I have stopped taking tamoxifen after 4 months
I have really struggled with being on this drug. My cancer was caught early but was a grade 3 and HER2+. I had last chemo (end of may 2016) along with herceptin which I'm currently still taking every 3 weeks. I had a double mastectomy reconstruction and nodes were clear of cancer. I was then put on tamoxifen which I took for just over a month. I couldn't hack mood swings and irritability and high anxiety so I stopped. My breast care nurse insisted I start taking tamoxifen again so I did. I just can't handle what it's doing to my body it just doesn't feel right at all and I tend to be a very intuitive person. My body is being forced to go through a process which should naturally occur later on in my life. Ok i understand what tamoxifen does i have read a fair deal but i also must listen to my body. Its very depressing going through menopause symptoms at the age of 36 and I have a couple of days a month that are ok but the rest is really bad...I lack my multitasking skills and my energy is 0. have this fear looming over me that because of the decision I have made the cancer could return. I'm just tired of all this. Has anyone else stopped tamoxifen early? If so has life become more bearable?
Comments
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<Roci> Ifyou can't do it, you can't do it. I stopped it the first time after a couple weeks, then it took me a year before I tried again. (Don't recommend that.) What I didn't realize was the emotional and mental chaos the dx had thrown me into. I had no idea that many of us experience PTSD-like symptoms often presenting when active treatment ends (and coincidentally when we start long-term hormonal therapy). I was near catatonic the day my DD made a desperate call to my brother the onc. He said I was experiencing acute anxiety and depression and that it would take meds and counseling to pull me out.
This treatment is not easy. I'm sure the difficulty is compounded because you are forced to deal with this hideous beast at such a young age. It is not fair. I'm really so sorry.
My suggestion is to take a bit of time to sort out what is and what isn't a side effect of Tamoxifen. I tried again because of the thought of not doing all I could to prevent recurrence was a heavier monkey on my back than just taking the stupid pill. The second time I tried I was in a much better place emotionally and my side effects were the normal hot flashes and such.
Sending up good vibes for you today.
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I feel your pain. I have been on Tamoxifen for almost 7 months now. The hot flashes are really bad but I can deal with that. What I can't deal with is the lack of energy, lack of motivation, brain fog, swelling in my hands and feet, and weight gain. I workout 5 - 7 days a week, eat moderately healthy (no fried or fast food) and I wake up heavier every single day. The weight is all in my abdomen. I had some bloodwork done last week and my thyroid levels doubled in the last year. I feel like I have a whole lot of stuff going on and it may or may not all be related to Tamoxifen. Does taking the drug impact the thyroid? Is the thyroid the reason why I have the continued weight gain, etc.? Does the brain fog clear up.....this is the real deal breaker for me if it doesn't. I have a hard time working and running my business when I can't keep anything straight. I have an appointment with my oncologist on 3/8 and will go over all of this with her.
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I have been on tamoxifen 11 months now, and as long as the bone scans keep showing the cancer getting smaller, I will stay on it. the side effects aren't as bad as trying to walk with that durn lump of cancer at the base of my spine hurting if I walk very far. I realize that the side effects are different for different people, good luck with what ever they give you instead.
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I also suffer from hyperthyroidism. So I understand where your coming from. Going to do a blood test tomorrow morning to check my thyroid function...perhaps I need a reduction in my daily intake of thyroxine. But I do agree with you in that the mental confusion is just all tooo much. My partner has asked me to keep taking the Tamoxifen. I might just continue a little longer see how I go
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Hello Roci-I was on Tamoxifen for only 10 months (less than 1 year from my MX) with mild side effects when I was diagnosed with a reoccurrence. Getting that phone call & the intense feeling of being told Cancer is back was worse to me than any hot flash or other side effect. I buckeled to my knees, literally lost my breadth and felt like someone punched me in the gut at the same time. I never want to feel that way again. I was in fog until I had my 2nd surgery, removal of implant & 28 Rad treatments. I lost another 4 months of enjoying life until my last Rad treatment on February 6, 2017. Looking back, I don't even know how I got through it (Holidays/New Year) but I did and now I get the Lupron shot and take Femara. I am 48 and in medically induced menopause but I am ok with that now.
Regarding Tamoxifen, it was recommended to me to take Teva generic brand since it had the fewest side effects. I now take the Teva generic for Femara (letrozole) so maybe if you switch brands you will have better results.
I know it's not easy but look at the benefits vs. the risks. Wishing you well..Vic
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Roci, how strongly ER+ is your tumor? if the ER is relatively low, (e.g. less that 20% or so) the benefit you are receiving from Tamoxifen is relatively small. Also, google "ER+ tumors and HER2 crosstalk" to learn about how HER2+ tumors react to tamoxifen. Highly HER2+ tumors are fairly resistant to tamoxifen, so the benefit for most patients is generally not much. Talk to your oncologist. Get the statistics. If your benefit from tamoxifen is very small, and your side effects are making life miserable, you will have better info with which to make a decision you can live with. Also, see posts from Special K, a long time poster who is an expert on HER2+ cancer. -
Roci, I want to emphasize that you need to have this conversation with the oncologist, not the nurse. They are pretty programmed to tell you to take the drugs without necessarily understanding your particular case, and deeper questions on Tamoxifen efficacy with HER2. And if your doc blows off your questions, get a second opinion.
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I'm a little confused. I'm younger, premenopausal, and I take Tamoxifen. It isn't putting your body into menopause at all. It merely blocks the estrogen from being absorbed by the cancer cells. Estrogen is still able to flow for your bones and if anything it can create more uterine lining. Tamoxifen is not an AI. So when you say: "My body is being forced to go through a process which should naturally occur later on in my life" It leads me to wonder if you are confusing Tamoxifen with AIs? I still have my period regularly 9 months in with Tamoxifen.
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Hypothyroidism, not hyperthyroidism, would cause weight gain, feeling cold all the time, and lethargy. Hyperthyrodism would cause weight loss and the restlessness and subsequent fatigue that comes from a metabolism in overdrive. Weight gain, due to lowered metabolism that normally comes with age-related lowered estrogen levels, is a SE of both Tamoxifen and AIs.
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Tamoxifen side effects vary greatly. Pre-menopausal women experience vaginal dryness, lack of libido and other "menopause" symptoms. It is very common. Nearly half of all women who begin hormonal therapy stop it before they are supposed to due to side effects. Count yourself lucky if you are not one of them.
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I lasted a month or two. Couldn't handle it.
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Has anyone asked about a graduated dose? I started on 10mg for two weeks, and added a second 10mg in the am this week. I think it takes time for your body to accept something new, no matter what your age. I am an incremental person, and always ask for a low dose and work my way up. I say that, as I took, 50,000 units of vitamin D today for a deficiency.
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hi gals.
I just started Tamoxifen after surgery. I'm a mere 2 weeks in and having numbness and tingling, in my hands and my face. My forehead feels numb, like I got Botox, but I didn't. And sometimes my lips and nose go numb. Anyone have this SE?
I talked to my onco nurse and she said numbness and tingling could be a SE but it's rare. It's pretty significant but I need to stay on this puppy. Oy
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I took Tamoxifen for a month and couldn't take it. My joints hurt so badly, especially my knees, elbows and shoulders. I have kinda blown it anyway because I didn't start taking it until a month ago and I have my mx two years ago. I took it because my onco was pressuring me to do it.
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Not sure I am much help because I am also having issues with tamoxifen and mood swings / anxiety / irritability right now, but want to say I understand! Anyways I was originally dx at 38, did lumpectomy/chemo/radiation, and then tamoxifen. I was expecting bad side effects, but already struggling with depression I found I actually might have felt more stable on the tamoxifen. However, I had been trying to conceive a child (I have none) before the dx and so wanted to try again so stopped the tamoxifen after about a year (I think).
Fast forward, and 4 years after original dx I had a recurrence in the same breast, did mastectomy, more chemo, and now back on tamoxifen. Now I am 43, and its HORMONE HELL. I had a meltdown due to stress at work and I don't think my 26 y.o. male boss understood at all.
Trying to get hold of my oncologist to find out if there is ANYTHING that I can do. Did you stop the tamoxifen long enough to see if you actually felt any better or not? I ask because the chemo usually causes chemopause (for me it was 10 months the first time before my periods returned) and your symptoms could be from the chemopause not the tamoxifen. And if it is the tamoxifen and not the chemopause you could go for a LHRH agonist (which induces menopause - but only as long as they give you the injections) + aromatese inhibitor.
For me I'm fearing its just the menopause but is it too little estrogen or too much? (in which case worry about recurrence, and tamoxifen not able to handle the load!!) And anything that a normal person could do to deal with menopause (HRT, black cohosh, etc.) are supposed to be no-nos for breast cancer.
Intuitively suppressing one hormone instead of finding out why the hormone imbalance occurred and how to balance them naturally just seems like the wrong idea.
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Hi Yelo, I am sorry you are having such a hard time. I went into surgical menopause because of ovary removal and I almost took and whole bottle of sleeping pills. That is how crazy I felt, seriously. After a month on tamoxifen, I had those same thoughts and immediately stopped it. There is no data supporting that black cohosh is dangerous for BC survivors. I took it for six months but it didn't do much for me. I had to suffer the hot flashes but they are finally subsiding but not gone...
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