Scared of side effects -- just need to cry
I'm have appointments with two medical oncologists this Tuesday to get my Oncotype DX results and learn what adjuvant medication will be prescribed. The reason for the two appointments is that I didn't care for the first MO I saw and the second one got rave reviews. I will see the first MO to get my results and then use the second MO as a second opinion.
I just feel so sad. Please forgive my wimpy-ness but here goes...
I have read so much about the side effects with Tamoxifen and the AIs and I'm just scared and need to tell on myself...
1. I'm a recovering alcoholic - the stress of being alone at any given time of day dealing with SEs just really triggers that feeling of utter loneliness that then triggers the thought of wanting to drink or die
2. I'm a recovering bulimic/compulsive overeater -- I already deal with feelings of suicidal ideation and feeling fat and ugly -- I got off antidepressants because my weight skyrocketed to 188 pounds. The idea of taking anything that will bring that back up there terrifies me. See #1.
3. I'm a radiologist -- there is a paper I found about breast cancer medication opthalmopathy -- the idea of cataracts, glaucoma and such terrifies me because this is my livelihood and career. See #1
4. I have clinical depression and am not taking any medication -- taking meds that will affect me emotionally, mentally, physically or lead to depression and mental fog terrifies me. See #1.
5. I'm single -- I don't have anyone to hold me, hug me and really, really wish I did. The idea of going through this alone dealing with side effects terrifies me. See #1. I'll be 54 in 3 days but I feel like I'm 34. I don't want to feel 90 years old -- how attractive will that be to anyone who would ever consider dating me?
I am very grateful for my breast surgeon and everything to date.
Surgery didn't scare me. It is the side effects of the AIs and Tamoxifen that scare me most.
I read this forum multiple times a day and I what I see are so many of you who have people whom you really matter to and friends who really love you. I don't feel like I have any friends. I haven't had a drink for 31 years but I took a double dose of my antidepressant medication when I was 16 years sober. Hence, medication scares me. It is why indole-3-carbinol is so appealing. It is also why I'm seeing two different MOs -- I am hoping one of the can help and support me with that.
I just feel so alone. I know you're all here but I just want to be held by someone and know that I really matter because I think this journey would then not feel so scary.
Up until today, I've been really holding it together but today, not so much.
I admire the courage I see in you. I don't think I have any right now.
Thank you for listening.
Comments
-
I understand the feeling of being scared when facing the start of tamoxifen or an AI. I read about all the side effects and saw the posts but--- there is a but here... First of all taking tamoxifen or an AI does not have to be an absolute commitment. I realized I could start taking the drug and if the side effects were too much - I had the option of switching to something else or stopping. I am the one who decides what does or does not go into my body. Know that everyone experiences these drugs differently.
I was also 54. I decided to start taking tamoxifen and see what happened. In my case what happened was --- basically nothing.... No hot flashes (not a single one) , no memory problems, no tamoxifen caused depression. The side effects I experienced: I lost weight on tamoxifen (just didn't feel as hungry) and had an occasional leg cramp (which seemed to decrease in frequency if I exercised more.) I did have an endometrial polyp that had to be dealt with. Know that negative side effects are not a done deal. Everyone experiences these drugs differently- some of us do have bad side effects others don't.
I was also concerned about tamoxifen caused cataracts. From what I have read it is a rare occurrence. I visited my opthamologist regularly and of course told him I was taking tamoxifen. My idea was that if there was a problem it could be caught quickly.
We are here and will support you. You have come to the right place.
-
You are not alone!!!!! God bless you for your strength and complete honesty!!!!! I suffer from clinical depression and just started Tamoxifen. Not going to sugar coat anything.....Im a mess. I am glad I found your post because we are not alone!!!!!!
This is a fight we did not sign up for. And being single makes it hard for me as well. But if we can reach out to one another we are never alone.
Ps. Weight gain is not an issue here lol. I have been vomitting since I started taking it. You may be fine on it!!!!!! We are all different
Xo
-
I hear you sister. I have an appointment in a week and a half to discuss tamoxifen. I really don't want the SEs either. My RO doesn't think I need Tamoxifen but the MO did before I had rads. I'm going to give it a try though, if the MO says to do it. If I can't handle it then I'll stop. From what I read, fir DCIS at least, there is no shown increase in life expentency from tamoxifen. But I have a family hx so I need to weigh that.
I guess you really won't know how it will effect you until you try. I too had weight gain from SSRIs but for me I'd rather be overweight then crazy with anxiety to where I can't function.
-
I tried T initially for two weeks couldn't handle it and it was a year before I tried again. I think you make some compelling arguments. If you can't do it or it is too big of a risk then just don't do it. I was totally freaking out about it and my onc said it just wasn't worth it. My oncotype was quite low (3) so I figured taking T made about a 2% difference. One doc said I should be ok without it. Ugh! Should? Eventually not doing everything I could was a bigger burden to carry than just taking the stupid pill. Like others have said you may not have any side effects. You can always quit. Whatever you do try not to beat yourself up about it. Gentle hug.
-
Rad girl- I second, third, fourth that you are not alone. This whole journey is so very scary. I have been on tamox for over a month. My side effect...no appetite. I actually have to remind myself to eat. So you really never know until you try what it will be like. I just take it day by day
-
Thank you everyone. There is an OCD center here (obsessive compulsive disorder treatment center -- yes, I have that too). I'm going to call them tomorrow. Part of why I feel so scared and alone is because I feel like I don't have any friends. I have such social anxiety and OCD. Maybe if I can get help for my social anxiety and my OCD, then taking the AIs or Tamoxifen won't feel so scary because I'll be able to share about it with others, maybe develop friendships and not feel so alone.
I really needed to cry tonight -- thank you all for your shoulders.
This whole BC thing can be so crazy!
I was anxious and scared regarding surgery and it went okay -- I felt safe and not alone because I really trust my breast surgeon and RO.
I'm hoping and praying that that'll be the case with at least one of my two MOs.
Thank you all again! It's 11:58 pm and my bedtime. See you in the morning! : )
-
radgal, not everyone experiences SEs with Tamoxifen. I have been taking it since April and I have 0 side effects (except for the occasional hot flash which I had before due to chemopause). No one is going to tie you down and force you to take it. You can try it, and if the SEs are too much you can stop. Of all you've benn through, Tamoxifen will be a piece of cake.
Have you looked into a BC support group in your local area? Folks in the same boat as you tend to be more sympathetic. Good luck with everything
-
I completely understand how you feel. I'm a person who tried it and had nasty side effects. I quit and they went away! (Well, everything except the ovarian cysts, but I think they're better because the pain I have has decreased.) I'm now almost two weeks in to trying again at a half dose with NO problems to report so far.
I don't have as many complications as you do, but I ended up with eye SEs that completely freaked me out. (I'm a software architect and a single mom so I need my eyes more than anything!) Please be assured that as long as you have an opthamologist monitor you, any eye issues can be discovered long before they cause permanent damage. Also, I had zero weight issues while on Tamoxifen. Remember, most women have minor SEs or none at all. You may very well be one of those women. If you aren't, though, you can always quit!
-
Radgal - You are not alone! I also need to start taking tamoxifen within the next few weeks, and am more terrified of it than anything else I've gone through (including a really brutal DIEP recon). I don't have any words of wisdom, just wanted to let you know that you've been heard, and there are people who care. I'm lucky to have a good group of friends right now, but it hasn't always been that way. There was a time in my life when I relied heavily on my Internet friends, and they got me through some really dark times. We are here for you.
-
10 years ago my eye doc said I had baby cataracts. Had eye check Tues, still baby cataracts. See your eye doc yearly, you will be fine.
-
I'm about to try my 3rd hormone therapy drug. Tamoxifen was first, then Fareston next Evista. I was a wreck and told my onco. I'd rather go through the cancer than experience the side effects from the Fareston. sorry to skate bad news.
I have other issues though. An autoimmune disease and digression along with thyroid. I have to admit I'm scared because it took 2 weeks for me to come out of the depression I was in after Fareston. I'm 49 and had stage 1 and double mastectomy and also single.
I'm very scared whether or not I'll be able to tolerate the hormone therapy.
-
I can speak to the opthalmopathy aspect of tamoxifen and the AI. I developed cataracts within a month of starting to take arimidex. I didn't have cataracts before, per my OD (who is also my sister). Cataracts are a rare side effect of these drugs. My onc says she had never seen anyone who suddenly developed them like I did. The thing to remember is that cataract surgery is very easy and very successful. After I had my cataracts corrected, I kept on taking arimidex because I couldn't get cataracts again.
I know glaucoma is also a possible (again rare side effect). That is why it is important to have a comprehensive eye exam every year. Glacoma can be controlled, but sticking to your medication schedule is important. My sister says many people stop using their meds because they don't have any symptoms. -
I'm also 54, but I'm 5 years out from diagnosis. We might be twins! I'm also single, have social anxiety and feel much better talking to people online than in person. I started taking an antidepressant at diagnosis and immediately knew I should have been on one years ago. I started with Lexapro and am now on Cymbalta. I had suicidal ideation from my mid teens to mid 20s, but not since then. I have an addictive personality, so I really have to be aware of that. People have called me anal retentive, obsessive-compulsive, stuck in my ways, etc. And there's some truth in that.
I had a very aggressive cancer, so I really wasn't as worried about the SEs - I wanted to throw everything at it! After 6 mos of neoadjuvant chemo, bilateral mastectomy and radiation, I started on Tamoxifen and hated it. I gained weight (even got a fatty liver) as my blood lipids went thru the roof. After 9 mos, I told my onc I just couldn't take it anymore. Since my periods stopped immediately after chemo, he did a test that determined that I was post-menopausal and switched me to Aromasin. I ached in every joint and felt like I was 90. After complaining for months, I was ready to stop it all. I was in tears. He convinced me to try one more (Arimidex), telling me that SEs for any particular drug were very different from patient to patient, and that just because I'd had a bad experience with two did not mean they would all be like that.
I'm glad he talked me into it, because I've had no SEs on Arimidex other than mild bone loss, which is treated with Prolia.
I never had an Oncotype because my biopsy came back triple-negative. After surgery, however, the pathology came back as weakly ER+, so I get to do the AIs, too.
-
Thank you everyone for sharing your experiences -- really appreciate this!
-
Scared of my SE's
I'm 49 with a history of depression that was successfully treated with thyroid med.s and stabilized the depression about 5 years. I also have an immune deficiency I'm treated for every 3 weeks successfully.
I've had double mastectomy. No positive nodes 1.5 on one side and 0 stage on other. They didn't even suggest chemo. as I wouldn't have tolerated it anyway.
I'm on my 3rd med. First Tamoxifen then Fareston- now 3rd day on Evista.
Both Tam. and Fareston caused depression. Fareston was severe. I also couldn't concentrate and could barely function. I asked my onco. about going without the hormone tx. She said it was necessary.
I just got a decent life back a few years ago and I'm trying to resume a music career that was interrupted by this and my immune deficiency.
I'm mortified that these SE's will prevent me from having a high quality of life.
Categories
- All Categories
- 679 Advocacy and Fund-Raising
- 289 Advocacy
- 68 I've Donated to Breastcancer.org in honor of....
- Test
- 322 Walks, Runs and Fundraising Events for Breastcancer.org
- 5.6K Community Connections
- 282 Middle Age 40-60(ish) Years Old With Breast Cancer
- 53 Australians and New Zealanders Affected by Breast Cancer
- 208 Black Women or Men With Breast Cancer
- 684 Canadians Affected by Breast Cancer
- 1.5K Caring for Someone with Breast cancer
- 455 Caring for Someone with Stage IV or Mets
- 260 High Risk of Recurrence or Second Breast Cancer
- 22 International, Non-English Speakers With Breast Cancer
- 16 Latinas/Hispanics With Breast Cancer
- 189 LGBTQA+ With Breast Cancer
- 152 May Their Memory Live On
- 85 Member Matchup & Virtual Support Meetups
- 375 Members by Location
- 291 Older Than 60 Years Old With Breast Cancer
- 177 Singles With Breast Cancer
- 869 Young With Breast Cancer
- 50.4K Connecting With Others Who Have a Similar Diagnosis
- 204 Breast Cancer with Another Diagnosis or Comorbidity
- 4K DCIS (Ductal Carcinoma In Situ)
- 79 DCIS plus HER2-positive Microinvasion
- 529 Genetic Testing
- 2.2K HER2+ (Positive) Breast Cancer
- 1.5K IBC (Inflammatory Breast Cancer)
- 3.4K IDC (Invasive Ductal Carcinoma)
- 1.5K ILC (Invasive Lobular Carcinoma)
- 999 Just Diagnosed With a Recurrence or Metastasis
- 652 LCIS (Lobular Carcinoma In Situ)
- 193 Less Common Types of Breast Cancer
- 252 Male Breast Cancer
- 86 Mixed Type Breast Cancer
- 3.1K Not Diagnosed With a Recurrence or Metastases but Concerned
- 189 Palliative Therapy/Hospice Care
- 488 Second or Third Breast Cancer
- 1.2K Stage I Breast Cancer
- 313 Stage II Breast Cancer
- 3.8K Stage III Breast Cancer
- 2.5K Triple-Negative Breast Cancer
- 13.1K Day-to-Day Matters
- 132 All things COVID-19 or coronavirus
- 87 BCO Free-Cycle: Give or Trade Items Related to Breast Cancer
- 5.9K Clinical Trials, Research News, Podcasts, and Study Results
- 86 Coping with Holidays, Special Days and Anniversaries
- 828 Employment, Insurance, and Other Financial Issues
- 101 Family and Family Planning Matters
- Family Issues for Those Who Have Breast Cancer
- 26 Furry friends
- 1.8K Humor and Games
- 1.6K Mental Health: Because Cancer Doesn't Just Affect Your Breasts
- 706 Recipe Swap for Healthy Living
- 704 Recommend Your Resources
- 171 Sex & Relationship Matters
- 9 The Political Corner
- 874 Working on Your Fitness
- 4.5K Moving On & Finding Inspiration After Breast Cancer
- 394 Bonded by Breast Cancer
- 3.1K Life After Breast Cancer
- 806 Prayers and Spiritual Support
- 285 Who or What Inspires You?
- 28.7K Not Diagnosed But Concerned
- 1K Benign Breast Conditions
- 2.3K High Risk for Breast Cancer
- 18K Not Diagnosed But Worried
- 7.4K Waiting for Test Results
- 603 Site News and Announcements
- 560 Comments, Suggestions, Feature Requests
- 39 Mod Announcements, Breastcancer.org News, Blog Entries, Podcasts
- 4 Survey, Interview and Participant Requests: Need your Help!
- 61.9K Tests, Treatments & Side Effects
- 586 Alternative Medicine
- 255 Bone Health and Bone Loss
- 11.4K Breast Reconstruction
- 7.9K Chemotherapy - Before, During, and After
- 2.7K Complementary and Holistic Medicine and Treatment
- 775 Diagnosed and Waiting for Test Results
- 7.8K Hormonal Therapy - Before, During, and After
- 50 Immunotherapy - Before, During, and After
- 7.4K Just Diagnosed
- 1.4K Living Without Reconstruction After a Mastectomy
- 5.2K Lymphedema
- 3.6K Managing Side Effects of Breast Cancer and Its Treatment
- 591 Pain
- 3.9K Radiation Therapy - Before, During, and After
- 8.4K Surgery - Before, During, and After
- 109 Welcome to Breastcancer.org
- 98 Acknowledging and honoring our Community
- 11 Info & Resources for New Patients & Members From the Team