Starting Tamoxifen - Spring 2015

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  • Piscean
    Piscean Member Posts: 50
    edited May 2015

    Katy,

    Thank you for your heart-felt deep kindness. It appears that I am not alone in my situation, you're experiencing the same aloneness.

    Though my b/f has been supportive he isn't the snuggly/cuddly "I'll do anything to help you" kind of person. More, he's the type that will light a path and hope I follow it; and if I don't, then perhaps I'm not strong enough for him, but definitely not strong enough for myself.

    I used to be swamped in those feelings of self-pity and I didn't like it. I didn't want to be weak. My self-pity was washed away once I learned how to live with this guy. I became more self reliant and I am grateful for that personal strength. He and his hardness have been very good for me. At this point in my life I could live without him, but I don't want to. I know how hard it is to deal with depression on one's own and that is what scares me.

    Moving to another country, I left my family and friends back home. He is all I have, besides myself. So I do feel that you understand what I am going through.

    I don't believe that his support is illusionary; rather, it's the kind of support that encourages me to be more self sufficient. Sure, he's selfish; the most selfish person I've ever met. But his good outweighs the bad, at least for now. :)

    Thank you for your reply. I too hope to find friendship and support on these pages.


    -Jennifer



  • Jackbirdie
    Jackbirdie Member Posts: 4,693
    edited May 2015

    Jennifer- I am feeling a bit better now that you've shared more of your story. Your honesty and willingness to accept your truth is not easy. You don't sound to me like you are sticking your head in the sand.

    So many relationships are put through stress they can't withstand after this dx. I read about women who are unwilling to face the fact that they would be much better off without the lack of support, affection, and even abuse. A little part of me dies when I read these things as I feel they are headed for worse and there's nothing I can do to help..

    I hope you never feel alone, especially now that you've found these boards. I live alone but I don't feel alone. Part of that is because of this guy:

    image

    I hope you remember your pig Latin so you can read his tag, haha. PM me any time if you would like to.

    Katy

  • Piscean
    Piscean Member Posts: 50
    edited May 2015

    Hi Katy,

    I might have been a little dramatic in my post when I first mentioned my guy and his lack of desire to be with someone emotional and/or depressed. Thanks for your feedback; in the future I will be less vague.

    And thanks for your kindness, again. I too have a four-legged friend that is wonderful love and companionship for me. She is the best cat I've ever known! If only humans could be as loving and loyal as our pets! <3

    I have one question, perhaps you can help me with. Is it best for one to start tamoxifen while on one's period or wait until after? I have one day before my period starts, I've got the tamoxifen and am hesitant to start it. Just wondering if you knew.

    And yes, I remember my pig latin! I love that tag and I bet your little man is happy to wear it. :)


    Jennifer


  • Jackbirdie
    Jackbirdie Member Posts: 4,693
    edited May 2015

    Jennifer- I don't know for sure. I don't think it matters since the drug is used primarily in pre-menopausal women. (Who have periods).

    A quick call to your nurse/MO hotline should answer easily. Let us know the answer. I'm now a bit curious myself

  • Piscean
    Piscean Member Posts: 50
    edited May 2015

    Will let you know, Katy.

    It's a holiday up here in Canada so I'll phone tomorrow. :)

    -J

  • MidLifeCrisis
    MidLifeCrisis Member Posts: 68
    edited May 2015

    sjacobs146 ... thanks for that very encouraging post! I waited too long to start and resumed my period after chemo-pause so we'll see what happens. I did just go thru a 2nd, though it seemed light, cycle after being on Tamox for 2wks (1/4 dose). Not much to report otherwise.

    jackbirdie ... I, too, have worried some over the comments on these boards about unsupportive spouses and other family members. It breaks my heart to hear of some women who, for example, can't get to their chemo infusion because their husband forgot or flat out wouldn't. And I have read posts like that! So, I know you're comments have all had good intentions behind them.

    picean ... it's good to hear you are in a spot where you feel in control, no matter your circumstances. That said, please don't feel like you have to explain yourself on here... but when you say things seemingly negative about your significant other, we will worry about you. :) You need postitive support and that's what these boards should be about... and especially if you're not getting it at home. I, too, don't know if it matters when, in your cycle, you start Tamox, but I would venture to guess that it doesn't matter. Please do share if you hear differently from your Onc.


  • justachapter
    justachapter Member Posts: 158
    edited May 2015

    Hi Ladies!
    I started Tamoxifen last June or July, can't remember. But, I wanted to tell you, I had surgery, 7 weeks of rads and Tamoxifen. Of everything, I was most afraid of the Tamoxifen. Well, my only SE has been weight loss, in fact I was sick for 3 months another SE actually is it made my asthma worse when I got sick last fall. Anyhow, initially no one could figure out why I was losing weight, and in the end it was the Tamoxifen. I originally lost about 14lbs because of being sick also, but I have been steady at a 10lb loss, my new set point. I am thin to begin with and it bothered me initially, but I am used to it now and am thankful that is the only SE.

    I wanted to add a positive story as not everyone experiences the horrible SE's and I am one of those who was petrified and in the end it has been smooth sailing, almost one year.

    Good Luck!

  • Piscean
    Piscean Member Posts: 50
    edited May 2015

    Hi Katy,

    The people at the BC Cancer Agency say that it does not matter at which point in one's cycle one begins Tamoxifen therapy. Just wanted to follow up. I've taken my first pill today.

  • Jackbirdie
    Jackbirdie Member Posts: 4,693
    edited May 2015

    Jennifer- thanks for the follow up- good to know. And good to hear from you as well!

    Good luck with SEless Tamox!

  • fighterinpink
    fighterinpink Member Posts: 3
    edited May 2015

    I was diagnosed in March with ILC in the left breast, ER+, PR+, HER2-. After mastectomy and diep flap reconstruction 2 weeks ago I am now on my way to ONC to begin tamoxifen. Fortunately I am node negative and do not need radiation or chemo. However, I too am nervous about beginning tamoxifen. I'm 51 and it's like everything has been a blur since my diagnosis. I just joined this forum and it's good to see my concerns/worries are not just mine!

  • Moderators
    Moderators Member Posts: 25,912
    edited May 2015

    Welcome to the "club" fighterinpink! Sorry you had to join, but really pleased you are here with us, and seeing that you are not alone !

  • Piscean
    Piscean Member Posts: 50
    edited May 2015

    Hi justachapter,


    Nice to know that some SE are not horrible and there's people out there that have good news! That's more of what I feel I need. More good news.

    My dad just had his second brain surgery in 7 months to treat metastatic melanoma and I'm a thousand miles away, dealing with my own cancer. Life is strange, is it not? Here's hoping for what Katy referred to as SEless hormone therapy! :) YAY.

    Katy, I must be on FB too much....I tried to "like" your reply.


    -Jennifer

  • MidLifeCrisis
    MidLifeCrisis Member Posts: 68
    edited May 2015

    Fighterinpink … welcome and you are certainly not alone in your thoughts. I formed this "group" so those of us starting around the same time can not only commiserate but to also hopefully share positive experiences and encourage each other - glad you checked in. I kept hearing how the 1st month is the worst (besides any SE's that apparently might pop up after long-term use) and so my Onc started me on a low-dose to start w/a gradual increase. I'm nearing the end of my 3rd week (now at 1/2 dose) and besides maybe 2 "warm-flashes", it has been event/SE-free. I am hopeful.

    justachapter … thank you, also, for sharing a positive story. We need to hear more of those! Again, because of the nature of these boards, we can expect to hear more of the ugly side of Tamox use so it's nice and I encourage more of the positives to keep us all hopeful. Speaking of … I like your username! It's more "glass 1/2 full" than mine! ;-)

  • Damselfly
    Damselfly Member Posts: 62
    edited May 2015

    A week on the Tamox and so far no side effects except increased hot flashes. I need to get one of those handheld fans and keep it next to my bed. :)


  • ksusan
    ksusan Member Posts: 4,505
    edited May 2015

    Hello. I may not wind up starting until it's technically summer, but I expect to join you after my last chemo round in June. Thanks for the comments so far. Anyone doing tamoxifen and radiation at the same time?

  • perfectlyimperfect39
    perfectlyimperfect39 Member Posts: 25
    edited May 2015

    Hi ladies,

    I would like to join also. I am her2 positive. 41 year old wife and mother. Been through chemo, surgery, and radiation. I started taking the tamoxifen yesterday. I am really hoping for no side effects. Been through enough with this cancer crap. Still recovering from the burns of radiation. I finished in January. I had a fail expander so just waiting for skin to heal to figure out what reconstruction step.


    Jackbirdie: your dog is so cute

  • Damselfly
    Damselfly Member Posts: 62
    edited May 2015

    Hi Ksusan and perfectlyimperfect! Hope you don't get any SE's from the pills as well.

    I have still not gotten myself a handheld fan, but I have started taking the cold pack I got after surgery and keeping it next to my bed. If it is good and frozen it will still be cold at 2 am when I catch fire (it's usually around then) and I just roll over, grab it, and stick it on my head. Anybody else got any ideas? So far I have only had the 'power surges' and some sleeplessness (which may be related) that's all I've got so far...

  • Piscean
    Piscean Member Posts: 50
    edited June 2015

    Hi Damselfly and the rest of you lovely ladies!

    I've been taking the tamox since May 18, taking 20 mg every other day to start as per my oncologist. So far I've had a couple of weepy moments, but I was able to pull out of them when I realized it might be the tamox. Also, I find that I have less tolerance for bull crap. I guess my eyes are a bit more...open...one might say. I do feel agitated.

    A couple of hot flashes over the last two weeks. Nothing too intense. And I'm sleeping better than ever! I've also gained 10 pounds in the last two weeks which has kind of freaked me out. Time to really buckle down and cut out the sugar!

    Any tips for one who is gaining weight like crazy? I'm 5'11" and now I weigh 173 pounds. I know that in the thick of things weight doesn't matter too much, but after cancer, who wants to gain weight??

  • amyds
    amyds Member Posts: 3
    edited June 2015

    Hey Piscean,

    SO SORRY to hear of your weight gain. You're so right- after this, weight gain???! Why can't a side effect from EVERYTHING BC related be "weight loss- definite"? HAHA- Yes, I guess awareness is your first step. It's not easy. That's what's been holding me back from actually FILLING my Rx- met w/ Med Oncol 5/20 after March lumpect and 20 radiation, which were not bad at all.

    But I'm so paranoid to gain any more weight I've been chicken to start Tamox. My med oncol says my DCIS was so low that it is my choice- he said I'd lessen my risk of recurrence from like 10% down to 8%. Said if I wanted to give it a try it was up to me.

  • TeriMP
    TeriMP Member Posts: 89
    edited June 2015

    hi ladies, so I have been on tamoxifen for 6 weeks now and so far it hasn't been too bad. I've had no weight gain (Yay); actually weight loss but have switched to clean eating and working out. It did worsen my hot flashes for the first month but I noticed they have gotten a bit better over the last week. I also had insomnia (but that could have been front the hot flashes at night), it is also getting better. I do get stiff joints, mostly hips and knees but they loosen up once I get moving.

    I hope everyone is faring well with their treatments!

    Teri

  • Damselfly
    Damselfly Member Posts: 62
    edited June 2015

    Teri you sound just like me. I am paranoid about weight gain but haven't had any so far. I have stiff knees and can't decide if it's from my starting running (see weight gain paranoia) or Tamox or just plain getting older. Hot flashes every night which sucks during the summer. Generally I sleep all right if it's cool or cold at night, and not if it's warm. This is going to be fun as summer heats up...

  • Piscean
    Piscean Member Posts: 50
    edited June 2015

    Hey amyds,


    Sounds like such a small decrease in your risk of recurrence by taking Tamox...10% to 8%? With the risk of blood clots and all these horrible things...that sounds like a tough decision. It was similar for me in the risk versus reward for chemo. The benefit was too low for me to take it. Best of luck with your decision making!!

    I've read that bodybuilders take tamoxifen when they are in a leaning out mode...maybe it time to make like Teri and amp up the workouts and eat clean again. :)


  • Jackbirdie
    Jackbirdie Member Posts: 4,693
    edited June 2015

    Piscean- the risk and reduction of risk depends case by case.

    After my bmx, with no further treatment my risk wax 30%. If I did Tamox 5 years it reduced it to 20%. Chemo added only 4-5% but I wanted to do everything I could if I could tolerate it. Also, knowing I might not do well on HT, them chemo would be my ONLY defense

    So my current risk of recurrence assuming I complete all recommended tx is still about 15%. Seems pretty high tosomeone with a relatively small tumor, stage 1, no nodes and clean margins. This shit is scary. I'm not shopping for the minimum treatment. I ann asking to bd aggressive. Just me.. Given my numbers.

  • Viceroy
    Viceroy Member Posts: 69
    edited June 2015

    I have been on Tamoxifen for about a month now and while I didn't have side effects at first I am pretty sure that it is causing me knee and hip discomfort now. Nothing terrible, but I feel creaky often.

  • shelleym1
    shelleym1 Member Posts: 298
    edited June 2015

    I didn't think Tamoxifen was supposed to cause joint pain...just the AIs.

  • Damselfly
    Damselfly Member Posts: 62
    edited June 2015

    What, you mean I'm just getting OLD?!?! nah...


  • Standbyme
    Standbyme Member Posts: 2
    edited June 2015

    Hi everyone. Thank you all for your openness...I have learned a lot from you. I have been informed that I am high risk after a couple of benign biopsies but my doctor suggested that I should think about going on tamoxifen. When I read up on it (same precautions for Arimidex), the precautions stated that no one else should come into contact with the bodily fluids of the user, including washing laundry separately, due to the ingredients being secreted through bodily fluids. I take this to mean no genital contact of any kind that is not protected and could even mean kissing. To those of you who are taking it, do you know anything about these precautions? How do you deal with these limitations for five years or more, especially in context of an intimate relationship with a husband? I did ask this question in a different post but thought you all might have some insight. Thank you!

  • shelleym1
    shelleym1 Member Posts: 298
    edited June 2015

    Hi everyone. Looks like I am joining the club. My onc recommended I do OS+AI but I have opted out for now and will just do tamoxifen. I will start it this weekend. Super nervous about reading all the scary stories. Hope it is easy to tolerate.

  • ksusan
    ksusan Member Posts: 4,505
    edited June 2015

    Standbyme, ask your oncologist. I read some things about chemo from the American Cancer Society that seemed to suggest I should change the sheets every night and pee at an unshared location. My MO laughed and talked about overgeneralization, pointing out that the clinic has toilets and that during some heavy duty leukemia treatments, some more precautions are required, but not for BC (other than being careful the first 48 hours and using condoms for intercourse).

  • ksusan
    ksusan Member Posts: 4,505
    edited June 2015

    Standbyme, I don't mean to be rude, but are you sure you read about Tamoxifen (not Taxol or Taxotere, which are chemo drugs)? I ask because I'm not finding anything like that in the package insert or the Mayo Clinic's summary: http://www.mayoclinic.org/drugs-supplements/tamoxifen-oral-route/precautions/drg-20066208 .

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