Bringing in 2014 with Tamoxifen!

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  • Capster
    Capster Member Posts: 2
    edited July 2014

    Hi Everyone

    Im new on here, but not new to this horrible life changing disease!  I am coming up to one year cancer free! although, like most of you know it certainly doesn't feel like it does it, the worrying never seems to go away!  I had a double skin saving mastectomy with reconstruction as the type I had was at higher risk to come back on the other side.  The type was Invasive Lobular Carcinoma, and although fairly small, 1.9 cm, it did travel microscopically to my first lymph node.  So obviously a year of hell and back through chemo and now almost one year of tamoxifen as well.  Ive recently been questioning the quality of life with the SEs of tamoxifen vs my chance of recurrence or mets.  At first the nausea and headaches were bad, but have gone away, then the pain in the joints had me running to the GP every other week fearing that I was dying.  Its been almost a year on this drug, and the hot flashes did improve but are back again and I wake up every day in pain somewhere or other in my body.  The latest joy is that I am now gaining back all the weight I lost during treatment (not impressed) and no Im not too thin I am of average build already and work hard at trying to maintain a healthy weight.  However, here is my question to all of you ladies!  I know what cellulite is, and I do and already did have my fair share unfortunately, but in the past 3 weeks its like its quadrupled or tripled over night on my legs, and they seem somewhat a bit swollen as well. Has anyone ever come across this?  My GP doesn't feel they are swollen, and suggests it may be from the poor vein circulation and issues in my legs.  I don't agree, but keep asking and am at a loss as to what it is?  Im thinking it is just another nasty SE from the Tamoxifen?

  • stage1
    stage1 Member Posts: 475
    edited July 2014
    Hi, Capster, welcome, and I just want to chime in on your cellulite issues, as I share that problem with you. All my life I have battled cellulite on my legs, even at my skinny weight. I just came off Anostozole and I have been on Tamox for a few months. I can't say one way or another if it is an SE, but I am losing weight slowly, as I have been working out daily for 45 minutes of walking video a day. I have been cutting calories, also. I have lost 8 lbs this year. But only allow myself 1100 calories at the most. Back to you, I am thinking it is SE AND water retention, if you have not changed your intake of food. I would suggest lots of water and green tea, with lemon.
  • rettemich
    rettemich Member Posts: 369
    edited July 2014

    I started May 1st. I started out taking it in the morning but switched to nights as I was having insomnia issues. It did seem to help. Also I am taking the Effexor. So far so good with that. My biggest issue was the hormonal roller coaster. Holy Cr*p I was a basket case. It has settled down. Thank Goodness. I could not have continued that way. I have gained weight!!!

  • Headeast
    Headeast Member Posts: 619
    edited July 2014

    capster, it is definitely a SE water retention. I a, on water pills now even though I stopped taking Tamoxifen three weeks ago I still suffer from the SE and one of them is water retention, looks like cellulite to me too.

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

    Capster, I'm in on that one too. It's a definate SE. How are your hands girl? I am totally aware of what SE's Tamoxifen causes because I was awarded a medication vacation. I've been back on Tami for 2 weeks now and it is all coming back. The fatigue, the joint pain, etc. 

    Call your Onc not your gp.

    Please. 

    Hugs

    Deb

  • Headeast
    Headeast Member Posts: 619
    edited July 2014

    RedReading, how many weeks were you off Tamox?

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

    Headeast, I was allowed to go off tamoxifen for 2 weeks. That was supposed to flush it out of my system so I could start over . I had been on it since January 28th. 

  • Headeast
    Headeast Member Posts: 619
    edited July 2014

    Thank you, RedReading! 

  • Stenokim
    Stenokim Member Posts: 172
    edited July 2014

    mouche, louanne, I have posted before but since you asked...I take my tamoxifen at 6:00 pm. I've been on it since January. No side effects except for a missing period for last six months. I consider that a benefit.  I work out regularly.  I sleep well, no bone/joint pain, no weight gain, very stable mood.  Never have had a hot flash.  I've been cold most of my life, was thinking a hot flash might be nice once in a while, but I'm still cold most of the time.  I love 90 degree weather.  Keep in mind 70% of people have no SEs from tamoxifen.  Kim

  • Louanne
    Louanne Member Posts: 101
    edited July 2014

    Thank you Kim! Can you check what brand tamoxifen you are taking? I'm on day two, and my blood pressure is starting to rise. I'm taking Watson.

  • Stenokim
    Stenokim Member Posts: 172
    edited July 2014

    I'm on Watson also.  Maybe the Bp is rising due to your anxiety worrying about SEs. I've not heard of tamoxifen causing high blood pressure.  I hope it works for you and that you're SE free.  Kim

  • Louanne
    Louanne Member Posts: 101
    edited July 2014

    Thanks Kim! I was on BP meds for over 7 years. I lost quite a bit of weight, plus was still on my meds, and it dropped very low to the point of dizziness and pass out time. Anyway, I've been off of the meds for about a month, have been feeling great until today. Felt a lot of pressure in my left side of my face, then numbness. I took my BP, it was 151/91. It has in the past been much higher than that. So yes I'm nervous about it.

  • Stenokim
    Stenokim Member Posts: 172
    edited July 2014

    my mom deals with majorly high BP, she's on many meds but occasionally has spikes, like 200/100, stroke level.  We have linked hers to her diet...she's always had salty meals that day or the day before the spike.  Congrats, though, on the weight loss.  That will help with everything!  Kim

  • Louanne
    Louanne Member Posts: 101
    edited July 2014

    Thanks Kim! I know about those spikes. I've been way high in the danger zones. I try to stay away from salt, but I know the spikes happen for a reason. I'm going to have to start doing a journal.

    Have a wonderful weekend!

  • Stenokim
    Stenokim Member Posts: 172
    edited July 2014

    Thanks.  You too, Louanne!

  • stage1
    stage1 Member Posts: 475
    edited July 2014

    I know I read somewhere here that some are having itching skin issues.  For the last couple weeks, after being on Tamox for three months, I am itching under breasts and on stomach, and itchy underarms...feels like hives, but under skin.  I can put up with it, as it is better than the pain I experienced on Anastozole. But any ideas on how to treat this.  I am tired of complaining to my MO, just to hear, she thinks it is not the med.

  • Mouche
    Mouche Member Posts: 63
    edited July 2014

    Thanks Kim, I have been taking it at 6pm with my meal, so far I'm doing good, have had a few warm episodes but had that before Tamox (age 53) also notice that it makes me a little dizzy. It's still early as it's only been a week, praying that my SE will be none to min.

  • rettemich
    rettemich Member Posts: 369
    edited July 2014

    stage1, My 2 cents, I know you shouldn't do this without talking to your MO, or tell her you are going to stop the Tamox for  3 or 4 days and see if it clears up. Chances are it is the Tamox. I think all MO and RO's are brainwashed to reply, we didn't cause this, or that.

  • justachapter
    justachapter Member Posts: 158
    edited July 2014

    I've only been on it one month, but wanted to add my experience.  I was terrified of SE's because I seem to be hypersensitive to any drug.  I've really had none at all, maybe warm a few times at night, but not really hot flashes.  I feel like I'm dealing with insomnia right now, but I think it is my mind won't turn off.  When I was dx'ed it caught me off guard, did what I needed to do with a smile and it is now I'm really dealing with what just took place.

    I'm on 20mg the Teva brand and take it at night.  I have upped my exercise and am really trying to get on with my life.  No weight gain, no fatigue all in all I am doing well.  My MO only prescribes one month and has you come in to discuss SE's etc.  That appointment is tomorrow, and then I think they prescribe 3 months.  They want to ensure we are doing okay and aren't about to fall off a ledge and be non compliant.  

    My only issue is my busy mind, and I think that will take time.  I pray that I continue with minimal or no SE's.

  • stage1
    stage1 Member Posts: 475
    edited July 2014

    rettermich, thanks, it is getting worse, so I will probably take your 2 cents ;)

  • count_it_all_joy
    count_it_all_joy Member Posts: 130
    edited July 2014

    rettemich - you mentioned the "hormonal roller coaster".  That is my biggest fear when I start in a couple weeks.  Did you find your emotions evened out with time…?   Was your family able to see the difference, or was it just elevated internal stuff…?  I am mostly the even keel one in my family, I have a wonderful husband who struggles with frustration/anger, and a dear daughter who is nearly 14 and has her own hormone issues.  I hate the thought of not being there for them, or responding with anger myself.  

    Feedback from any of you ladies is appreciated, please!

  • rettemich
    rettemich Member Posts: 369
    edited July 2014

    stage1, Good luck I hope that works for you. At least so you will know what is causing it. Please, keep us posted.

    justa, I had the worst insomnia when I started. I looked like a zombie. Plus since my hormones were crashing the mood swings were horrible. They did finally settle down. I still have bouts with the insomnia but it usually only lasts a few days. Of course, my dh may not agree about the mood swings diminishing.

  • Stenokim
    Stenokim Member Posts: 172
    edited July 2014

    Justachapter...your name says it all. I totally get what you're saying about the mind not turning off.  I had that also.  Glad you're not experiencing many side effects and moving on with life. I've done the same.  Doctors are so different. My MO prescribed me a year's worth and told me to come back in nine months or call if I have any problems. 

    count...I have had a very stable mood since starting tamoxifen. No swings at all.  I think some of it is the hormonal balance I have now and some is just appreciating life and the people and things in it more, more than maybe I did before DX.  I do have a 16 yr old daughter to deal with, like you, so that's tough once in a while, like once a month actually. Lol. Hope it all goes as well for you as it has myself when starting tamoxifen.  Kim

  • justachapter
    justachapter Member Posts: 158
    edited July 2014

    Thanks stenokim and rettemich. I love my oncology NP, she is open and makes you feel at ease.  We discussed it all and it really is my mind not turning off.  She asked me what I thought we should do and said in the world of cancer Dr's are very good and we are cocooned while in treatment and then suddenly it is over and we are left to pick up the pieces and they don't do a very good job of that.  We talked a lot about mindfulness which is very interesting.  Decided no drugs as I really don't like to take anything I don't need.  However, she said hospitals these days are giving .25mg of Benadryl and I may way to try that.  I have and it is doing the trick.  Thankfully, no other SE's happy happy.

    Totally off topic, but has anyone dealt with this.  Twice this week people have sent me text, messages about their mammograms scares.  Both have to go back and while I empathize, and I understand their fears, it is like everyone thinks they have cancer now because it happened to me?  Rather than looking at things logically that the odds are with them and they only have a 15% chance.  I guess I'm not in the right place yet to be everyone's counselor, hope that makes sense.

  • andreamia
    andreamia Member Posts: 52
    edited July 2014

    Hello, everyone. I posted about his elsewhere, but thought I'd ask in here. I was on tamoxifen for a month and it gave me three ovarian cysts that were painful and rupturing. I learned that this is a side effect of 11% of women on tamoxifen. I stopped the tamoxifen and of course the cysts resolved and my period came back. I am scared to go back on it, because I really need my ovaries… I want to have children in my future. 

    I thought hormone therapy was supposed to be the easy part? I honestly don't know if I can even say it's better than chemo. Chemo side effects are much more terrible, but it was only for a few months with an end in sight. Hormone therapy side effects, although not as terrible as chemo, are still bad enough for quality of life (at least in my case) and is recommended for YEARS. My onc wants me to give tamoxifen another go just to be sure I can't actually tolerate it and I'm scared. I also dread the thought of the menopause symptoms again and possibly losing my period. I just started to feel normal :(

    I am ER+ (83%) and PR+ (98%) so you can see why the hormone therapy is important, but I just don't know what to do. I've been debating for months now.

  • KatiAK
    KatiAK Member Posts: 138
    edited July 2014

    Justachapter - I love your logon I.d.!  I totally understand about not being everyone's counselor, it takes so much energy sometimes just to keep ourselves moving forward.  

    Does anyone else notice huge amounts of lumps and bumps in the radiated breast? I have a hard time deciding if I should be concerned about some of them or not.

    So far I like the Effexor although I still have a lot of hot flashes. They're more bearable and the mood swings aren't near as bad.

  • corky60
    corky60 Member Posts: 726
    edited July 2014

    KatiAK, I have many new lumps and bumps in the radiated breast.  One bump is a seroma that never was drained or resolved itself.  When I opted for the lumpectomy and radiation I was told that I would have to learn what the "new normal" was for that breast.  My MO says that there is a lot of scar tissue from the radiation.  I've had two mammograms since radiation and they were both okay.  It's just something that we have to live with and learn what is now normal. 

  • justachapter
    justachapter Member Posts: 158
    edited July 2014

    KatiAK, Yes, I have a lot and asked my MO NP to help me identify one that was bothering me this week (during a normal check-up).  I felt it before surgery and then I was so swollen for so long I didn't and now it was back.  I don't have a lot of tissue so I asked if it was perhaps the clip from the biopsy.  She said yes, and it has formed scar tissue.  I think the next thing we all think about, what if cancer is hiding in the scar tissue how will they find it?

    We all have to live in the now, which I think for ALL of us is difficult, I myself have been struggling with this.  Thinking about the future (recurrence, etc.) just creates anxiety.  So, as corky60 said we have to figure out that new normal which is something I'm trying to do and doing with getting myself in good shape and when I find myself falling ensuring I'm at the gym in a class.  

    I was healthy, good body weight pretty much did all the right things before, but now I'm even a more healthy eater, getting myself in really good shape (because I need the gym mentally) and surrounding myself with friends who have been there for me and who also try to have drama free lives :)

  • KatiAK
    KatiAK Member Posts: 138
    edited July 2014

    Thanks ladies. I remember my surgeon mentioning the "New normal", but I had forgotten. I've had 2 clear mammograms and my surgeon does an exam every six months but I'm still learning to cope.  I'd like to drop about 15 lbs.  I eat better but it's hanging on.

  • count_it_all_joy
    count_it_all_joy Member Posts: 130
    edited July 2014

    Kim - thanks for the encouragement on your experience re: mood swings.  Seriously, gives me hope!  

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