Need Help with Hair Loss from Arimidex!

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Hello everyone,

I don't post often but I do read frequently and have found this site so very helpful! I switched to Arimidex 4 months ago after being on Tamoxifen for almost three years. I was confirmed as being post-menopausal and my Onc made the switch as we have all heard that an AI is the preferred choice for post menopausal women. I had ZERO AEs on Tamoxifen.

After four months of Arimidex, my joints ache which I am trying to tolerate even though I am a runner. The pain has hampered my running, but I can still exercise and I can and live with it. I have gained about 8 lbs which I am desperately trying to shed which literally came on overnight. Again, something I can live with.

Now, the hair loss.....it is destroying me. I am shedding more than my dog and am now developing severe thin areas along my part line on the top of my head. I am taking Biotin and using Nioxin which I started in July but feel are not helping at all. I went thru chemo so I know what it is like to not have any hair. I can't bear this again....;-( My hair grew back beautifully after chemo but now I feel that I am heading towards a situation where eventually a wig or a scarf may be my only solution.

Does anyone have any experience with switching to another AI---will the hair loss stop or at least slow down? Or I am pretty much doomed to hair loss no matter which AI I am taking? Does anyone have any advice? Does Minoxidil work? Is it safe?

As you can tell, I am extremely upset and just don't know what to do. I won't stop the AI for hair loss because with a stage 3 diagnosis, I need to do all I can to prevent the beast from coming back.

I would be grateful for any help or suggestions that anyone may have. Having a really bad day today...........


Comments

  • muska
    muska Member Posts: 1,195
    edited September 2015

    Hi Memphis, have you talked to your MO about this? Maybe a dermatologist?

    I am on arimidex too, however I do not see any impact to hair - apart from dry scalp. I shampoo only once a week but use good natural moisturizing conditioner daily. The hair looks great.

  • memphis1211
    memphis1211 Member Posts: 17
    edited September 2015

    Thanks, Muska. I have an appt with my MO in October and plan on discussing it with him then. It just helps to hear what others experience and are doing sometimes....I'm so down and out about the hair loss again. It's not like after chemo by any means, but just having to go thru something similar again is disheartening.

  • dtad
    dtad Member Posts: 2,323
    edited September 2015

    there are dermatologists who specialize in hair loss. Some have a lot of experience with women on the A's. Good luck to you.

  • marley2
    marley2 Member Posts: 58
    edited September 2015

    I am having the same problem! Very thin around my temples and hairline. I don't know how minoxidil works, is it safe for ER+. I go to MO next week and will ask.

  • leggo
    leggo Member Posts: 3,293
    edited September 2015

    I was referred to a dermatologist for hair loss (which I thought was from Femara but I think it had more to do with thyroid issues). I can't even begin to explain what a waste of time she was. Wrote me a prescription for minoxidil and said "see 'ya". I haven't found a great solution, but the little bit of hair I do have has managed to stay put if I take (or extra sunshine) vitamin d and a double dose of a zinc supplement. It didn't however grow back what I lost, which was most if it. Still have to wear a wig. Maybe worth a shot since both are such cheap supplements. Good luck to you...I feel your pain. Nothing worse than looking like a cancer patient FOREVER, long after chemo stops.

  • memphis1211
    memphis1211 Member Posts: 17
    edited September 2015

    marley2, please let me know what your MO says about this. I have an appt with a dermatologist in October as well so will ask her too. I just don't know what to do.

    I I already had my thyroid checked because I expressed this to my family physician who sent me for a thyroid work up. My thyroid is fine. Everything came back normal so I know it is the Arimidex.

    If I knew it would eventually stop as I get more used to the medication, I'd be accepting of it. But, my fear is that this is just going to continue until a wig becomes my only option!

    I feel bad complaining because I am so very grateful that I have this med available to me which works so good at helping prevent a recurrence. But, it's just hard going thru hair loss yet again.

  • leggo
    leggo Member Posts: 3,293
    edited September 2015

    Memphis, just a quick note, I had half my thyroid removed years ago so I've had it checked regularly to make sure the half that was left was ok. The regular thyroid tests always came back ok. Recently, I've had pain on the remaining half, so it was finally investigated with an ultrasound. Lo and behold, several nodules and enlargement, which has likely been so for several years. That's why I'm attributing the hairloss to it, but who knows. Thyroid? Maybe. Taxotere? Femara? Probably. I'll likely never know. Whatever it is causing yours, I truly hope it stops. The hair thing is just such an in-your-face reminder. I totally get what your saying about being grateful and loathing it at the same time. It's quite the paradox.

  • marley2
    marley2 Member Posts: 58
    edited September 2015

    memphis 1211- I go to MO this Friday I will let you know what he says.

  • memphis1211
    memphis1211 Member Posts: 17
    edited September 2015

    Marley--how did your appt go this week?

  • Spookiesmom
    Spookiesmom Member Posts: 9,568
    edited September 2015

    My hair never fully came back after Taxotere. I tried bioten,didn't see much or any improvement. Asked dermatology, she said if I used the Rogaine, I'd need it for the rest of my life. Finally bought it. Read the instructions. Says to keep away from children and PETS. I get hot flashes sweat pretty bad. Don't want to take a chance of Spookie giving me kisses and ingesting that stuff.

    She has enough hair for both of us. I took it back.

  • LizA17
    LizA17 Member Posts: 159
    edited September 2015

    My hair never returned after taxotere. I have patches. I assume it will never come back. I've talked to my Oncologist & a Dermatologist. No one has answers or solutions for me. I'm still on Arimidex but I don't feel that had anything to do with it.

  • marley2
    marley2 Member Posts: 58
    edited September 2015

    Memphis- MO said there is no issue with using minoxidil if you are ER+, it is actually a male hormone that they used to treat Breast Cancer. Too many side effects so they don't use it anymore. Anyway, very little gets into your blood system. So it is safe but he doesn't think it will help a lot :(. I am going to give it a try anyway. He did not have any other suggestions. Let us know if your dermatologist gives you any ideas.

    Marley

  • lexie2002
    lexie2002 Member Posts: 147
    edited September 2015

    Memphis1211,

    I feel the exact same way you do. :( I thought I wasn't going to have hair loss from Arimidex but this March I will have been on

    it for two years and a few months ago it started falling out! I am thinking of quitting but I too need all the help I can get to fight this

    stupid cancer diagnosis. My husband also has cancer..... I sure can't take much more. I feel alone in my pain and worry a lot of the time,

    but I know others are suffering. HAIR IS IMPORTANT, and it is very upsetting to look in the mirror and see this constant reminder. It sometimes

    feel like I'm regressing when I see my scalp more and more. Has anyone been able to give you positive information to help your hair loss?

    HUGS,

    Lexie (real name MARGO)

  • starwoman
    starwoman Member Posts: 73
    edited September 2015

    Hi memphis - I see you've been on arimidex about 4 months. I lost a lot of hair in the initial months of arimidex - thin all over and a lot of scalp showing and I feared it would not stop. The good news is that it came back very well, almost imperceptibly, and by about 6 months, it was great. I started biotin a couple of months into arimidex and thought perhaps that had helped - now not sure.

    Here I am at 18 months on arimidex (about the same length of time as you lexie?) and the major shedding has started again - for about the last 4 weeks - and getting thinner again. Thyroid is okay I think but will get it checked again. Will the shedding stop again? I don't know and I don't think anyone can tell me. Sigh. And swear.

  • memphis1211
    memphis1211 Member Posts: 17
    edited October 2015

    Hi everyone and thanks for the replies! I bumped up my appt with my MO from the end of the month until tomorrow so I will post and let you know the outcome of what he says about the hair loss.

    My gut is telling me that he will offer to switch me to Aromasin which I doubt (from all I have read) will make a difference. I have accepted the weight gain and the joint pain---I ran a half marathon on Sunday and am refusing to let either keep me from running which is my passion.

    There are truly many side effects I willingly accept and deal with. But, this hair loss is destroying me. I was bald after chemo and never thought I'd be losing hair again. I am becoming so self conscious of the back of my head which has greatly thinned. I just want to cry when I think of how good it grew back after chemo. It really stinks!

  • wintersocks
    wintersocks Member Posts: 922
    edited October 2015

    I have these issues with Letrozole. particularly my parting and the crown where it seems to be increasingly thinning. The hair there is very soft and fine, almost like chemo hair coming in. It truly bothers me too! I am going to speak to my BCN and get her opinion on what might (if anything) help. I do not think it is a good idea to switch to another A1 as I don't really think it will make much difference. I may suffer hair loss again.

    I am trying to ascertain if it comes back once tx ends, but I have not been able to get a clear answer on this. I have been on Letrozole just over 3 years now.

  • maxdog
    maxdog Member Posts: 147
    edited October 2015

    I'm on my 3rd month of Lupron +Arimidex. My hair just really started falling out about 2 weeks ago. It's pretty bad. I'm going to get it cut tomorrow and see what happens. It's so thin, it's taking a toll on me emotionally. But, worse than the hair is the almost unbearable neck and head pain. I follow up with oncologist in 2 weeks, we will see what he says.


  • memphis1211
    memphis1211 Member Posts: 17
    edited October 2015

    I saw my MO today. He is taking me off of Arimidex. I will take a break for a few days until I feel 'normal' (no joint pain) and start on Aromasin.

    According to him, 2/3 of women who make the switch will again have the same side effects. One third will not. If I continue to have weight gain, joint pain, trigger finer (one finger) and hair loss, I will stop the Aromasin and I go back on tamoxifen. On Tamoxifen, I had ZERO side effects.

    My MO does NOT feel that the few percentage points that I am gaining in taking an AI vs Tamoxifen is worth 5 years of these side effects. He did not advise Rogaine because he feels the hair loss will only reverse with stopping the med that is causing it.

    I LOVE my MO and he is VERY highly respected and well known in breast oncology. I have to believe this is the best plan for me so I am ready to move forward with complete confidence in my treatment and decision.

    Good bye Arimidex..hello Aromasin. Fingers crossed.

  • maxdog
    maxdog Member Posts: 147
    edited October 2015

    memphis-good luck and keep us posted!

  • nurseronda10
    nurseronda10 Member Posts: 209
    edited October 2015

    memphis1211-I will have been on Arimidex 5 years this coming April. I had a head full of thick dark hair until 2 years ago. I have lost at least half my hair. It is so upsetting. Don't get me wrong I am very thankful to still be here but hair loss for anyone can be upsetting. I use Nanogen hair fibers too cover where my scalp shows mainly at my crown. I go through 1 bottle a month. I too have been using Biotin and Nioxin. Been on both 1 1/2 years. Neither has helped. My hair has continued to thin. I hope I don't have to resort to wearing my wig again. I'm 57 so I'm surepart of the hair loss can be contributed to age. I'm wondering if anyone had their hair thicken back up after completing 5 years of AI's??

  • Wildflower2015
    Wildflower2015 Member Posts: 279
    edited October 2015

    Every time I read about this particular side effect of AI's I am getting more afraid of taking them. Does tamoxifen also cause hair loss?

  • cbm
    cbm Member Posts: 475
    edited October 2015

    I was on Arimidex for about a year, then switched to Femara, which I continued for about 3 years. My hair had been so thick that my stylist was in the habit of thinning it slightly, even after years of treatment. I noticed in a photo that I had bald spots on top of my head, and that I'd been shedding a lot of hair without realizing that it wasn't growing back. I went to my MO, and asked for another thyroid test--not thyroid he said, male pattern baldness. It's the AI, and try Rogaine. I didn't bother; I gave it some thought and did some research and went back and told him I was not going to continue the AI. At that point I'd done 4 years and 3 or 4 months of one AI or another, had an Oncotype score of 9, had done ACTH (Taxol, not Taxotere), 2 years of Herceptin, one of Neratinib (the trial, and I am pretty sure I got the drug), and had a bilateral mx, hysterectomy, and oophorectomy.

    I was not going to lose more hair.

    He gave me a scrip for Tamoxifen, but told me it was not the drug itself, but the estrogen/testosterone balance, and that I'd most assuredly lose hair on Tamoxifen as well--the effect of the changes are cumulative and progressive, so that it's not likely you get a reversal of what is already gone. So I didn't bother with the Tamoxifen either.

    At this point, I have pretty much halted the progress of hair loss, but it didn't stop falling out immediately, and it never did grow back. I use Biotin, which really helps, but was not going to use the Rogane.

    My MO retired and the new one says he wouldn't have argued with me either. I am 64 now and 8 years from diagnosis--the hair in question is gray.

    Warmly,

    Cathy

    Edited to add--not everyone gets thinning hair from the effect of the AI's or Tamoxifen. The male pattern baldness thing is a good bit more than thinning, and if you get it, you don't always get it immediately. I started AI's while I was bald from my chemo, and nonetheless grew a very thick and normal head of hair that was healthier than pre-chemo days. The thinning became a problem for me in year 4.

  • phoebe58
    phoebe58 Member Posts: 193
    edited October 2015

    memphis, when I read your intro it was like you were inside my brain. I too accepted the chemo hair loss, and was happy to have it grow back thickly [albeit more silver tabby than tawny lioness and curly now....]. After 7 months of Letrozole, I just noticed a dime sized bald spot on my crown a week ago, and now it is a nickel, and I am truly horrified. I recently had it coloured and streaked blondish again, but don't think it's that or it would be all over..... I stoically tolerated the hot flashes and achy joints, but this feels like such a cruel unexpected side effect -- I had braced myself for perhaps a bit of thinning but not this. I had hated the hot scratchiness of a wig, and really don't want to go down that road long term. Sigh. I see my MO in a few days so will see what he suggests.

  • memphis1211
    memphis1211 Member Posts: 17
    edited October 2015

    It's day four of Aromasin and too early to tell, but I promise to keep you all informed if the hair loss stops or at least lessens...SOON.

    I pray that I am in the 33% of women who don't experience this on this AI after the switch from Arimidex. As I said before, I will deal with any pain in my joints no matter how horrible it is. I will also suck up this weight gain,

    But, this hair loss is really hard to get past...again.

    sigh.

  • markie1122
    markie1122 Member Posts: 3
    edited January 2016

    I finished my five years of Arimidex last April, sure that my hair would come back. Nine months on and no such luck. Whether it is my age (69 now) and my estrogen all gone, or still effects of the drug, I don't know. So frustrating after everything else I have gone through. My best solution is to spend less time in front of the mirror, to tell myself I don't really care what other people think of my appearance, and to appreciate my good health. (Although, darn it, I sure do miss my thick, curly hair!!!)

  • memphis1211
    memphis1211 Member Posts: 17
    edited January 2016

    It's been four months since I made the switch to Aromasin from Arimidex. Weight gain is stable. I have not gained any more, but I have not managed to shed an ounce either. The joint pain is steady, no worse but no better.

    But, my most horrible side effect---hair loss! WELL, MY HAIR IS COMING BACK. The shedding has decreased to almost none and even my hair stylist saw the new growth at my last appointment. She commented that she can see the short fine pieces coming back! I am thrilled!

    I will be on the Aromasin as long as I need to be because I can handle the rest. Aromasin has been good to me. I recommend others try it if you are having the horrific issues I had with Arimidex. My oncologist told me that I had a 33% chance of it not affecting my hair and for once lady luck was on my side!!!!


  • starwoman
    starwoman Member Posts: 73
    edited March 2016

    Great to hear hair is on its way back memphis!

  • starwoman
    starwoman Member Posts: 73
    edited March 2016

    I do believe my hair has started to come back too - still shedding but the hairdresser just confirmed that there are 'baby hairs' coming in. I'm beyond relieved though it is thinner than it was, and the hairs themselves seem thinner. It's taken nearly 6 months for this improvement to be visible - very similar timescale to the initial severe hair loss when I first began the ai. Thyroid and iron okay.

    The BC nurse suggested biosil and biotin and I have alternated these supplements daily for about 5 months - have no idea if they have made any difference and am going to discontinue them as don't feel comfortable taking them. But if I have a sudden hair loss as a result, I will re-visit that decision!

  • Meow13
    Meow13 Member Posts: 4,859
    edited March 2016

    I had a lot of hair loss before bc and during menopause. I am lucky AIS aren't impacting my hair but my neighbor lost a ton of hair on AIS and it has not stop after she was done with treatment. She is 80 years old I am 57.

    I stop my AI at 4 years when my right eye got super dry, I still have side effects from the medicine but very very slowly getting better.

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