Bottle 'o Tamoxifen

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  • Ghionik
    Ghionik Member Posts: 101
    edited January 2018

    Pill number one is down the hatch. Thanks for all the tips you have for SE’s. That’s funny how turning toes toward your body gets rid of leg cramps. 😄

    Whoever suggested to get a journal and track SE’s was a great tip too. I’m getting one today and will leave it by where I have the pills. My MO warned to watch for the rare signs of blood clots can form in legs. Good Lord. I hope that’s a way different feeling than leg cramping for pain.

    I hope everyone has a great weekend and thanks for all the tips and advice. Xox

  • Scrafgal
    Scrafgal Member Posts: 631
    edited January 2018


    Ghionik, sound good. My only issues were the first week before my MO told me how dehydrating Tamoxifen can be--that is when I felt dizziness and perhaps some constipation. I already was drinking 80 ounces of water per day...I had to increase that to 96-100 ounces per day....and drank at least 16-20 ounces BEFORE my morning Tamoxifen.  After week 1, neither of those has been an issue. I have been taking it since late September last year.


  • runor
    runor Member Posts: 1,798
    edited January 2018

    I love this advice to watch out for blood clots. Never having met a blood clot in real life, I'm not sure I'd recognize one if it happened. Early on I had a weird and incredibly painful bruise come up on my wrist. Didn't hit my wrist on anything. Just all of a sudden it started hurting, an angry bruise appeared next day on the inside of my wrist and next day had leaked through to back side of wrist. Like my arm had been crushed in a vice. So I'm looking at this and thinking, is this a blood clot? I have no clue!

    If docs tell you to watch out for blood clots they at least ought to provide a picture, like a Most Wanted poster, so you'll know one when you see it!


  • Chiarara
    Chiarara Member Posts: 44
    edited January 2018

    Good sleep last night- bliss. My personal trick, to not getting entrenched in insomnia land is to spend LESS time in bed, not more, but it is hard when you are tired. Lucky I’d planned a lunch with some good friends yesterday, and that kept me awake and distracted. If nothing else, this solves the problem of when to exercise. If I’m out of bed at 5am, I’ll be looking for stuff to do!

    I like the tips, too, as a newbie.

    Scrafgal that is very interesting, as I’d noticed I suddenly seemed to need to drink a lot more.

    Runor- yes, watching out for blood clots. I have the poster in my bathroom! Actually, over the years, two people I worked with have had clots, so I have made the personal acquaintance of some clots

    For both people, the only reason they realised something was up was they got swelling which suddenly made clothes fit oddly. So one guy (clot in the calf) got things checked because his sock and shoe were really tight, and the woman realised something was wrong because she could not get sleeves to go over her arm (clot was high, near the shoulder, so her upper arm swelled a lot).

    Have now finished my 2nd week of the Big T. Only 518 weeks to go..


  • Artista964
    Artista964 Member Posts: 530
    edited January 2018

    when i started tamox i had occasional warm flushes. The brain fog memory stuff carried over from chemo. Been on it since june 2016 and doing quite well. Fequency of warm flushes has gone down and im in menopause.

    People not doing well yend to post while those doing fine are gone. Thats the problem is it looks like tons of people have ses when in fact many doing well on these meds are done with this board.

    The only way to know is to give it a try for a decent amount of time if you are high risk. I was so scared before chemo reading the issues here, rads, hormonals that i almost said no way. But for me everything has been bearable. No one knows how your body will respond so imo be aware of the ses but don't dwell so much on someone's experience for there is another out there who did fine. Too bad those doing well dont stick around to post to even out this forum better but people are living their lives bearably.

  • Ghionik
    Ghionik Member Posts: 101
    edited January 2018

    All info at this point, is helpful to me. 💕

    Only 1824 more days of this stuff. I drank a ton of water today since I was warned about being dehydrated.

    You ladies are my heroes!

  • Tracy1972
    Tracy1972 Member Posts: 8
    edited January 2018

    Howdy all! Thought I would just hop on and introduce myself. Have an appointment in 2 weeks to see my Oncologist and her plan is to start me on Tamoxifen. I am reading everyone’s posts just to get an idea of what things I may need to ask.

    Thanks to everyone for your tips! It never occurred to me to get a journal to document how I am feeling so that I can keep track of/ evaluate any side effects I may have. Also good to know about the constipation. I hadn’t a gastric band 11 years ago so I Ambien already chronically constipated- I will make sure to talk to my MD about that.

    Tracy

  • canvasmaker
    canvasmaker Member Posts: 3
    edited January 2018

    I started on Dec. 18. So far, so good. Only two sleepless nights in the past week. Hopefully, that's not something that will dominate my life. Can't do without sleep. I was afraid to start Tamo because of the SEs. But I am also afraid of the cancer coming back. I'd had lots of SEs on Arimidex and Femera, so wasn't looking forward to another drug. Fingers crossed that the Tamo continues to be fairly SE-free

    Thanks for all the posts, everyone. It's so helpful to hear from others who are on the same road.

  • Chiarara
    Chiarara Member Posts: 44
    edited January 2018

    Touch wood- no more insomnia since last Friday night.

    All good otherwise. Bladder has been a bit touchy- calms down with no alcohol or vitamin C.Skin continues to be less oily.

    Hope others are going OK too

  • Ghionik
    Ghionik Member Posts: 101
    edited January 2018

    I’m doing ok so far. Day 3.

  • EastcoastTS
    EastcoastTS Member Posts: 864
    edited January 2018

    So, what are signs of clots to watch for? Swelling? Bruise? I have no idea! ;)

    So far Tamox ok. Some minor side effects -- nothing I can't live with. I have had no hot flashes for some reason.


  • Scrafgal
    Scrafgal Member Posts: 631
    edited January 2018

    Awesome, Ghionik! Keep us posted!

  • superius
    superius Member Posts: 340
    edited January 2018

    2 years and 2 months, 7 years 10 months to go. Minimum side effects, as MO said at the beginning --  I suppose she made that educated guess from how I reacted to chemo (also min in comparison to many)

    I found it interesting for those who have stronger side effects are "complain" about it, then those with minimum s/e are wondering... "is it working?"

    I noticed skin/ hair is drier! but this winter is drier, too! MO is tracking my period, according to her, is pretty much regular (every other month). I noticed at the beginning hot flashes was more frequent, now it's more like "warm flushes" once in a while, and seem to come & go with the cycle. My MD friends said it's the hormone changes, so I assume the Tamoxifen is doing it's job.

  • EastcoastTS
    EastcoastTS Member Posts: 864
    edited January 2018

    Ha ha, Superius! Exactly. I have so few side effects that I wonder if it's working! LOL

  • Rhyfelwr
    Rhyfelwr Member Posts: 88
    edited January 2018

    So I've been hot flashing since Taxol. Like must-rip-off-clothes heat. My dh doesn't understand how I can go outside without a coat in single degree weather, but if I am flushed....

    Are tamoxifen flashes more frequent? More serious? Or am I already living the dream and have nothing new to worry about? Time to head to a beach somewhere....

    (And how does this work 6 months from now, when I am already in my bathing suit?)

    I haven't started yet. Prolly in 2weeks, when I see my MO.

  • Trvler
    Trvler Member Posts: 3,159
    edited January 2018

    I tend to find my hot flashes follow me being cold. If I am in a warmer climate, I tend to not get cold and have fewer hot flashes.

  • Dizzybee
    Dizzybee Member Posts: 142
    edited January 2018

    I was counting on my fingers and worked out I'm quarter of the way through my tamoxifen journey, and so far so good. Annual transvaginal ultrasound result was okay, spare tyre round my middle is definitely not okay !

    So my question is this...I keep reading that the women on AIs are being changed over to ten years, not five. So has anyone else on tamoxifen had the timeframe lengthened?

  • TWills
    TWills Member Posts: 679
    edited January 2018

    My MO has always said 10 for my Tamoxifen.

  • Michelle_in_cornland
    Michelle_in_cornland Member Posts: 1,689
    edited January 2018

    Happy to see other women on Tamoxifen doing well too!! I have 4 more years, if I am doing the 5 year plan. I don't think I will be taking it for 10 years, but will see how it goes. One area that I am do a self research on is using Magnesium - oxide and citrate - to minimize joint and body pains. I started taking 125mgs by splitting a 250 mg dose in half, and so far so good. The following is the abstract from the NIH on a study looking at the use of 400mg of Magnesium and breast cancer patients with hot flashes:

    --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

    Abstract

    Background

    We tested if magnesium would diminish bothersome hot flashes in breast cancer patients.

    Methods

    Breast cancer patients with at least 14 hot flashes a week received magnesium oxide 400 mg for 4 weeks, escalating to 800 mg if needed. Hot flash score (frequency×severity) at baseline was compared to the end of treatment.

    Results

    Of 29 who enrolled, 25 women completed treatment. The average age was 53.5 years; six African American, the rest Caucasian; eight were on tamoxifen, nine were on aromatase inhibitors, and 14 were on antidepressants. Seventeen patients escalated the magnesium dose. Hot flash frequency/week was reduced from 52.2 (standard error (SE), 13.7) to 27.7 (SE, 5.7), a 41.4% reduction, p=0.02, two-sided paired t test. Hot flash score was reduced from 109.8 (SE, 40.9) to 47.8 (SE, 13.8), a 50.4% reduction, p=0.04. Of 25 patients, 14 (56%) had a >50% reduction in hot flash score, and 19 (76%) had a >25% reduction. Fatigue, sweating, and distress were all significantly reduced. Side effects were minor: two women stopped the drug including one each with headache and nausea, and two women had grade 1 diarrhea. Compliance was excellent, and many patients continued treatment after the trial.

    Conclusions

    Oral magnesium appears to have helped more than half of the patients and was well tolerated. Side effects and cost ($0.02/tablet) were minimal. A randomized placebo-controlled trial is planned.

    ************************************************************************

    As always, check with your doctor first before taking any medication, supplements, herbs, etc.


  • Trvler
    Trvler Member Posts: 3,159
    edited January 2018

    Thanks for the post about magnesium. I keep telling people to take it for constipation and often forget about the benefits for hot flashes.

  • Artista964
    Artista964 Member Posts: 530
    edited January 2018

    what brand do you buy michelle?

  • Michelle_in_cornland
    Michelle_in_cornland Member Posts: 1,689
    edited January 2018

    Rosabella, it does not matter the brand, just the ingredients. Make sure to look for magnesium oxide or citrate. Citrate is a bit more powerful, so I started with the oxide first. It helps alot of systems in the body including bone, muscle, cardiac, moods, etc. So far, so good.

  • Ghionik
    Ghionik Member Posts: 101
    edited January 2018

    Thank you, Michelle. Helpful information for sure.

  • TaRenee
    TaRenee Member Posts: 464
    edited January 2018

    My sister in law was on Tamoxifen for 5 years. Switched to arimidex and has been on it 10 years. Her MO said research is showing it to be more effective for that time frame. She’s due for her last dose in Feb unless they extend her to 15. I don’t remember her dx but she had DMX with recon, then chemo then Tamoxifen then arimidex. I am on Tamoxifen for at least 5 according to my MO and will make the switch to AI when in menopause. Which seems like it is taking its sweet time.

  • mellee
    mellee Member Posts: 434
    edited January 2018

    Quick question: What does your oncologist recommend regarding annual Ob/gyn checkups?

  • lala1
    lala1 Member Posts: 1,147
    edited January 2018

    I see my gyn once a year even though I had a total hysterectomy including ovaries. As was pointed out to me, just because they removed everything, doesn't mean they removed EVERY thing. I still have a vagina so can still get vaginal cancer. And removing organs doesn't mean every single cell was removed. So I continue with the pap smear. And my BS has me see him once a year, my MO once a year, and my GYN once a year spread out so that I see one or the other every 4 months. That way someone is doing a thorough breast exam on my every 4 months so something would be way less likely to slip by either me or them. Love my docs!!

  • molliefish
    molliefish Member Posts: 723
    edited January 2018



    TaRenee, don't be too anxious for menopause to start. The upside is no period. But there are lots of downsides. I was nearly 2 years since last period when I was diagnosed and the doctors STILL don't say I'm in menopause. C'mon guys. It's been 4 years. I think I'm done. :-).
  • Artista964
    Artista964 Member Posts: 530
    edited January 2018

    my mo said 2 years = menopause.

  • shelabela
    shelabela Member Posts: 584
    edited January 2018

    i was told i was in menopause, they did a blood test that showed my levels were way above the normal. I have not had a period since Feb 2017. Don't miss it either. Although I'm only 44. Cancer sucks

  • Rhyfelwr
    Rhyfelwr Member Posts: 88
    edited January 2018

    I've been wondering a lot about the menopause thing. I had a hysterectomy 21 years ago, but kept my ovaries. I felt as if I had some menopausal symptoms within the first 10 years after that. But because of my age (only (!) 53) my MO considers me pre- or perimenopausal at best. Since Taxol, I've been hot-flashing like crazy. So she may be right.

    Anyone out there with a similar experience who can share?

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