Starting 2015 with Tamoxifien

Options
MamaM
MamaM Member Posts: 80

I started taking Tamoxifien on the 1st of the year. Anyone else out there with me? How are you feeling? & what was your Oncotype score

«134567

Comments

  • Blownaway
    Blownaway Member Posts: 760
    edited January 2015


    Just got my paper script yesterday and dropped it off at the pharmacy to pick up this evening.  I have had hot flashes since last March when I was diagnosed with B/C and the onco took away my HRT (Premarin). I've not only had a complete hysterectomy but also am post menopausal with osteoporosis thrown in so my onco is starting me on Tamoxifen instead of Arimidex since T is better for the bones than A. Many of the side effects I've read about from taking T - I'm already experiencing from side effects of TCH.  Stiff/achy joints and hot flashes being my new BFF's these days.  I'm wondering how T can make it much worse and hoping at the very least, I won't see any difference.  I've read that some people have insomnia from T so take it in the morning and also have read that others take it at night because it makes them sleepy.  AARRRGGG!!!!   I guess we will figure it out.....

    I've already gotten through 2 lumpectomies, 4 rounds of TCH and 24 full breast rads + 12 boosts.

    I was supposed to complete 1 year of Herceptin (for HER2+ tumor) but that has been stopped short at 6 months because it damaged my heart (which I understand is pretty common) so now I am taking 2 heart meds and being monitored for that.  Hoping my heart recovers but even so, my doctor will not resume the Herceptin since it is so risky for me.  You need your heart to live - cancer or no cancer.

    Seems like a little breast cancer is no longer my favorite worry.

  • RainDew
    RainDew Member Posts: 305
    edited January 2015

    ugh Blownaway I am so sorry to hear about the heart damage from herceptin. Hope it continues to improve!

    I started tamoxifen in November. So far it's completely fine. My MO has me split the dose and take half in the morning and half at night. No real SEs other than hot flashes but I had those from chemopause anyhow, so not sure it's from tamoxifen.

    Anyhow, we read so many horror stories on the boards, I wanted to let folks know so far tamoxifen has been painless for me...

  • hummingbirdlover
    hummingbirdlover Member Posts: 421
    edited January 2015

    Hello! I started tamoxifen on my 48th birthday, November 17. I found out that same day that my oncotype score was 17 and no chemo was recommended. I was on cloud nine. I feel good and haven't had any terrible SE from the tamoxifen. Hot flashes, but I was having those before. I know it can take time for SE to show up but I believe tamoxifen is my friend and helping me to stay cancer free so I'm all on board with it. :-!

  • Blownaway
    Blownaway Member Posts: 760
    edited January 2015


    RainDew - So you're splitting them in half and taking it twice daily.  That sounds interesting.  Was it recommended to do this to lessen any possible side effects or was it just to have a steadier supply stream in the body?

    BTW - Good to hear from you.  Are you the same RainDew from the July Chemo board?

  • Mommato3
    Mommato3 Member Posts: 633
    edited January 2015

    I started Tamoxifen December 17th. My only SE so far is that some of my warm flushes have turned into hot flashes. The warm flushes started a few months ago when the Chemo threw me into menopause. When I told my MO about my warm flushes being more intense now, she said that was normal with Tamoxifen. Its interesting that people said it makes them sleepy. I take mine at night. Now that I think about it, I get sleepy too. I just figured it was because I take it about 10:30 which is close to my bedtime. I sure hope I'm one that doesn't get too many side effects. :)

  • Nancy2581
    Nancy2581 Member Posts: 1,234
    edited January 2015

    I haven't started yet but will be getting a script on the 27th. This is a great thread thanks

    Blownaway I am so sorry about the heart damage. That stinks but I think it's reversible right? Hoping that it is for you.

    Nancy

  • Blownaway
    Blownaway Member Posts: 760
    edited January 2015

    Nancy - I just read another thread in which someone posted that their heart damage reversed.  I hope I have the same prognosis.  Either way, I won't be getting anymore Herceptin so can't wait to get rid of the port.

  • RainDew
    RainDew Member Posts: 305
    edited January 2015

    hi Blownaway - yes it's me from July :-)

    I don't know exactly why my MO prescribed it this way...I didn't even realize it was unusual :-)

  • Lmcqueen
    Lmcqueen Member Posts: 21
    edited January 2015

    mama darling,

    I will be taking Tamoxifen starting on the 13th of this month. I will update you and let u know what is going on.

  • Lmcqueen
    Lmcqueen Member Posts: 21
    edited January 2015

    forgot to post my OncoDX/Type Score was 11 so no chemo for me either. Thank goodness

  • Runnergirl36
    Runnergirl36 Member Posts: 16
    edited January 2015

    I started on Monday 1/5/2015. So far so good. How about you? How long do side effects take to show up? Or i guess it is different for everyone?

  • CAS4
    CAS4 Member Posts: 54
    edited January 2015

    well I start Tamoxifen today! I completed 4 rounds AC and 12 of Taxol so 16 chemos between May and October and then did 25 regular radiations and 7 boosts, completed Dec 22. My GP at the request of my Oncol put me on Effexor two weeks ago. Most women I know personally that have been down this road are on Effexor bc it helps with SEs of Tamox. I did 4 days on lowest dose and now am almost complete with middle dose I've taken for over a week. chemo started me down the road to menopause and still have lots of joint issues so hopefully it stays about the same? My this has been quite the journey!! Blownaway I'm so sorry about your heart damage- I bet it will heal!! A houstonian I see! Me too! I'm at MDA.

    Bottoms up- wasn't given instructions so I guess I will start taking it this evening? Maybe I was but I've forgotten- damn chemo brain

  • Gongshow16
    Gongshow16 Member Posts: 26
    edited January 2015

    Hi fellow Tamoxifenians! Thanks for alerting me to this group CAS4!  I was told by my RO to wait to finish rads before starting Tamoxifen and I finished on Jan. 5th...but I've been putting it off...I'm glad that some of you have said that the SE's aren't that bad.  I was put into chemopause and have had some warm flashes...I think that they will get worse.  I was told to take it at night?? Can't remember why...  Interesting idea to split the dose in half...I'm going to ask about that at my next appointment. 

     I am going to pick up the prescription tomorrow and start!  Onward and upward, ladies :-)

  • Blownaway
    Blownaway Member Posts: 760
    edited January 2015


    CAS4 - When you say "joint issues" what do you mean?  I have been having knee problems and also stiff leg muscles since chemo.  My onco said it's pretty common and to expect all these lingering pesky little issues to be with me up to a year.  Do you think your joint issues are chemo related?

    I picked up my first Tamoxifen stash this past Friday and began taking it with dinner the same night.  So far, I don't notice anything that I could complain about.  Not sure if Tammy problems are cumulative or if they start up right away.

    I've been at MDA Medical Center since April (was diagnosed in March).   After finishing chemo, I asked to be moved to MDA/Woodlands for my rads and Herceptin infusions (Herceptin was supposed to continue until July but recently was canceled due to my heart issue).  I also changed my onco to an onco in the Woodlands.  I really liked her - she seemed on top of all my issues by reading all about my case before my appointment.  My onco at the medical center was so busy, I only saw his PA for the most part.  She was good (not complaining) but I just wanted to be closer to home.

    As it turns out though, I will not be seeing my onco other than at 3 month intervals at this stage of my treatment.  Since the only cardiologists are at the medical center downtown MDA and my new onco wants me to see an MDA endocrinologist (also only located downtown med center), I'm right back where I started.  My next appointment is 20th January and I'm trying to get everything scheduled for that day instead of driving back/forth for multiple appointments.  Labs, endocrinologist, echocardiogram, cardiologist and finally port removal.  If I can get it all scheduled, it will be a very long day but I'd rather only take off work 1 day and get everything done at once. 

  • CAS4
    CAS4 Member Posts: 54
    edited January 2015

    I definitely think all my joint issues are chemo related, definitely! I wake up in am and can barely move. Stiff as a board all over- takes 20 min of moving to loosen up. We've got 4 big dogs so walking them all several times a day helps me. Weren't there before and I have friends that didn't to hormone therapy that said the aches n pains have lasted yrs after chemo. Sooo that's cool? I'm at MDA medical center. I grew up here but now live in Wyoming- I moved back 10 months ago when I was diagnosed, my husband flies back and forth, but really it's just me and the pups. I do sometimes get ankle or knee aches at night, rarely is it arms, usually pelvis down.I had my port removed last Monday- was super easy! Took lots of video and I did request "relaxation" med which i recommend only bc why not? They give you oral versed. You have to have someone with you, they will not let you drive. Don't every worry about blood lab time assignments- I've gottn to know several of the nurses personally and they say just come whenever. Try to do the port last, if u get versed ur foggy after- I just got a half dose.

  • Blownaway
    Blownaway Member Posts: 760
    edited January 2015

    Cas4 - They scheduled the port removal as the first appointment of the day but I intend to have it moved till last. Some have said that the port removal was really bad for them but if you say they will give drugs, Ill ask for the biggest dose I can get. Just had a heart cath wide awake with only deadening and mild sedative and I was very uncomfortable all during.

  • Bippy625
    Bippy625 Member Posts: 890
    edited January 2015

    hi my fellow tamoxifenittes!

    I will be taking it too, after rads, so mid feb is my start. I am premeno, had my uterus removed in 2010, so still have ovaries. My cancer is only very weakly estrogen receptive. I have been very discouraged by other ladies that suffer terrible SEs from it, so this is encouraging. i may switch from lexapro to effexor for flashes, i have none yet, but do have stiffness in the joints.

    I will post and report my SEs, andam interested in how we all will do....hope it is minimal for all!

  • Blownaway
    Blownaway Member Posts: 760
    edited January 2015

    Bippy - My onco told me that the joint pain/stiffness is from TCH and may take up to a year to get better.

  • MagicalBean
    MagicalBean Member Posts: 362
    edited January 2015

    Hi everyone. I took my first Tamoxifen today. I have been on the fence about whether to take or not but my MO wants me to try it for a month or so. If side-effects are bothersome I can stop. My biggest concern is cataracts, but she said I have them already so no big deal. We'll see

  • OceanSky
    OceanSky Member Posts: 165
    edited February 2015

    I started Tamoxifen the day after Christmas and had to stop after a few weeks because it leaves me absolutely stupefied with fatigue. I literally was unable to carry on a conversation, drive. use the computer, etc...I stopped taking it for a few days and it cleared up immediately. I called my oncologist today and she phoned in a half dose to the pharmacy to start. Hope it works.

    Your oncotype score is based on taking Tamoxifen or an AI. The score is not a stand alone score. It's based on five years of either of the estrogen blocking drugs.

    Has anyone else experienced this kind of extreme, and I mean extreme fatigue on Tamoxifen? I have autoimmune issues and that may be a factor.

    Also, is Tamoxofen a one size fits all drug? Is everyone initially given the same dose regardless of size and weight?

    Thank you for your input!



  • Nancy2581
    Nancy2581 Member Posts: 1,234
    edited January 2015

    Blownaway looks like we are getting our ports out at about the same time. Mine is on the 21st, but they make it a major surgery - knocked completely out and all. It's not until 1: 00 pm and no eating or drinking. Bleh I am not good at that lol.

    I see many of you starting tamoxifen after rads. My MO is starting me at the same time. Wonder why some wait and some don't. It's fine be me I actually want to start tamoxifen. I may change my mind later lol.

    Nancy

  • MagicalBean
    MagicalBean Member Posts: 362
    edited January 2015

    Hi Nancy-I was told by my MO that she wanted to hold off until after rads in case of side effects. Many are similar for both treatments. This way she could tell what caused what.

  • Nancy2581
    Nancy2581 Member Posts: 1,234
    edited January 2015

    oh thanks MagicalBean - hoping none of us have side effects from any of it lol

    Nancy

  • edukes1002
    edukes1002 Member Posts: 47
    edited January 2015


    Hi Ladies.  I took my 1st Tamoxifen pill on January 9th.  So far, so good, but I have no idea how far into it SE's start.  Hopefully I can tolerate it since my dr. warned me that the protocol is moving towards 10 years.  Happy, Healthy New Year!!!

  • CAS4
    CAS4 Member Posts: 54
    edited January 2015

    blownaway. Do port removal first- get it over with- I was foggy for about 30 min after but I did have appointments later and did just fine. Go ahead though and msg your Chemo Oncol that you are anxious about the procedure so the order will be in place for the Versed. I got cherry liquid- it was horrible, and fabulous all at the same time. 😉 but you will need someone with you or they won't do removal. I felt rather foolish being wheeled around by my spouse, whom I've learned is a horrible wheelchair driver- he took out a dozen people and slammed me into countless corners. It's no wonder the fun drugs wore off quickly!

    Took 2nd Tamox at 8 last night. In bed at 11 and read till 1215- sprung awake an hr ago- don't know if an SE can kick in this quickly. I had ridiculous insomnia during chemo. I'm having mild warm flashes tonight. Haven't had those in awhile-my last chemo was October 13- I just turned the floor tower fan on and facing me on med high and kicked the ac from 68 to 62 so this all seems familiar....but I am-can't-blink-wide-awake- Effexor has had me going into mini comas for 12-15 hours for two weeks so this is all very different. Crap.

    I did sign up for the free 12 week program at my local Y- the Livestrong Program open to all cancer survivors- loathe that phrase- everyone is a survivor- veterans is what a friend of mine calls us- immense studies out on how much yoga and Hatha breathing/postures help women on Tamoxifen/AIs. I guess I'm going back to yoga- I should have anyway in this process. Good Morning Everyone

  • CAS4
    CAS4 Member Posts: 54
    edited January 2015

    Oceansky 20mg is average start dose on Tamox but I know several women whom have Oncols that divide it to 10mg in am and 10mg in pm. Also I know lots of ladies that drop from 20-10 very quickly and then slowly build up. I think it's a booger of a drug with so many SEs it's almost hard to say what is or isn't possible. I know women that take their dose in the evenings bc it makes them so sleepy. And I know woman that take it in am bc it wakes them up so like hyper alert. It's a guessing game, but a good one if you can handle it. IS it better now that you are a lower dose

  • Blownaway
    Blownaway Member Posts: 760
    edited January 2015

    Cas4 - right after I have the port removed, I have an echocardiogram scheduled, then I see the cardologist so I can't get too much happy drug. Do they apply a bandage? If so, I hope it won't interfere with the echo. Was there very much pain afterwards?

    Did you have to go to a pre-assessment appointment before the port removal? They had that scheduled a few days in advance and I talked them into doing it 1 hour before the removal. I try to load up my appts in 1 day so that I miss less work. Makes for a long day.

  • CAS4
    CAS4 Member Posts: 54
    edited January 2015

    Blownaway--- they applied two steristrips and then a medium bandaid- prob two by two inches. No showering for two days after- no getting area wet. No reaching over your head or lifting over ten pounds for two weeks roughly - I mean they are cauterizing your jugular so wouldn't want that to tear. It was a little tender the two next days but Advil totally took care of that. No pain though. I did a pre-assessment the Friday prior, my removal was on a Monday. Are you doing it down at Mays Clinic? Just call down to the 8th floor and explain to them you have an echo after and they will be sure to use smaller bandage. I only got half a dose of the Versed but that was enough. You will have someone with you right?

  • Blownaway
    Blownaway Member Posts: 760
    edited January 2015

    Cas4 - Hubby will be with me. I was just concerned about having it done early in the day and still having a day full of cardiology appointments and being in pain.  Wouldn't want stress/pain/drugs to effect my echo and other tests.  Tried to get the port removal moved to the end of the day instead of beginning but they only do it in the morning at MDA.  I talked them into letting me do my pre-assessment 1 hour before the procedure.  They relented because they have a recent chest X-ray on file and I promised to have labs done at least 2 hours before the pre-assessment.  Trying not to take off work so much because I would like to spend more of my vacation time on vacation instead of at the medical center in 2015.

  • RainDew
    RainDew Member Posts: 305
    edited January 2015

    woo-hoo to vacation in 2015!!

    For as much time as I had off work in 2014, I had no actual vacation...one more thing to look forward to for 2015!!

Categories