I just don't think I can do tamoxifen.
I made it 4 days. I was so nauseous it was crazy. And my muscles were tight and achy. Then I got the worst case of heart burn/reflux ever. I thought I was having a heart attack it hurt that bad.
I just don't think I can do this drug. I'm so afraid my MO will get mad at me if I say no to antihormonals. I'm worried about AIs as well. I'm worried about the bone loss because I'm on the younger side.
If I had IDC I'd probably be more keen on antihormonals but I only have DCIS. I can't be this sick all the time.
What is really the risk on contra lateral BC? That's what the docs say I'm taking this for. I can see why bmx is so popular.
Comments
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There are newer drugs, will they work? Like Femara.
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Are you sure those symptoms were from Tamo? My doc told me 30 days before any side affect would show up.?? Just wondering
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CAmommy,
I have been on Tamoxifen for almost four years now. Initially I was very nauseous and weepy but after a few months, my body adjusted and most side effects have gone away. I still get stiff joints but note that regular exercise helps prevent that. I know the initial stage is awful but if you can hang in there, it will get better...
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CAmommy,
I'm so sorry about the Tamoxifen SEs. That just sounds horrible. I know you have some family history of BC, but I really hope you aren't being scared into taking antihormonals by your doctor. I'm sure you're more up on the statistics than I am, but the one that really struck me is that yes, Tamoxifen reduces risk by half. From 2 to 1%. How's that worth all those side effects? Can you get a BRACA test? If you're negative, be done with that awful stuff.
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my SE's from Femara when I switched from Tamox started immediately - dizzy, blurred vision, bad joint pain etc...so yes it is possible to feel immediate effects from a drug
I would ask your doctor what your chance of getting another BC is with your DCIS diagnosis.. having had dcis raises your risk but by how much? I know the docs are always telling women considering a double mast that their risk of getting bc in the other breast are quite lower than most people think (if you are brac negative) so the question is if its that low to begin with how much is tamox reducing that. If it were me, honestly, I would seriously consider not taking it. Those of us with invasive cancer need it in the event anything escaped and floating around, with DCIS the cancer is not invasive so it does not have the ability to travel ( or a very very small chance, like 1-2% but even there the argument is that the diagnosis was not pure dcis)
I would ask for some hard numbers from your Onc and weigh everything
good luck - I wish I could dump tam!
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Hi CAMommy,
I'm so sorry that you are experiencing such awful side effects with tamoxifen! I started taking it at age 45 and had a tough time the first few months. I second what odie16 said: my side effects subsided over time. They still would pop up from time to time, but they were not consistently bad like the first few months. Some people cut their dose in half when they first take tamoxifen and work up to the full dose. I was also offered either effexor or gabapenten to lessen the side effects, but didn't want to take yet another drug. By the time I was ready to try the drugs to treat my side effects, my symptoms lessened. I had IDC, so I don't know how I would have felt with DCIS. However, I also have a strong family history (although BRCA negative) and the Stanford genetics folks strongly encouraged me to take tamoxifen and even wanted my sister to take it although she has never had breast cancer. It may be worth sticking with it to see if your symptoms ease. Believe me, I would love to tell you to flush those pills down the toilet, but everything I've learned tells me that you should try to stick with it a little longer. Best wishes!!!
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thanks everyone for your answers. Yes my SE are from tamoxifen. I am very sensitive to meds of all kinds.
I tried to get my MO to give me hard numbers but he wasn't doing that. I think it's harder to get hard numbers with DCIS. But in any event he wasn't going there. I think they just quote the 50% reduction and be done with you. He did say he'd try other drugs if I had a problem with tamoxifen but he also said he though women who have problems with it just blame other things on tamoxifen. Which I think is wrong.
I am BRCA 1/2 neg. both my mom and grandma survived BC. I had my ovaries removed. I developed DCIS while on estrogen, which I'm off now.
I completely agree when I mentioned bmx to my surgeon he was like yeah now, slow down, contra lateral risk is really low. If it's so low why poison me with tamoxifen. So confused.
After a few days, when I feel better, I may try to cut my tamoxifen into 1/4ths and slowly titrate up and see how I do. If not any better, I'll call him. Although I doubt the AIs would do better.
I feel poisoned
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So sorry you are having such bad SE, CAmommy. I have also been trying to get actual risk numbers from my oncologist (as opposed to the "50%" thing) with no luck. Actually I can't even get a return call - asked the question via nurse almost 2 weeks ago (and it's the first time I've ever called with any question). The numbers have to exist, right? So why can't we get them? Very frustrating when you are trying to make decisions about your health. I hope reducing dosage helps you and that you get some good info soon
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I have yet to have this question answered either, I've learned about the 50% thing here, not from MO. It is highly frustrating and at times unnerving thing we deal with as cancer patients. Lots of uncertainty!
I would try hard to take it too, but if you can't tolerate you can't. I finally got to that point in July and I'm working with a new MO to find alternatives now. Tamoxifen made me feel terrible both physically and mentally, to the point of me being highly depressed. I've gone thru Rads and Chemo too, so I'm not taking this decision lightly.
Try half dosing or even skipping a day inbetween to see if that helps anything. I've also heard that different brands can make a difference in SE's. There is a lot of info here about Tamoxifen
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CAMommy I believe that if you aren't fully invested in your treatment, it's not going to help very much. I think starting with 1/2 or quarter of a pill and working up is a good idea. I've been on LOTS of oral treatments and I'm taking Tamox now as a treatment not preventive, and the gradual introduction of all my oral meds has worked for me. But if you are still having problems in a couple of months, DON'T TAKE IT!! QUALITY OF LIFE MATTERS.
I didn't take Tamox after my Stage I, didn't even try it, developed Stage IV 4 years later. NO REGRETS!!!! I WOULDN'T CHANGE A THING.
If you don't take anything now, and if you happen to have a recurrence, at least you have enjoyed some years without those terrible side effects. And they'll give you Tamox later. :-)
I feel so sorry for women who endured double mastectomies and chemo after a early-stage diagnosis, thinking they would be done with breast cancer. Go look at the Stage IV Discussion boards; look at the signatures of all the women. Those who have had their breasts removed, ovaries taken out, endured sickness and baldness from chemo -- and the cancer STILL came back.
I mean, come on, you are Stage 0 -- you deserve to enjoy your life!!!!
The oncology community has got to stop promoting martyrdom and overtreatment as the key to stopping breast cancer. It hasn't helped like promised and in some cases, chemo makes the cancer stronger.
Don't worry about what your doctor will think. it's what you think that matters most. (I told one doctor to please stop harassing me about taking out my ovaries. I'm post-menopausal now, my ovaries did not kill me when they were active. I survived!)
(BTW, do you know about fat grafting for reconstruction? I had excellent results!)
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CAmommy and the rest of us confused about DCIS and Tamoxifen- I happened upon a good resource today at stopbreastcancer.org. I hadn't heard this perspective on the research before. I cut and pasted:
In a double-blind prospective study, 1,804 women were randomized to BCS, RT and placebo, or BCS, RT and tamoxifen for five years. Women in the tamoxifen group had fewer recurrences at 5 years than did those on a placebo (8.2% vs. 13.4%). This means that for every 100 women taking tamoxifen in the study, approximately 8 developed either DCIS again or invasive breast cancer vs. approximately 13 women out of every 100 women who were taking placebo (Fisher, 2001).
Another study of 1,701 women found that after an average follow-up of four and a half years, tamoxifen decreased the risk of developing DCIS again by approximately one-third, but did not lower the risk of developing invasive breast cancer in the same breast (Houghton, 2003).
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