All Aboard the "T" train! Starting Tamoxifen After Spring Rads

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  • EmilyJane7505
    EmilyJane7505 Member Posts: 25
    edited July 2016

    Nearly a week on Tamoxifen and so far so good. I'm all paranoid about DVT, won't cross my legs or ankles - hope that wears off. I was getting hot flashes before with my chemo induced menopause, so I didn't really notice a difference there. One thing weird I did notice is that I occasionally get chills.. Concerned about my skin aging prematurely but, whatareyagonnado right?

    Take care, Em

  • Carlsoda
    Carlsoda Member Posts: 249
    edited July 2016

    I am about to embark on the T train pretty soon....finishing rads next week! I do have a question on manufacturers :) Walgreens carries two mfgs: Teva and Mylan. Before I get my prescription filled has anyone had any adverse reactions to either one or prefer one over the other? I just want to stick to one mfg but not sure which :) thank you!

  • Lisey
    Lisey Member Posts: 1,053
    edited July 2016

    2 weeks in no side effects...

  • Autumn121
    Autumn121 Member Posts: 29
    edited July 2016

    One month, no side effects except hot flashes, which I had before!!

    So far, so good!!!

  • ksusan
    ksusan Member Posts: 4,505
    edited July 2016

    People generally report doing better with Teva, but you'll try one and see.

    I get cold flashes (and a sort of horrible crawly sensation) at times in addition to hot flashes. Prior to all of this, I was having cold flashes.

    My PT says that regular leg exercise (like walking) decreases DVT risk.

  • tbalding
    tbalding Member Posts: 449
    edited July 2016

    been on it for 10 days and so far no new se since rads. Keeping fingers crossed

    Good luck cwayman. A friend of mine had to switch to tamox from ai's & she did well, minimal se.

  • Wholenewworld
    Wholenewworld Member Posts: 29
    edited July 2016

    2 weeks in and still have fatigue some days and hot 'flushes' through the day and night that only last a couple minutes. I feel lucky so far. I had been going through perimenopause in a bad way for years and hot flashes were the least of my issues. I had every symptom you could have so this is tolerable. Hope it stays this way!

  • New-girl
    New-girl Member Posts: 358
    edited July 2016

    Question relating back to rads.   I finished on July 6th.  Skin is finally looking normal with the shading but not the crazy red.  PS told me my beautiful DIEP boob would shrink and become disfigured.  So far it looks fine.  It was swollen ( looked even better) but now it is just back to normal smallish size it was before rads.  When did everyone start noticing breast or chest area changes after rads? MO told me last week the changes can go on for 10 years!

  • Lovinggrouches
    Lovinggrouches Member Posts: 530
    edited July 2016

    newgirl, my breasts have shrunk since finishing rads in May. I was able to wear same double d bra, but now the cup is too big on that side. I think it stayed swollen for some time and finally started shrinking some. I moisturize it faithfully!

    Been on tamoxifen for 2 weeks now I STILL never sleep more than 2 hours at time because severe night sweats wake me, of course I had total hysterectomy a few weeks before starting tamoxifen, but I think they are worse since taking med. Don't really see much helpwith turmeric and icool. And is hard to focus at work from lack of sleep. I do get cold then hot easily. My brand of med is Mylan. The nausea is better , still there but manageable.

  • Lisey
    Lisey Member Posts: 1,053
    edited July 2016

    Grouches, I don't know which I'd rather have... No SE from the Tamox. (like me) or having severe SEs from the Tamox like you.. at least you know it's working right? :D

  • Lovinggrouches
    Lovinggrouches Member Posts: 530
    edited July 2016

    Lisey, hopefully so! I need a positive among all this misery lol!!!

  • Lisey
    Lisey Member Posts: 1,053
    edited July 2016

    Well.. I"m bummed.. I started my period dammit. I was hoping Tamoxifen would stop my periods. 2 weeks in.

  • Lovinggrouches
    Lovinggrouches Member Posts: 530
    edited July 2016

    Lisey, the only two positives about my hysterectomy - possibly reducing my chance of recurrence since I'm only 42, and NOT having a period!!!! Lol!!!!

  • Lisey
    Lisey Member Posts: 1,053
    edited July 2016

    Well Grouches, I'm planning on switching to a OOPH/Hysterectomy within a year, come hell or high water. sooner if my enzyme test comes back as PM. I should find out on Wed.

  • cwayman650
    cwayman650 Member Posts: 102
    edited July 2016

    I'm one week in and so far so good. I am finding that I'm more tired tho. Is that normal? How flashes are about the same. Plus a bit of joint stiffness. Nothing I can't live with tho.

  • Lisey
    Lisey Member Posts: 1,053
    edited August 2016

    Well Ladies, just found out I'm an ultra-rapid metabolizer of Tamox. That's a good thing if I can live with the increased symptoms... but so far - at 3 weeks in, I have no symptoms. I'm very impressed with this genetics company. It also gave me a 24 page report on all the different medications and which ones I should take/avoid. The chemo one is valuable to me, as well as a lot of others.

    image

    image

  • Lovinggrouches
    Lovinggrouches Member Posts: 530
    edited August 2016

    Good news Lisey!!

  • iammags
    iammags Member Posts: 216
    edited August 2016

    Hi all, it's been ages since I've logged on. My last rad tx was at the end of May and I started Tamoxifen on June 1. I've been having joint and muscle pain, fatigue, and numbness in my fingers so my Onco suggested stopping the T train for a month, which I did. I didn't feel incredibly different during that month so I'm back on, the conductor"s punched my ticket. But now I'm left with all of these symptoms.

    My doc did a load of blood work (for things like RA, Vit B 12, Thyroid) and they all came out pretty normal.. Relief. But I am still very fatigued and sore. And the numbness in my fingers is very worrisome. I'm walking every day plus the regular life stuff, so I'm moving around.

    Does anyone else feel like this several months after radiation? I'm starting to feel really stiff and just not very good. I'm looking for advice, stories, whatever you've got.... :)

    Thanks and it's nice to be back on...

    #CancerJustKeepsSucking...boo hoo

  • Lovinggrouches
    Lovinggrouches Member Posts: 530
    edited August 2016

    Mags, you always make me laugh!!! My MO did baseline labs. I finished rads on May 14, plus had total abdominal hysterectomy on June 9th. Started tamoxifen and been on over a month now. Fatigue is so bad, along with insomnia and of course hot flashes. Finally started effexor about 1 1/2 weeks ago and has made a BIG difference with the night sweats, but hadn't helped with insomnia. I found taking tamoxifen at night made the hot flashes worse, and had nausea for two weeks after starting to take it in the am. I feel tired ALL the time. It has just been a rough year!!!! Yes, the cancer keeps SUCKING!!!!!

  • iammags
    iammags Member Posts: 216
    edited August 2016

    Hi LG! Sorry that you are having those icky symptoms. It's really horrible being tired, isn't it? I hope that it won't last long.

  • tbalding
    tbalding Member Posts: 449
    edited August 2016

    I finished rads on July 12 and started tomox on July 16. I felt some tiredness during rads but nothing like the fatigue I'm feeling now that started about a week after finishing rads & a week into tamox. I told my RO about and he said it's normal. He said that during all the treatments your body is in fight mode and once you're finished and things calm down, all the emotions and fatigue surface. I guess that's reasonable but I hate the constant tired feeling. I used to be a high energy person so having a lot of trouble with this. Jill said that about 5 weeks post rads she started getting energy back. So hoping doesn't last much longer, too.

    I haven't noticed any other se from tamox yet. But since I often had trouble sleeping before bc and tamox, I started taking 3mg of melatonin before bed. So far I rarely wake up in middle of night and if I do I usually can go back to sleep. I go see my MO the end of the month to get blood work and see how I'm doing on T. You're both right, this sucks!

  • PlanB58
    PlanB58 Member Posts: 157
    edited August 2016

    Maybe we should call this the tired train cause I am so with you! Finished rads end of June and started tamo 3 weeks ago and have been extremely fatigued. So over it! I hope I adjust soon. I am sleeping well so that's a positive

  • cwayman650
    cwayman650 Member Posts: 102
    edited August 2016

    I'm so glad to hear that the fatigue isn't just me. I didn't realize it was a common side effect of tamoxifen. As far as joint pain, I mainly notice it in my feet/toes. Sometimes in my hands. Nothing like when I was on the ai's. That was terrible. PlanB58, where apps in Michigan are you? I'm between jackson and ann arbor.

  • Lisey
    Lisey Member Posts: 1,053
    edited August 2016

    Ok, Y'all... I'm an ultra-rapid metabolizer on the CYP2D6 pathway... (my Onc was thrilled!).. I should be having crazy intense SE... I"m on month 2 now and NOTHING...

    I take my pill and a baby aspirin every morning with my coffee. Perhaps the caffiene helps? Maybe you guys should try that.

  • Lovinggrouches
    Lovinggrouches Member Posts: 530
    edited August 2016

    I do loads of caffeine, it actually triggers some of my hot flashes lol! I turn my fan on at my desk at work when I start drinking my coffee because I know what's coming lol!!

  • KathyL624
    KathyL624 Member Posts: 217
    edited August 2016

    I haven't gotten hot flashes but I get the opposite...I'll suddenly get chills and need to put on a sweater. Anyone else have this side effect

  • Lovinggrouches
    Lovinggrouches Member Posts: 530
    edited August 2016

    I etc cold, put on a sweater - then not long after , I have a hot flash. I have no idea how much is from the tamoxifen or the hysterectomy.

  • PlanB58
    PlanB58 Member Posts: 157
    edited August 2016

    Cwayman We are close! I live between Olivet and Lansing!

    I am also glad to not be alone with the fatigue Hoping it's just adjustment. Happy to say no real hot flashes already have been there done that with menopause and hope I don't revisit that! Sorry for those of you that have them

  • gardengypsy
    gardengypsy Member Posts: 769
    edited August 2016

    My onc, at one of the top 4 cancer centers in the US, said that side effects have no relationship to how well the Tamoxofen is being metabolized.

    She also said....

    a) you must check in with someone who specializes in drug interactions, not websites, if you want to know what you should/should not eat or take.

    b) Also, when taking endocrine therapy,organ screenings (i.e. liver) do not correlate with survival rates.

    Trusting this.

  • Wholenewworld
    Wholenewworld Member Posts: 29
    edited August 2016

    I am 5 weeks in and the fatigue is still there. Some days are ok and I can keep going, other days I can't keep my eyes open and fall asleep at 8pm on the couch. It is better than it was in the beginning but still battling it. Also, I am walking a mile a day now so I think themuscle/joint soreness in my legs is from that (since I never did it regularly before tamoxifen) than the med. Hot flashes are back but they aren't terrible. I can deal with this - only 5 or 10 years to go!

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