Starting Arimidex today (July 15, 2015)

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  • ruthbru
    ruthbru Member Posts: 57,235
    edited July 2015

    I did 5 years with no problems. I was a little achy at first, but just kept moving and everything settled down pretty quickly. I'd say within 6 months I was feeling normal. I second the recommendation to keep up with the exercise, which is good for your both physically and mentally.

  • AudreyB
    AudreyB Member Posts: 377
    edited July 2015

    JaneQPoppy, I started taking it at night going to bed and I was not able to fall asleep. After a few weeks I started taking it in the morning, and fall asleep a little better, I wake up a lot, but I think that's because of the expanders.

    I take it with my coffee in the morning, no food.

    So far, so good, just started my third month. A little achey in the thumb area but I had that before the arimidex. Can complain about much.

  • JaneQPoppy
    JaneQPoppy Member Posts: 141
    edited July 2015

    I've been taking it at dinnertime. Might have to change that. Had a really bad night last night.

  • gypsyjo
    gypsyjo Member Posts: 304
    edited July 2015

    I'm still reading this thread along with a couple others along the sames lines. I haven't really posted as it seemed this one wanted more of the positive experiences. I have posted on a few of the others that deal with side effects. I have been on anastrozole for 4 months now and have my share of side effects. I am doing this one month by one month seeing what gets worse, what gets better and I can do to lessen the side effects.


  • JaneQPoppy
    JaneQPoppy Member Posts: 141
    edited July 2015

    Gypsyjo, please share your experiences. I'd like to hear about all side effects. I had a hard time navigating the really long threads about side effects- the ones with thousands of posts. So, by all means, what's happening with you?

    Today I've been having shooting pains in my breast all day. Like a needle being driven into my nipple. I've had that before but not constant like this.

  • Suladog
    Suladog Member Posts: 952
    edited July 2015

    Jane,

    I've been on arimidex now for 3 months and I'm doing just fine, no SEs to report. I was very scared before I started but the ladies here assured me I'd likely be just fine and in my case they were right

  • AudreyB
    AudreyB Member Posts: 377
    edited July 2015

    it's so nice to see familiar faces. Hi everyone.

  • gypsyjo
    gypsyjo Member Posts: 304
    edited July 2015

    Jane, Occasionally I get a stabbing pain in the breast, but it seems to be the nerves repairing, not from the AI. I also have some pain on occasion going around my ribcage to my back. I occasionally massage my lumpectomy area and find sometimes that irritates it. I think that is just the continued healing. Your surgery was around the same time as mine was so healing might explain some of your discomfort.

    These are the side effects that I have noticed. The first month Anastrozole was manufactured by Accord. The next 3 months by TEVA. I made notes of the level on a scale of 10 at the 6 week dr appt and at 3 months. I have varied times and found no difference. Things that are 2-3 are a nuisance. Anything at level 5 I find a concern.

    Bone Joint Pain 5-6 of 10 at 6 weeks, 4 at 3 months. (Prior to medication I had arthritis in my knee, hips and big toes at a 2-3 level). On Anastrozole I for the first time have stiffness and pain in my ankles, wrists, thumbs and one outer pinkie. The original areas have worsened. I started Gently Yoga 3 weeks ago and the level has lessened to a 2-3 but still all areas effected.

    Hot flashes 2-3 of 10 at 6 weeks, 3-4 at 3 months. I never had them with menopause. I find it wakes me at night so insomnia, fatique and depression. I think these are all related to the hot flashes and getting up in the middle of the night.

    Weakness 3 at 6 weeks and none now.

    Fatique 3-4 at 6 weeks, 4 at 3 months.

    Insomnia 4 on a scale of 10 both at 6 weeks and 3 months.

    Depression 3 out of 10 at 6 weeks, 4 at 3 months. Some may be related to the insomnia/hot flashes and having dealt with cancer. Since dx I think I was worried and depressed, but since Anastrozole its not so much worry/depression but total loss of joy. I d haven't experienced it since a few weeks on the drug. I used to be a joyous person, but I can't find that anymore. Lack of joy is not me.

    Constipation 2 at 6 weeks, none now. (V8 and dried fruit works wonders)

    Headaches none at 6 weeks, 2-3 at 3 months. I never had headaches before in my life.

    Dizziness none at 6 weeks, frequently feel light headed now.

    Dry Eyes 2-3 out of 10 at 6 weeks, 3-4 at 3 months. I am using Liquid Tears and it seems to help.

    Short Term Memory/Mind Fog 5-6 out of 10 at 6 weeks and 6-7 at 3 months. This is the one that bothers me the most. It wasn't even on the list of side effects on the comparison chart on this website. I have mentally juggled details and schedules for all of Nike's websites and now frequently have problems getting out the door with my glasses, keys, driver's license and credit card. i was also driving the other day and couldn't recognize where I was. I drove a couple more blocks I figured it out. It was a route that I have frequently driven for years. It might be due to the fatique and insomnia, but a definite difference that is noticeable to people other than me.

    Bone Density - my baseline is -1.4 which is osteopenia. Have upped my calcium.

    Cholesterol unchanged, but needs to be closely monitored. I had some mini strokes a few years back and need to reduce my overall cholesterol below normal. I'm not doing too well. I am afraid this might change it along with quitting my statins when I found that long term use of statins increases my chances of breast cancer considerably.

    All the other potential side effects I haven't experienced at this point.

    I've been trying to track my side effects along with looking for other reasons for what is happening. I looked at all the hormonal therapies and side effects along with doing quite a bit of reading of side effects from lack of estrogen. I found reading about lack of estrogen very helpful in understanding that it isn't the pill that is causing me the issue. It's from not having enough estrogen for my body's functions. In other words, since the pill is doing this job, so this is what is happening to my body. I'm trying to address each of those one by one.

    So I'm trying Yoga, taking some naps, have signed up for a clinical trial on Accupuncture for Hormonal Therapy Women through the Army of Women (Dr Susan Love). I don't know if I am accepted yet and may end up in a sham accupuncture group or potentially the real accupuncture group. I figured I have nothing to lose and may help move treatments forward. My MO recommended accupuncture but insurance won't cover.

    With my pathology of mucinous cancer, my MO said to consider AI, but did not fall under the recommend. Being ER+ 100% I want to try. I'll go month by month. I am hoping my body will adjust to the lesser side effects and I find solutions to address the ones of more concern.

  • JaneQPoppy
    JaneQPoppy Member Posts: 141
    edited July 2015

    Gypsyjo, thank you so much for that very detailed account of what you've been experiencing. I'm curious about how receptive your docs are to that level of reporting detail. I would hope they would be very interested and commend you for making their job easier. Alas, my (and others') experience with doctors is that sometimes they are annoyed if you seem to know more about your body than they do. <shrug> It's a reality.

    Also, you're seeing your docs for followup pretty often. Yesterday I saw the radiologist and she said I don't have to come back for six months. Likewise the medical oncologist. I saw her once right before the surgery, then once more three months later, and my next appointment is also six months from now! They want me to call if I'm having any problems, sure, but is this normal?? To see the oncologist twice a year? Just seemed odd to me.

    You and I did have our surgeries around the same time, but due to complications I didn't start Arimidex until two weeks ago. I think you're right, that it's the estrogen blocking that is causing some of the symptoms, not a direct side effect of the drug. Like you, I didn't have much in the way of menopause symptoms when I went through it 16 years ago.

    Re Gentle Yoga, do you do this on your own or do you go to a class?

  • gypsyjo
    gypsyjo Member Posts: 304
    edited July 2015

    Hi Jane,

    I do find that having a list with documentation over time carries a lot of weight. I try to figure things out on my own and they help me solve it. My PCP addresses my other health issues and won't tell me what to do cancer wise referring me to my MO. My MO won't tell me what to do about my other meds that conflict with cancer health and refers me to the PCP. I finally set up a meeting with my PCP to update him on my health post cancer treatments and about what meds I have dropped that he prescribed. We discussed the irony of my stroke meds increasing cancer and my cancer meds increasing strokes. It's sort of choose your own poison. We had a serious discussion of tradeoffs with me flat out saying I don't want cancer, but my ultimate goal would be to get off all meds. I stopped my statins and blood thinners, still keeping the low dose aspirin as it helps both and will monitor cholesterol every 4 months. My MO says the most important thing I need to do to fight off cancer is to excercise. If my side effects from AI interfer with that I should drop the AI. He is willing to work with me to resolve my issues.

    Unfortunately my MO is changing hospitals so need to decide whether to follow him and create a third set of medical records or try another recommended MO at the current hospital. I am realizing that the changes in the medical field almost require you to be the manager of your health care. In another month or so, I will make an appt with the new MO, my updated side effects in hand to check them out. The hospital running the acupuncture trials is where my MO is moving to. I also plan to check them out.

    My follow-up schedule is very similar to yours. I just plan on a few more done at my request as I gather more information and have more questions. At this point I have maxed out my out of pocket costs so I want to work out all my health issues as much as possible this year. I think the schedule is completely normal. That is the least that they want to see you with their questions that they want to follow up on. If you have more to discuss, understand or get checked out, you can be the one to initiate.

    Per no issues during menopause, I wonder if we had more estrogen than many so had no side effects. Having more may have also led us to get breast cancer. I wonder if studies have been done on that.

    For gentle yoga, I checked on a few places in the area, then went to Groupon to see who had introductory offers so I could try a variety. I do the Gentle Yoga 3 times a week, but find I the Monday instructor doesn't match my body needs as well as the older instructor does on W and F. I'm trying a few others at the center while my $30 special lasts. I have bought a few gentle yoga DVDs and some yoga props that I found useful in class to supplement. I figure I will do a combination of class and at home supplemented by walking and excercise bike. I found the environment is very important to my enjoyment. The class is on a upper floor building with 3 walls of windows. The views are tree tops, clouds, the sky and birds. I found it really gets me in the mood. I am also setting up a yoga center for myself in the livingroom looking out on my forested backyard. For walking, I try to get to the local nature reserve trails that are 15 minutes away. I am trying to indulge my senses to keep going forward. As my health improves, I will decide month by month what meds to take, tracking it all the way.

    I hope all your complications are cleared up. I also hope you are one of the lucky ones without side effects or ones that are manageable. I am lucky to be in a position in life where I can focus on myself and what my body needs. Though once we go through all of this, what other choices do we have? Wishing you well.

    Jo (Where in Texas do you live?)


  • Marie711
    Marie711 Member Posts: 87
    edited July 2015

    For those with an iPhone or iPad the yoga studio app is fantastic. I'm 57 and overweight and had never done yoga but I can do the beginning programs. She explains it well enough I don't have to watch and her voice is soooo relaxing! You can use their music or add your own, use pre set programs or make you own from a list of poses. Best couple of dollars I have ever spent. It even has a couple of relaxation programs where you just lay down and listen.

    Yoga Studio by Modern Lotus
    https://appsto.re/us/gg31H.i



    image

  • gypsyjo
    gypsyjo Member Posts: 304
    edited July 2015

    Thanks, Marie. I will be following up on that. I'm hoping to find a mix that works for me over the long run. I have more than 50 lbs to loose and am focusing on just feeling better overall. My favorite part though is the meditation at the end. I figure its my reward for all the rest.

    Jo

  • JaneQPoppy
    JaneQPoppy Member Posts: 141
    edited July 2015

    Gypsyjo, you are one smart and pro-active patient. Some doctors love that and some hate it. I have a dear friend who has many health issues from birth and he has had doctors outright scold him for doing research. One accused him of trying to self-diagnose, and another one called him his nemesis. Very painful to hear that from the people who are supposed to be supporting you.

    My complication was a seroma that filled with fluid then burst through my already-healed incision. For three months I was packing it with sterile strips twice a day-- I mean using a q-tip to shove about 10 inches of gauze directly into the hole in the underside of my breast. I didn't think it would EVER heal, but finally it has.

    I also have three sets of medical records. Oddly, two of them are in the same system, but that system started out as two systems, and everyone admits that when they merged, neither one would give up its recordkeeping software. And while most of the records can be see by staff in either system, one thing they can't see is appointments. That was for the surgery and mammogram. I'm going to a third system for the treatment (radiation and beyond). Those records don't interact with anyone else's. Craziness.

    I have a PCP, but I've only seen her about three times in my life and the last time was over two years ago. I've never been sick before this. I'd like a real PCP who knows me and follows me, but this woman is not likely to be it. Long time ago, I had an actual family doctor that I went to for 30 years. I didn't have major things, but she knew me and followed me. I had to go elsewhere because of insurance, and in the meantime, she has died.

    You really do have to take charge of your own care and recordkeeping.

    I switched to taking Arimidex in the morning, so maybe that will help with the restless sleep.

  • Jujube2
    Jujube2 Member Posts: 29
    edited July 2015

    hi! I've been on exemestane for two years now with no major problems. I do have stiff joints when I get up in the morning, that's it.

    I take with breakfast .



  • Pheasantduster
    Pheasantduster Member Posts: 2,905
    edited July 2015
    I have been on exemestane for the last month after stopping (for a month) letrozole for stiffness in joints esp legs. Only took a couple of weeks for symptoms to come back but more prominent. I cannot sit for resonable amount of time (1/2 hr) and find it difficult to get out of chair. Only one example. Sleeping has become difficult which makes me so tired. Am really thinking about quitting. This is my 3rd try on meds -
  • JaneQPoppy
    JaneQPoppy Member Posts: 141
    edited July 2015

    Pheasantduster, you said this is your third try on meds. What have you tried and over what period of time? You must be ready to scream... Did you try Arimidex?
  • gypsyjo
    gypsyjo Member Posts: 304
    edited July 2015

    I hear you Pheasantduster about stiffening after sitting. It takes me forever to get out of a restaurant booth and then I sort of waddle side to side until it loosens. I also look for handicap bathroom stalls. When doing yoga on the floor, I stiffen but still find it helps overall. Flexing the joints definitely helps and increases the circulation in the joints. Yoga lets you do that gradually without causing damage.

    Jujube - I'm glad you haven't had major issues. That is what I am hoping to get to.

    Jane - So sorry to hear about your seroma. I have one that is shrinking overtime but doesn't give me any problems.

  • Pheasantduster
    Pheasantduster Member Posts: 2,905
    edited July 2015
    JaneOPoppy- started anastrozole spring of 2013, had allergic reaction (itchy eyes and face) along with pulmonary problems(result of radiation damage). Held off meds till pulmonary disease cleared up. This took approx a year and on and off predisone! Started letrozole spring of 2014 - didn't have problems till this past winter - terrible stiffness, aches pains in legs especially at night. Stopped letrozole for a month in June/July then started exemestane July 13, and here it is end of July and my aches and pains are worse. During my 30 day break of meds, I was so much better, better sleep resulting in a better day.
    And yes, I am ready to scream.
  • Pswanson82
    Pswanson82 Member Posts: 6
    edited July 2015

    Pheasantduster,

    I was happy to see your post as I too am having itchy face, especially my lips are swollen and chapped, and my scalp itches. All I have told think that I am crazy and have never heard of this reaction....even on other site post here. I thought I was imagining it! I am of Anaastrozole for 2 weeks to see if it is the culprit.

    P.


  • JaneQPoppy
    JaneQPoppy Member Posts: 141
    edited July 2015
    Good grief! You gals have been through the wringer. I'm so sorry. Ick.
  • JaneQPoppy
    JaneQPoppy Member Posts: 141
    edited July 2015
    Some of y'all might find this interesting. The New York Times asked people for their experiences with breast cancer.

    http://well.blogs.nytimes.com/projects/breast-cancer-stories?ref=well-ccol
  • lyzzysmom
    lyzzysmom Member Posts: 654
    edited August 2015

    hi Ladies, I was dreading starting anastrozole after my experience with tamoxifen and effexor. I am happy to say so far so good after 2 1/2 weeks - nothing. I get a little weak and fuzzy headed but that started with effexor and has taken ages to improve. Non of the inability to go back to sleep or the upset stomach that lasted a month that I had with tamoxifen so keeping fingers crossed. Hope the other starters are doing well..

    still waiting for results from my baseline bone density test last Monday.

  • JaneQPoppy
    JaneQPoppy Member Posts: 141
    edited August 2015

    Welcome lyzzysmom! It's so hard to pinpoint where the SEs are coming from. Last week I got really sick to my stomach, but possibly it wasn't the meds but undercooked chicken. Blech.

  • JaneQPoppy
    JaneQPoppy Member Posts: 141
    edited August 2015

    Okay, ladies, I'm coming out of the closet... no, not that closet. It's just that I couldn't stand to stay in the closet anymore because of, well... flatulence. Gas, that is. I did a little googling and apparently gas can be a side effect of Arimidex. Oh joy. One more lovely side effect. And a fun one at that.

    At first I thought it was the beans...because I didn't soak them overnight first. Then the cole slaw (raw cabbage, dontcha know). The dried cherries??? What the heck? <sigh>

    Anyone else care to come out of the closet...it's not so pleasant in there...

  • gypsyjo
    gypsyjo Member Posts: 304
    edited August 2015

    Jane, i've been having the problem too but was thinking it was from changes in my diet! Organic and more fruits and veggies. I will add to my SE list and monitor. 

  • 614
    614 Member Posts: 851
    edited August 2015

    I have been taking Arimidex/Anastrazole since October 2014.  I take it in the morning when I wake up.  I feel fine. No side effects.

    Good luck. 

  • BocaCiegaBabe
    BocaCiegaBabe Member Posts: 98
    edited August 2015

    I'm one month away from being finished with Arimidex, take it first thing in the morning and with no food, only because I'm taking thyroxine too and that needs to be on an empty stomach.

    Reading about all the se's worried me too prior to starting it, but aside for an occasional hot flash the first month, and the old dryness issue, I've done great on it, with no other side effects.

    With me anyway, if I look for trouble I'm quite likely to find it. That is not to say anyone else' se's effects aren't absolutely real, they are. They are documented, but I didn't have them. I think it may seem as if so many of us have them, because those that don't, aren't as likely to come to a thread like this. I would not be in the hormone therapy forum at all if I weren't grappling with whether or not I should go on with Arimidex past 5 years!

    Maybe some of us are having to take our first maintenance prescription ever, so that entire issue is new, but I'm an old hand, unfortunately, taking thyroxine and blood pressure meds for the past 20-25 years, so don't think much about adding yet another. :). I remember researching thyroxine, my first drug, to death when I first started.

    The way I looked at Arimidex with my estrogen positive tumor (60 something % positive as I recall), was that if I could take something shown to lessen chances of a recurrence, I was going to do it...anything to keep from going through that trauma and drama again!!!! Who knows if that attitude had any effect on the degree of any se's. I just knew I was going to do it.

    I have always been a workout fanatic, and as others have noted, I think that helps. Still walking 5 miles a day and in the gym for Body Pump. Good luck to anyone starting the drug. Arimidex is one bit of armor we have that gives a chance to lessen a return of the beast, so initially try to look at it as a good thing we are doing for ourselves, not something to be dreaded.

  • Dromedary
    Dromedary Member Posts: 26
    edited August 2015

    Hi - I've done just over 2 weeks on Arimidex and so far, I'm happy to report no change or obvious SEs. I have joint/bone pain most of the time in my lower legs and ankles, but that started with the Taxol (last 4 sessions of chemo) and has never really gone away. So I really can't put it down to the Arimidex.

    I try to take some exercise every day - at least walk a couple of miles and am restarting Pilates. I put on about 12lbs during chemo so I guess that doesn't help the joints much and I am working on getting it off again.


  • tbayer
    tbayer Member Posts: 15
    edited August 2015

    I'm reading the thread because new to Arimidex, started 3 days ago.

    Nothing significant in terms of symtoms yet, perhaps hot flashes a tad bit more, feeling blah/moody but have been slowly experiencing these since my oophorectomy 7 wks ago.

    I agree with some of the posts that journeying through BC and all the treatments, it's hard sometimes to tease out what causes what. After chemo and radiation, I was feeling my mood drop some I think because I'd come off the "conveyor belt" so to speak, more time to think, less appoinments. Then I had my ovaries out, feeling good for 1st month and past couple wks, angsty/irritable/blah. Last week at my GYN/post op check up she said symptoms are all par for the course, having had ovaries removed. She recommended Effexor for hot flashes and mood. I'm already on low dose of lexapro, not sure if they can be combined. I told her I'd wait a bit since was going to start Arimidex.

    The thought of going from 1 to 3 Rx drugs is yucky to me. So I guess I'll try the AI, see how goes it for couple weeks and if mood doesn't improve, will ask about Effexor.

    It's so hard for me to be patient with myself sometimes. The mood, emotional part is challenging, esp. when feeling negative/irritable. I walk everyday, am getting back into meditation, want to get back into yoga. I think I'll journal today, that always helps. It feels like a long road. This is my 2nd time around with BC, more treatments this time. I can only take it one day at a time. I try to remenber that I'm powerless over what feelings come up, but I do have control over what I do with them:)

  • NCDi
    NCDi Member Posts: 85
    edited August 2015

    Hello JaneQPoppy:

    Yes, still reading, but not so frequently.
    It is interesting reading responses regarding Arimidex and like many, I was almost adamant I wouldn't take it BUT, I thought I at last would try it and started taking it almost a month ago. My MO said I shouldn't have any problems (I am 64) and I figured it's just a milligram pill so jumped right in.

    My MO suggested I increase my water intake, so I have done that and, he also said taking it before bed was best, so I do that too. I eat a yoghurt for supper a couple of hours before I take the med and I drink half a glass of water or more, with the pill. Sure, I get up a few hours later to keep my bladder happy but am able to go right back to sleep.

    I did read somewhere on this thread that compounding agents can sometimes cause problems and that Teva seemed to be the least problematic - I was happy to see my scrip filled with Teva so that was a relief too.

    You started your regimen a week before me - how are you doing?


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