Starting 2015 with Tamoxifien
Comments
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My Tamo wasn't free but it's only $20 for a 90 day supply. I haven't gained any weight on the Tamo but I can't seem to lose any either. I gained 17 lbs during treatment due to the steroids. I've been walking on the treadmill (3 mph) almost every day (for the last 3 weeks) for 45-60 mins and watching my calories but I still can't seem to lose this horrible weight. My clothes are definitely tighter which has caused a weird feeling in my right hip. It doesn't hurt but it feels like the muscle is irritated!?! Crazy!
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Anyone else take Zoloft with Tamo? Drug interaction suggests that Tamo is not as effective with Zoloft. I have been on Zoloft for years, but am wondering if I will need to transition to something else?
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Blownaway: My rx was 5.00 at the pharmacy for 30 days but would be free for 90 days if I got it mail order. I'm getting it month to month for a while to see if it will work. If I can live with the SE, then I'll switch.
Lescover: I have been taking Zoloft for close to 20 years but I'm currently at a very low dose (25mg). Most of the 20 years I was at 100mg but I've been able to taper down. My MO did not seem to be too concerned. Don't know if the strength comes into play at all. Also, I take my Tamoxifen in the morning and the Zoloft before bed.
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Hi IsabelArcher -
Sounds like you are way past the possibility of side effects. I am hoping that I am one of the lucky ones, experiencing no side effects. I am due to have a streak of good luck sometimes. The last past year has been horrible for me. Last March, I fell and broke both ankles at the same time. In August, while I was completing physical therapy after 2 months in a cast/boot, I had the mammogram which led to the diagnosis of breast cancer. Beyond that, I finished the PT and then one week later, I have my lumpectomy.
MarieBernice6234
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HI MagicalBean -
I also used to take Zoloft for the same amount of time as you stated. My dose for the longest time was 200 mg, My psychiatrist also coordinated a process of tapering off the medication. I had tapered all the way to 25 and took it for about 7 days. By the time I saw my MO this past Thursday, I was completely off it. Instead of the Zoloft, I now take Effexor and I am up to 150mg of that which is still considered a very low dose.
With the Affordable Care Act (at least in MA) almost all insurance carriers have to offer Tamoxifen and cover it at full cost, My insurance was the one of ones that does.
MarieBernice6234
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I'm unable to take Tamoxifen or even a half dose. My MO said 20% of women give up on Tamoxifen (based on studies) because of SE's. Your oncotype score is based on being on Tamoxifen for 5 years.
Without taking it my chance of having bc come back increases to 18%...Not a good number for me.
Am unable to take an aromatase inhibitor because I have osteoporosis due to a very early hysterectomy.
Hoping others can take Tamoxifen without side effects!
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Just curious to know how many of you are using tamoxifien for ILC? For how long and have you had a recurrence of BC?
Reading and finding more info about Tamoxifien, I have yet to find info on treating ILC with Tamoxifien. From what I am finding is that it is used for IDC and or DSIC.
Any input??
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staci13,
I am taking Tamoxifen for ILC, after having so many SE on Arimidex and Aromasin. I am 60 and post menopausal. Just started it this week. Can't tell if any SE yet, but hoping none! I have to ask you: why did you not do a BMX? With ILC there is a greater chance of recurrance or going to the other side. I see so many lumpectomies and UMX on the boards. Blessings Robin
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I just took my first pill of tamoxifen last night. Hoping we all stay side effect free.
Nancy
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Hi Nancy,
Today is my 3 rd day and i feel fine! I was a little nausea yesterday and i get really tired and sleepy by 9 pm. Which is not me. I dont have any other SE, yet. I hope it will stay that way
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thanks Montmartre - I don't feel anything but I have only had one dose lol. Cheers
Nancy
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Nancy2581, I have only taken 3 as well. A tad bit nauseous before bed, but nothing horrible. I am still feeling the SE from Arimidex and Aromesin. Hope that goes away! We are 3 going down the road together!
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robinblessed54 - I am 44 years old premenopausal. BMX wasn't really brought up as an option for me. I did have a suspicious spot on my right side, through mammogram and digital mammo, they said it was compressed tissue. I think about it every day, did I make the right choice?, was I given all the info I needed to make a decision?, should I have had a second opinion?, did I have enough time between diagnosis and surgery/treatment? Now hoping, wondering if this tiny pill will be enough to keep the beast away. Oncologist said tamoxifien for 10 years...so for no SE. -
Blownaway- When I was diagnosed, there was some debate with the cardiology group regarding my actual EF, ranging from 20% to 50%. I was in CHF and admitted for five days on telemetry unit. My EF flip flopped from 30-35% for about 5 months and finally hit 45 at 6 months. Stayed 45% for 6 months and hit 50 at one year so I was able to come off meds. I went back to work at 30% but only part time which was two twelve hour night shifts. That's when I needed to go from meds twice a day to three times to offset low blood pressure and fatigue. I was released by cardiologist at year and half out but now am back for yearly follow ups. Preop echo was 65% and I thought I'd never get that high. When I was below 45% I definitely felt winded and had a newborn to care for so I probably didn't get as much rest as needed but cardio encouraged exercise at 45%. Prior to that, I was advised not to exercise. I was nervous and didn't have the same stamina even for brisk walking. I was in great shape prior to this pregnancy and have never gotten back there but I will! Just need to put the time into and even more important now. It will get easier so hang in there! -
Stacie13: I'm no expert on ILC (I had IDC), but the trend is definitely AWAY from prophylactic mastectomies on the opposite side, and I am pretty sure this is for any type of BC. (If a woman is BRCA gene positive, however, then a BMX is a rational choice.) Also you were stage 1a--all the more reason to limit surgery to the side with the cancer already in it. I recommend this article:
http://www.nytimes.com/2014/07/27/opinion/sunday/the-wrong-approach-to-breast-cancer.html?_r=0
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Ive been on tamoxifen a few months now..And ( touch wood) no.major SE.. I am waking of a night feeling warm, but it is summer here, and may well just be part and parcel for my age
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Did anyone feel a little nauseated (more like slight indigestion) after first starting tamoxifen?. I took my second pill last night and shortly after the indigestion feeling started and has continued through today. I have also been taking 600 mg of ibuprofen every 6 hours as I turned my ankle. I hope it's the ibuprofen and not the tamoxifen. I'm going to stop the ibuprofen since I don't think it's helping anyway. Any thoughts?
Thanks
Nancy
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IsabelArcher, interesting article, thank you.
Reading through posts it seems that a lot of women have a recurrence with 5 years or sooner. My drs have given me all the numbers and % of recurrences. Its just hard to wrap my brain around numbers and % when my % of getting cancer in the first place was low. Brca-, no family history, breast feed all of my babies, didn't have earlier menstruation as a teen, I eat well, exercise, never smoked, don't drink, yet here I am. It will always be in my mind if I made the right decisions, always. For now I hope this little white pill Tamoxifien does its job, not just for me but all of us BC worriers...I mean warriors LOL
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Havetolaugh - thanks for the info, I was wondering if others with chemo induced heart problems were told not to exercise. This week, I started walking every evening for 30 minutes after work with hubby but it's still hard to talk to him and walk at the same time. I can chew gum and walk but just can't breathe. -
Nancy, yes i felt a little nausea , heavy head but not to the level that bothering me too much. I took mine every morning with no other SE
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thanks Montmartre - yes that's exactly how I feel. Are you still experiencing it?
Nancy
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Someone asked about taking Tamoxifen with ILC. I had ILC and am taking Tamoxifen. My understanding is that no matter what kind of tumor it is, if it is ER/PR positive, its on Tamoxifen we go. I was told during my appointment with the oncologist that the protocol was changing to 10 years. My oncotype score was 11, so with 5 years of Tamoxifen, I have an 8% chance of it coming back. I did have a BMX as I had 2 other spots of DCIS.So far so good with the Side Effects, but its only been 3 weeks. Hopefully this will continue. Touch wood!
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I have been on Tamoxifen since 5/14. At first my SE included horrible night sweats and hot flashes. Now I'm experiencing severe joint pain; feet, ankles, hips and elbows. Looking into suppressing my ovary and trying a postmeno treatment. I'm 47 and have had a hysterectomy but I have 1 ovary left. Not finding very good info on the postmeno drugs either. I don't want pain to be included in my new normal!!
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Let me tell you about my experience with Aromatase Inhibitors: HORRIBLE!!! Some people are fine on them, but for Me, I had almost immediate arthritis pain in my hands and wrists as well as having trouble walking when getting up after sitting a while. I tried two and both did the same SE. I am now on Tamoxifin, the last one I will try. I still have horrendous pain in both thumbs and wrists. I can hardly hold a pen to write. I can't open ziplock bags or jars, even if they have already been opened. My MO said he didn't think it was neccesarly caused by it!!! Are you flipping kidding me?! I have put in for a transfer to new MO. I hope this works, Robi
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When do you take your Tamxifien? Before bed or in the morning?
I take mine before bed
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I take my pill in the morning. My onc said either night or morning is fine--makes no difference--as long as you take it the same time every day.
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I take it in the morning with my coffee
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I m almost three weeks in on Tamoxifen and I take 20mg at 8pm. Side effects have been leg cramping at night, hot flashes and insomnia. I had all of this going thru chemo though. I still get joint aches at night but overall I really don't have a huge complaint against Tamox and am grateful to have it. Also I've notice this week my skin is getting dryer and I've got a bizarre rash on my chin I'm sure my oncol will know nothin about as she never does. Insane constipation continues and when I finally do go I wish I had married a plumber. Last night I took Natural Vitality's Natural Calm which was reccd by hoardes of BC Warriors and it worked!! I had ZERO leg cramping and despite interrupted sleep when I did sleep it was deep and I felt rested when I finally got up. I ordered it on Amazon- also helps with constipation- it's a magnesium supplement. I drank last night and within 20 min was out- which is unheard of for me.
Now to deal with this unsightly facial rash on my chin and jawline.
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Because we've all been on other drugs, it can be difficult to separate out what's actually a Tamox side effect from leftovers of the other drugs, or just the ordinary complaints of living! I had a couple of weeks of insane itching on my arms and shoulders and asked my onc's NP if it could be the Tamox, but she said no. The itching just went away on its own, so I think she was right.
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I rake mine with breakfast in the morning..
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