozem Member Posts: 1,375
    edited June 2014

    interesting info...

    question - my nails are terrible, peeling off and brittle - is this another lovely SE of this pill? also some days I feel so nauseous, not every day but some days I feel like Im going to be sick

  • rettemich
    rettemich Member Posts: 369
    edited June 2014

    Great question rozem, I was wondering the same thing. Been noticing mine are getting brittle too.

  • DawnCT
    DawnCT Member Posts: 143
    edited June 2014

    My nails have been peeling at the tips more than before.   I have just been filing them and taking a break from my typical weekly manicures so I don't have to expose the to nail polish remover.   I read online that nail polish remover and polish with formaldehyde is just awful for nails.   I am planning on doing this for several months to see if they improve.   It's frustrating because the peeling tops look awful.   

  • Lazzark
    Lazzark Member Posts: 5
    edited June 2014

    Hopefully you will find Tamoxifen manageable as I did. The only side effect I had was hot flashes at night. My OC prescribed a low does blood pressure pill wish I took at night. This allowed lowered my fatigue level to manageable. After the first year my hot flashes were the same with or without the blood pressure pill. I took Tamoxifen for 2.5 years and have now switched to Letrozole.  

  • rettemich
    rettemich Member Posts: 369
    edited June 2014

    Well crap, a new SE for me. I have been taking my blood sugar and it has skyrocketed since I started Tamox. Now what. I sure don't need to be diabetic on top of everything else. Ugh so frustrating..Devil

  • KLJ
    KLJ Member Posts: 284
    edited June 2014

    Hi Ladies, I'm new to this board and have gone through quite a few of the posts but I have a question. Is there a post that gives a good list of all questions I should ask my MO with respect to taking Tamoxifen? He spent an hour going over everything with me. The good, the bad, and the ugly. In the end he said go home and think about it. It's up to you! And I know it really is up to me. But, if your doctor gave you a choice what was your criteria for deciding what to do? I am so confused. Wondering if I can do just as much good with diet and exercise. I have read so much I think my brain in on overload and don't really think I will come up with a decision my the time I see him next week. Thanks for the help!

  • Jennie93
    Jennie93 Member Posts: 1,018
    edited June 2014

    KLJ, what I would suggest is to go ahead and try it.  It's cheap and it might help you, so it's worth a shot.  Some women have no issues from it whatsoever, some have mild SEs that are easily managed.  You just never know.  If you find it too unpleasant you can always stop.  From what I've read here, the SEs go away when you quit taking it.  

  • Salina888
    Salina888 Member Posts: 96
    edited June 2014

    Try taking BioSil, It's for Hair, Skin and Nails!  It's supposed to strengthen and thicken hair, Strengthen nails, promotes healthy bones and joints, and it even is supposed to reduce fine lines and wrinkles! Someone suggested it from a previous post, and it's been working for me.  My body aches were still there, but when I combined with glucosamine and weight lifting, I barely notice my joint pain.  The only thing that still bugs me is the hot flashes, but I sleep with the fan on, so that helps alot.  

  • rettemich
    rettemich Member Posts: 369
    edited June 2014

    Well my blood sugar is still all over the place. I don't think it has gotten dangerously high but is really swinging. I Did finally get the referral to see one of the Integrative Oncologists, now just waiting for the "scheduler" to call with the appointment time. Til then I am just trying to eat more along a diabetic diet. Not that it's a bad thing.

  • RedReading
    RedReading Member Posts: 2,143
    edited June 2014

    Hi rettemich, not sure if the blood sugar thing is related to the Tamoxifen. I've not heard of it as an SE - but then, I'm also not a doc. Glad you called for an appointment though. A quick question though, are you diabetic? Because I wouldn't have a clue what my blood sugar was at any time. If you are testing daily and noticing wild swings, I think you need to look at what you are eating too. Sometimes in an effort to get all kinds of good stuff into our bodies to fight the cancer, we can inadvertently cause other problems. Like eating more soy or flax isn't a good idea. Just saying.... as my DD would say.

  • rettemich
    rettemich Member Posts: 369
    edited June 2014

    Hi Red, Love that "Just saying". Happy

    I'm considered pre-diabetic. But I think just about everyone in my age group is considered pre-diabetic. That is why I know how my sugar levels have been running, I try to keep an eye on it so I don't become diabetic. They did start to change only after I started the Tamox. I think it can be considered an "indirect" SE. Because of the estrogen levels plummeting it has thrown my blood sugar wacko. It's amazing how much estrogen can affect the body. My sister is a nurse and she was telling me that it Should level out. But I want to take steps now. And I have probably been eating better than I did before all this started. I am very careful with any supplements I take. Don't do soy or Flax. I'm really hoping the Integrative Onco can help me with this. I would love to go to a ND but can't afford it right now.

  • rettemich
    rettemich Member Posts: 369
    edited June 2014

    Small vent

    I was rereading my Tamox patient education papers that I received from the Dr. and boy do I feel dumb.

    First words on this form is:

    "Tamoxifen is an oral (PO) chemotherapy agent used alone or in combination with other therapies to treat cancer."Shocked

    I never realized this was considered in the chemotherapy family. After researching I guess it's because it changes the cells.

    Geeze is there anything we can do that doesn't screw up everything.  

    I might be checking into DIM before I even thought I would.

  • KLJ
    KLJ Member Posts: 284
    edited June 2014

    Rettemich, wow! Thank you for posting that. Now I have another question to ask my oncologist tomorrow. At our first consultation he never mentioned the fact that Tamoxifen was an oral chemotherapy. My list keeps getting longer. Please everyone, throw anything out there that you can think of that I should be asking. I really still haven't decided what I am going to do.

  • KLJ
    KLJ Member Posts: 284
    edited June 2014

    My oncologist wants me on Femara which I will give a try. Went to the pharmacy to pick it up only to find out that my insurance won't cover it. Just another bump in the road.

  • momwriter
    momwriter Member Posts: 310
    edited June 2014

    Hi KLJ.

    I have a question. I've heard that Tamoxifen (perhaps like a chemo drug), works well, or better, in concert with another another drug. Does he/she recommend a supplement (like melatonin) or something in the diet (coffee?) that is thought to enhance tamoxifen's work? Thank you for all the legwork!

  • KLJ
    KLJ Member Posts: 284
    edited June 2014

    momwriter, my oncologist recommended Femara for me today. We talked about side effects and there are different drugs to counteract those which I hope I don't get. That's if I get to take it. My insurance has denied payment for any hormone inhibitor drug. He did explain that Tamoxifin and Femara are not oral chemos they are inhibitors. Heck, insurance would probably cover chemo but not a drug that would keep the cancer from coming back. My doctor is going to fight them on it. I will keep you posted! The one drug he mentioned was Effexor for hot flashes. It's an anti-depressant so why it works for hot flashes I couldn't tell you. The other problem is bone pain but he mentioned a shot that can be give every 6 months to combat that. Can't remember the name. But both of those are only if you get those side effects. Some people have no problem with it at all!

  • rettemich
    rettemich Member Posts: 369
    edited June 2014

    KLJ, yes it is an inhibitor, not an actual oral chemo drug. But it is considered to be in the chemo family of drugs. I believe it has to do with the actual changing of the cell structure, but won't swear to it.

    I am going to MD Anderson so I don't think that they would print that on their form unless they had a good reason. 

    I added a link, tried to find another one I had but can't find it. This talks about several drugs that are in the family of Chemo drugs including Corticosteroids. Never knew that either. 

    It is down the page a ways. 

    American Cancer Society

  • momwriter
    momwriter Member Posts: 310
    edited June 2014

    KLJ, I can't believe your insurance won't cover hormone inhibitors. They're so cheap, relatively, and effective. I would have thought it was required to cover them. 

  • KatiAK
    KatiAK Member Posts: 138
    edited June 2014

    Went to my MO today, he can be a bit overwhelming because he has a LARGE personality so I didn't get to ask all the questions I wanted to.  I did have him add the Effexor 37.5 mg to the mix just to see if it'll help with hot flashes, which hopefully will help with sleep.  Given all that , here's hoping one side effect might be that I feel better. Cross your fingers!  Anybody else finding that it helps?

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