Lifetime treatment plan at Stage IIIA

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RobinLK
RobinLK Member Posts: 840
edited October 2016 in Stage III Breast Cancer

Met with MO late last week. Having major issues with hormonal treatments and side effects. I am hoping that Arimidex is kind....

I was informed that if this is also problematic I will have to choose one and get medicated to reduce/eliminate SEs. I was also informed that I am no longer on the 10 year plan but the lifetime plan. Here is the reason....

Recurrence risk for me:

with surgery & without chemo/radiation 93%

After chemo/radiation/surgery 46.5%

With all above plus Herceptin and adding hormonal >23.25%

So my MO is not comfortable with me ever being off medication.

Has anyone else been in this situation?

I am so tired of the medication snowball...and it appears it is about to get bigger. Thanks for letting me whine..

Comments

  • YATCOMW
    YATCOMW Member Posts: 664
    edited October 2016

    I have done everything above except Herceptin.......will be on Femara for life......

    I am 12 1/2 years out......I feel all the above have gotten me this far.....

    Sorry you are having issues with the AI...that's tough.............I firmly believe that Femara has been my silver bullet.


    Jacqueline

  • Anonymous
    Anonymous Member Posts: 1,376
    edited October 2016

    Robin how old are you? Perhaps if you are younger your onc wants to be as proactive as possible. I am not sure if I will be taking femara forever ....will see.


  • Kicks
    Kicks Member Posts: 4,131
    edited October 2016

    I've been on Femara/letrozole for almost 7 yrs and will continue UE to be on it 'forever' according to my Dr. Not because of being Stage IIIc but because of being IBC. (I was 63 when DXd, now 70.)

    I was never given % s by my DRs nor do I put any store in % s. As it was explained to me (and makes a Hades amount of sense) - our individual % s are either 0% or 100%. In other words either we have a recurrence or we don't based on us and our individual body. Can't have part of a recurrence - either it recures (100%) or it doesn't (0%).

    It also has to be remembered that each is different in what/any health issues may be present at time of DX. Me - other than arthritis in upper back and osteopenia - I was in great health - still am.

    At the time I was DXd, the 'stats' 'showed' that 1 out of 4 IBCers would make it to 5 yrs. I never dwelled on that and have made it 7+ and still NED. It need to be remembered that there are no absolute guarantees for 'tomorrow' for anyone - all sorts of 'stuff' can happen so no need to dwell on the unknown but relish every moment we are Blessed to have and Mame the most of that time.

  • RobinLK
    RobinLK Member Posts: 840
    edited October 2016

    Thank you all for your replies. I was 49 at DX and am 52 now. I had my ovaries removed 1 year ago because I was not tolerating tamoxifen well and was showing no signs of menopause. I was healthy when diagnosed, other than the cancer my cholesterol was slightly elevated and my vitamin d was low.

    These meds have created numerous health issues, which some have resolved when the med was discontinued, others not so much. They are chronic and debilitating and when do you say enough? I am grateful to be alive, but I truly would like to have some quality to that life. It is a blessing to be NED and I know there are those facing a much larger decisions, but it is there and I have to voice it or I will pop.

    Thank you again everyone. I truly appreciate you taking the time to respond and encourage.


  • SSInUK
    SSInUK Member Posts: 245
    edited October 2016

    It seems from your signature that all your goes at AIs have been this year? Two oncs have told me that SE can settle considerably with time, it's the adjustment period that is toughest - if that gives you hope. We're talking a year though not weeks or months. My Onc also waved a study at me showing exercise helped with joint pain from AIs - hmm, another 'to do'.... All beat with it.

  • muska
    muska Member Posts: 1,195
    edited October 2016
    I am on anastrozole and have been on it for over two years. In my case, the mild side effects mostly went away after about 5 or 6 months. Exercise is the main thing and must be done regularly, at least every other day. I am more concerned about hidden side effects like damage to bones, vision deterioration and whatever else comes with expedited aging the lack of estrogen brings.
  • RobinLK
    RobinLK Member Posts: 840
    edited October 2016

    Tamoxifen SEs started at 6 months in for me. Pre-diabetes, tinnitus, plantar fasciitis, cataracts, non-alcoholic fatty liver disease, bone and joint pain. Lived that way for 2 years trying all sorts of medications to no avail. 14 doctors in 7 locations and I just couldn't continue like that.

    Started on letrozole but edema, shortness of breath, neuropathy and 3 newly diagnosed electrical issues with my heart stopped that one. Exercise is now very limited as my heart (blacking out/fainting) and lymphedema are both affected.

    Next was exemestane....non-stop migraine, unresolved with meds and rage were unacceptable. My husband actually kiboshed this one. The rage you can physically feel and there's is literally no reason for it. The migraine kicked my butt and I have not had them since 1999. Kidney numbers started going wonky and my blood sugar, which I got under control after quitting tamoxifen, rose abruptly even with my low carb lifestyle.

    So I am now attempting Arimidex. I have been working closely with my MO. I am just frustrated and need to come to terms with this. Thank you again for your replies.


  • ErenTo
    ErenTo Member Posts: 343
    edited October 2016

    Robin, I'm sorry for all the side effects you're experiencing. I wonder if faslodex would be an option for you. I know it's a drug approved for MBC only, but given your side effects with all the meds for early stage and you being high risk (stage 3), maybe your MO would consider trying that.

  • ErenTo
    ErenTo Member Posts: 343
    edited October 2016

    To add to my post above, I tried exemestane, I was good for a couple of months, then started experiencing debilitating light-headedness and muscle spasm. It started gradually, and got worse by the 4th month. I'm now back on Tam + Zoladex. Tam has been easy on me (so far!), but I'd like to try the other two AIs before moving on.

  • RobinLK
    RobinLK Member Posts: 840
    edited October 2016

    I believe my MO is wanting to hold off on those meds should I need them in my toolbox at a later date.

    She is hopeful that we will be able to find some combo of meds that will work for me. I am just frustrated and needed a safe place to vent. My DH and MO do not approve of my quality vs. quantity speech...so I try to save it for an appropriate outlet. Thank you all for being that outlet

  • ErenTo
    ErenTo Member Posts: 343
    edited October 2016

    I used to minimize the quantity vs quality argument until I had my weird side effects. Yes, it's no joke. And dangerous. Having constant fatigue and random lightheadedness is not safe when you're driving!

    I'd be curious what combo your MO is going to suggest to fight the side effects.

  • RobinLK
    RobinLK Member Posts: 840
    edited October 2016

    I am curious also. I have an appointment scheduled with a psychiatrist should I need to start the medication snowball rolling again. It seems that the meds needed would need to be prescribed by him. So far, so good on Arimidex.

    My Effexor was prescribed by my first MO as was my Ativan. Effexor for hot flashes and Ativan as a pre-med for chemo. Next thing I knew my DX included depression and anxiety....either my PCP or MO put that in there. Effexor was another not very well tolerated medication. The SEs were lack of any emotion on the full dose, depression (from an antidepressant) and withdrawal SEs while trying to titrate off. They included vertigo, vision issues and hearing issues. I was unable to drive. Months out from stopping all meds, I flushed them in June. It was discovered that one of my other meds was interfering and amplified the withdrawal SEs. I went a month, trying to titrate, with those withdrawal SEs not subsiding and having to go back to the former dose. When all meds were eliminated, not doctor recommended, the withdrawal SEs were gone in under 2 weeks.

    To say my body is sensitive to medication, is an understatement. I cannot take anything in capsules because whatever they use to make them gives me GERD. I have latex, sulfa and adhesive allergies, I believe it is the plastic type material of the capsule. Catheters are not latex but my body reacts to those also. I had to have a catheter removed early after bladder surgery. It was encrusted with blood where the skin inside was being eroded by contact. My port was another problematic thing. Needless to say reconstruction was never on my radar. I do not think my body would tolerate the TE or the implant.

    Likening this whole ordeal to a marathon vs. a sprint was extremely insightful. Whomever labeled it as such was brilliant!

    Thank you all for being here.

  • SSInUK
    SSInUK Member Posts: 245
    edited October 2016

    you poor thing. What a nightmare. Hoping your body wa sensitive to chemo too so it did its job big time... Sounds corny but acupuncture? Massage? Nutritional help? Anything that can be kind and supportive to your body - and make you feel like it can be good to you too... Even juicing and walking can make you feel a tiny bit more physically positive even in the crappiest times.

  • RobinLK
    RobinLK Member Posts: 840
    edited October 2016

    Thank you! I have begun seeing a naturopath, nutritionist and am loving acupuncture. Trying supplements to help with side effects and seeing some progress. Very beneficial and worth trying if anyone is on the fence. My hot flashes are nearly non-existent and that is huge. I actually flashed the leads off my holter monitor after about 36 hours. I am down to one a day if that. The intensity has also decreased. Acupuncture and magnesium have provided the relief.

    I am utilizing Shakeology and 21 Day Fix Eating program. Both have been approved by my naturopath and nutritionist. Very easy to follow and I feel it is an investment in my health. I have seen positive results in my blood work and my weight gain from tamoxifen is coming off at a rate of 1-2 pounds a week. That is important because of the fatty liver, weight loss needs to be gradual to prevent further harm.

    I have everything crossed that I continue to tolerate Arimidex. Still good..

  • bethanygb1
    bethanygb1 Member Posts: 31
    edited October 2016

    Hello! Knowing what you ladies know now after being on the different types of med, would you take them if you were: DCIS, 1 cm, removed with clear margins, no lymph nodes, completed 25 rads last week, age 49, no other health issues, very active, non-smoker, non-drinker, pre-menopausal (but probably not too far off).

    The rads were not that bad, and I am more afraid of 5 years of Tamoxifen. Are there any people that have 0 side effects with meds?

  • RobinLK
    RobinLK Member Posts: 840
    edited October 2016

    I would say to try them. There are people with no side effects. It is those of us who do have SEs that tend to post more frequently. We are generally looking for answers.

    If your team is suggesting tamoxifen there is a reason behind it. Find out their reasoning and you will know which path to take. It does not hurt to try the medication as it is proven effective against recurrence. That is not a guarantee but it is insurance.

  • Kicks
    Kicks Member Posts: 4,131
    edited October 2016

    I have been on Femara (then letrozole when it became available in generic form) for 6+ yrs. None of the other. I have had no SEs with it.

    Bethanygb - I'm not DCIS - am IBC, Stage IIIc, 19 pos. nodes so very different DX and prognosis. I will do any and everything I can to try to keep the Monster at bay. You might get answers that are more apropos to your DX if you post in the Stage I Forum rather than here in the the Stage III Forum or in either the DCIS Forum or the Hormonal Therapy Forum.

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