Arimidex and immune system suppression
Yesterday, I saw my family practice physician for a bacterial infection, and she told me that these would not be uncommon for me since I am taking an immune system suppression medication. Since I only take one other medication, I asked her what am I taking that is suppressing my immune system, and she told me Arimidex -- and that I would, in general, be more suceptable to any type of infection now. In reading the literature about Arimidex, I was well aware of it suppressing the development of estrogen, but this was the first I had heard about its impact on my overall immune system. I've been taking it since January 2007.
Has anyone else heard or read about this?
Comments
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I haven't heard about this. Hopefully someone else will come around who can answer your question. I hope your doctor is wrong!
Shirley
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Well, jrp, CHEMO is immune surpressing.And Arimidex IS chemo.Oral chemo.
BUT I think your doc is thinking of cell-killing chemo.
I dont think your onc would classify Arimidex as an immune suppressing drug.
But having been on AI for over 3 and 1/2 years, I CAN tell you that AIs make us..delicate.Feeble.The way old ladies are.It is from estrogen depletion.There's no doubt about it, this is true!We're fatigued, we're always in need of rest, we tend to catch things much more easily., our skin is dry, our hair thins, our skin TEARS easily, we're arthrits..A real joy-ride, huh?.
So your doc was right.Maybe she just used the wrong words to describe it.
Myself, I WORK at strengthening my immune system constantly.From exercising daily to eating really supportative foods, to supplimenting.This is no small thing for me.It's a lot like work.And costly too.
But when I was in menopause, waaay before I got bc, I had pneumonia.It was awful!My doc wanted me in hospital for IV anitibiotics, but I had sole care of my brilliant black Labby, and wasnt about to put him in boarding.
Lots of drugs.LOTS of debilitating , breath-losing coughing.Weeks went by and I felt punk , lousy, weak, bad.
When it was finally over, I had CFS.I had to shop for my Xmas presents one at a time that year.That was all the stamina I had.
So this was my introduction to the wonderful world of estrogen deprivation.
I NEVER want to be that sick again.My Labby is gone, but I have another dog, live alone, and want to be strong and well.So I work at it (Back to my original premise.)
My doc aLso gives me flu shots yearly, pneumonia shots every 10.
Sugar depletes my immune system and makes me susceptable to diseases.So I dont eat it.
I could go on and on (and I'm afraid I have.)Sorry!
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PS.
I have just posted my latest immune-building hints, one mine, one fromDr Weil MD, in Moving Beyond Cancer Forum.
If you're interested.
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HI Jrp,
I think Joan said it all .....
My white count never returned to "normal" and the docs simply tell me "don't worry about it". It took a long time for me to translate "don't worry about it", but essentially it means we are dong the best that we can for ourselves at this point in time. Taking care of your body is a full time job but there are lots of people here to support your efforts as you've just read.
The Alternative Holistic thread has lots of good ideas to help the immune system along.
Speaking for myself, I'm one "old lady" (from Arimidex or otherwise) who intends to keep on keeping on as they say. There seem to be many of "us" here.
Best wishes .... -
Hi jrp1...wihing you good luck first. My experience wasn't good; I am still alive--in my 6th yr and cancer free! There are trade offs..............my immune system is blown. I have little immunity for step and staff. I was bitten by a mysquito, Aug 21st and ended up in the hospt for 2wks with a strep infection. I asked how this happened....was told my immune system isn't working properly..the immunologist agrees, so now I am taking weekly infusions of gamma globulin for staff and strep. He said that I closed the door for one thing but opened it for something else. I am writing a book detailing my journey because I feel that we should know choices and consequences--entitled: "Pinked" since it evolved as a result of Arimidex because I did not do chemo, but instead I did 5 yrs of Arimedex. Plus, the majority of problems arose in Oct which is Nat Breast Cancer Month. What Joan of Ardmore details is true....exhaustion...weaknes, muscle problems and joint aches ................today I asked my onocologist about this and he laughed and said it was rediculous. I am about to say................'NO! Listen to me!!! It is real and not rediculous!" bless you and good luck....Jeannie4write
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I do not really see a reason why the lack of estrogen would suppress your immune system I have never heard of this. Maybe you have something else going on that she is refering to. Did you have chemo before?
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hope2learn,
I don't know why a lack of estrogen suppresses one's immune system. All I know is that since my UMX in July 2010 and I started anastrazole shortly after, my immune system seems to have gone kaput. Before anastrazole, I was fairly athletic. Now, more and more I just feel crummy most days. Shortness of breath is the worst. I also ended up in the hospital with cellulitis and had to have my TE removed, then I got pneumonia, and I've had colds and /or flu one after the other. Currently I'm weighing LIFE against quality of life. :-(
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Hey All,
It doesn't make sense that AIs would suppress the immune system. They interfere with the mechanism of estrogen production from testosterone (testosterone gets metabolized to estrogen via aromatase... AI's stop this process), they do not affect the immune system. So, I believe this is just mis-information. My onc recently told me that AIs prevent cancer cells from producing their own food supply (estrogen), so I guess in that regard you could think of AIs as an oral chemo. But I think it's more accurate to refer to AI as a hormonal therapy rather than a chemo.
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Yes, Arimidex affects the immune system by lowering your white blood cell count. That's why "infections" are listed in the side effects section of the long-form drug information that comes with your drug order. Ask the pharmacist for it if it wasn't automatically included. I got two infections within a week of starting Arimidex. Don't let your medical oncologist poo-poo your symptoms. I ended up in the emergency room and was prescribed two medications that were equally as nasty as the Arimidex but thankfully lasted only 10 days. I've always had a pretty efficient immune system but now I seem to be wide open for them. If you feel you are coming down with something, take care of it right away
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Hi Sara,
I used to be so healthy. Hardly ever went to Dr. Went for physicals and took herbs and supplements. I was so healthy. Then cancer hit, and now my immunity is shot.
I catch so many illnesses now. What a "new norm" to swallow.
I am trying to research what I can take to build my immune system back up.
This is no fun. These cancer treatments really "rocked my world".
I believe a lot in supplements. Cancer was a wake up call for me to get more heathier with exercise, not eating sweets ect,,, I am moving in this direction. I figure something is better than no change at all
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Hi all...I'm not a doctor but I am a medical professional and agree that aromatase inhibitors can lower your white blood cell count and makes you more susceptible to infection of any kind. Meaning bacterial, viral and even fungal. Yes yet another SE that most MOs don't tell you about
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Well, that's interesting. My white cells have been low ever since cancer treatment, but I've always blamed it on the chemo.
On the other hand, if it's really caused by the estrogen-blockers, then there's a good chance it won't be permanent, right? Something to look forward to.
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Yes I would assume they would go back to normal when you have completed the treatment. Good luck
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I got a bout of diverticulitis shortly after starting Arimidex. Has anyone else had this experience? I'm thinking it could gave happened because of immune system suppression. The antibiotics given for that were barely tolerable. Also had an abdominal CT in the ER. I'm thinking it would be best to avoid the ER if it happens again. The problem is that it seems to be necessary in order to rule out colon perferation which I did not have. I think I've already had enough CTs for a lifetime
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Hi All -
I am very much interested in this topic seeing as I have started an AI about 6 months ago. I had a lupectomy almost 4 years ago, radiation, and have tried both Tamoxifen and then Evista. 6 months ago, as I was post menopausual, I went on to Anastrezole. Just this past Friday I was diagnosed with a viral skin infection - more commonly found in children or those with suppressed immune systems. Now wiith the diagnosis of the skin infection, my onco says there is no connection and I can restart the AI after a break since last Wedneday. I don't feel so sure about this. My infection is more prominant on the right side of my body where the cancer was and radiation happened. Also the heat and humidity doesn't help with the viral skin infection. Doctors aren't always going to admit what these drugs can really do to us. I think I am still going to wait and see how the infection resolves itself first. The infection was creating skin eruptions in the webbing of my fingers on my dominant side. (right handed). Not a comfortable situation. I have to what is right for me. Thoughts?
MarieBernice6234
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