Bottle 'o Tamoxifen

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  • shelabela
    shelabela Member Posts: 584
    edited May 2018

    welcome rgoossen, hope you have mild SE from tamo!

  • red332
    red332 Member Posts: 54
    edited May 2018

    Sorry to take so long to respond. Now that I am through radiation and treatment is no longer the main thing i'm doing with my life (still have herceptin infusions every three weeks but compared to chemo+scalpcooling or radiation it's a breeze), I felt like I needed a little break.

    vampeyes, sorry you have had such a tough time. it's so awful when on top of your physical symptoms no one can tell you what's going on. and of course being stresed just makes everything worse. are you able to take anything for the arthritis? if meds help, that might reassure you that's all it is.

    i've been on tamoxifen now for about 4 weeks, switched to a morning dose, and am sleeping a bit better. I do notice that the nights I forget to drink the magnesium powder are worse, so I do think it's helping (I take NATURAL CALM magnesium powder at the suggestion of the integrative oncologist). hot flashes still my main problem, which is also contributing to the sleep issues.

    also, i posted a while ago about having lost a lot of weight recently and was thinking the herceptin was to blame (thank?). my appetite is definitely coming back on tamoxifen, so we'll see if I can keep it off. trying to exercise more (including some strength training to build muscle).

    does anyone have (TMI alert) dry, crusty mucus in their nose from tamoxifen? we also moved last month (same neighborhood, but closer to a park) so I'm wondering if it's something environmental. i have had allergy testing pre-diagnosis and was not allergic to anything at that time.







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

    Vampeyes, I understand your frustration when you get two reports that say the opposite things. Like, who do you believe? If you skip off thinking nothing is wrong and miss the opportunity to address a medical problem, then you'll be mad later when someone says, too bad you didn't treat it earlier. But if you go with the bad report and press for more tests or bring it up that you're not happy with the answers, you will be branded a hypochondriac cancer patient who thinks everything is more cancer. Of course, the truth is that it COULD be more cancer. Or not. There is no good outcome here other than to lay awake and wonder if you should forget about it or pursue it further. That is how I feel about my last 2 mammograms where they first said, yikes, there is something there and the second opinion of that same mammogram said, meh, forgetaboutit. 4 months later the second mamm said, yup, there is still an architectural distortion clearly in place so we'll just watch it for the next 6 months then mamm again. Oh for pete's sake!!

    TaRenee ... I HAD THAT! I was outside with my pants rolled up and the next day my lower legs looked exactly like that. But it wasn't a smooth, all over redness like a usual burn, it was kind of speckly and blotchy. I showed my daughter and she said that's not a burn, that's a rash. And she was right . It looked more like a rash than any burn I've ever had. So I wonder, does tamoxifen make you more prone to sun rash? If there is such a thing? Not a true burn but a photosensitivity? Either way, whatever that is, I got it, red and blotchy looking. No pain or itching. It did not feel burned at all. Just looked like a boiled chicken thigh.

  • Lula73
    Lula73 Member Posts: 1,824
    edited May 2018

    just looked up tamoxifen and sun. It does say avoid sun exposure and wear SPF 15+ when you are in the sun. Sun sensitivity from a medication is usually caused by a chemical reaction between the sun and the deposits of the medication that make it to the outer tissue layer of your skin. It’s not like a regular sunburn. However, aloe can still soothe it.

  • TaRenee
    TaRenee Member Posts: 464
    edited May 2018

    I don’t know what it was Runor. It seemed like sun poisoning. Or a rash. It is just really strange that I only got it on one part of my legs. It hurt like a sunburn. The next morning it actually hurt to walk the first few steps when the skin stretched. Every time I got up from sitting the next day it was painful. And it was super sensitive to heat/sun the next few days. I have never experienced anything like this. It’s been 7 days, and while it is better, it is not gone.

    I used SPF 15 but I was in and out of the ocean water all day. (I LOVE what saltwater does for my hair and skin) so maybe I wasn’t applying it often enough. Maybe there was some kind of reaction to the water ant it was just too much. I don’t know.

    I spend a LOT of time outdoors during the summer and fall months usually, so I hope it doesn’t repeat

  • rgoossen
    rgoossen Member Posts: 34
    edited May 2018

    red332...What does the magnesium do for you while on tamoxifen?

  • gardengypsy
    gardengypsy Member Posts: 769
    edited May 2018

    I have had terrible CIPN since chemo ended 2 years ago. The pain in my legs has gotten steadily worse, especially at night. I began to suspect the Tamoxifen. Onc at DFCI said leg pain was not a side effect of T. I went off the Tamoxifen 17 days ago. Considerable improvement. I guess I am headed over to the world of AIs. If major side effects continue, then I am done.

  • Artista964
    Artista964 Member Posts: 530
    edited May 2018

    garden, if arimidex or femara are difficult, aromasin uses a different mechanism which many have found to be easier. I hope it works out. Stage 3 is scarier to me at least. Gl

  • Paco
    Paco Member Posts: 208
    edited May 2018

    I just noticed this paragraph in Beesie's comprehensive info post on DCIS:


    UPDATED - Tamoxifen is currently the only endocrine therapy approved for women who've had DCIS. For women with invasive cancer, while Tamoxifen is given to pre-menopausal women, post-menopausal women often are prescribed an Aromatase Inhibitor (either Arimidex or Aromasin or Femara). Aromatase Inhibitors (AIs) are not yet approved for women who've had DCIS. Recent studies have however shown that the AIs may be more effective than Tamoxifen at reducing recurrence. Based on this, and in anticipation of the approval of AIs for women with DCIS, the 2016 NCCN Guidelines now indicate that post-menopausal women with DCIS may choose to take either Tamoxifen or an AI. The guidelines note that there may be some advantage for aromatase inhibitor therapy in patients <60 years old or those who have concerns about thromboembolism.


    Has this been updated by the NCCN since 2016?

  • mellee
    mellee Member Posts: 434
    edited May 2018

    rgoosen, speaking for myself, I found that magnesium helped when I was feeling achy. Also magnesium helps in general for improving sleep and reducing anxiety. I take 200 mg of this brand every night:

    https://www.amazon.com/Doctors-Best-Absorption-Magnesium-Glycinate/dp/B000BD0RT0/ref=zg_bs_3774411_1?_encoding=UTF8&psc=1&refRID=8DV1KXG07Y05NCG30ETJ

  • rgoossen
    rgoossen Member Posts: 34
    edited May 2018

    mellee, thank you for your response. I just started taking tamoxifen yesterday, does it take awhile for the magnesium to build up in your body to help with aches and sleep?

  • Egads007
    Egads007 Member Posts: 1,603
    edited May 2018

    Rgoossen - I noticed my sleep was SO much better after taking magnesium for about a week.

  • Leilals
    Leilals Member Posts: 37
    edited May 2018

    had to quit my Tamoxifen after 9 days. The side effects we're so severe I couldn't walk and after 3 weeks my right hand is still useless. Going to physical therapy and on pain meds. My quality of life was non existent. Couldn't even think. Pain was so bad I couldn't roll over in bed with out waking. My symptoms did not go away when I quit taking it. Just had a bone scan, it was clean. So happy about that. I now have arthritis in my neck and back that wasn't there before. That's a chemo S.E. but the Tamoxifen really kicked it up a notch. Due to low quality of life, onc. Agreed I would have as much success being able to walk and exercise and have good mental health. So I'm going with a very controlled diet, exercise, good mental health. Better for my type 1 diabetes. So, I'm going to take joy in the fact I can walk again and have some mental clarity. Sending comfort and hope and peace to all.

  • mellee
    mellee Member Posts: 434
    edited May 2018

    rgoossen, I've been taking magnesium regularly for so long that I don't remember if it first built up to an optimal level or not. I don't think so. I do know that after taking it you get the calming and/or muscle & joint pain relief within about 30 minutes or so. Also, it's safe to take more if you need. I used to take an additional 200 mg when I'd wake up in the middle of the night feeling particularly achy.

  • Blownaway
    Blownaway Member Posts: 760
    edited May 2018

    I take 500 mg magnesium every night for (TMI) constipation. It does nothing for the bone pain or joint problems I have from Tamoxifen. I gave myself a 3 month break from Tamoxifen even though I am 95% ER. The hot flashes did not go away (that appears to be just me and menopause). After starting back up, the bone pain increased, my elbows are extremely painful and weak but the most disheartening s/e is that my already thin hair continues to shed at an alarming rate even after 2 months of being back on Tamoxifen....aaarrrggg

  • Lovinggrouches
    Lovinggrouches Member Posts: 530
    edited May 2018

    I’m on a 30 day break from tamoxifen and haven’t felt this good in 2 years!!! I was having chest pains and shortness of breath. MO ordered EKG and was fine. Had mri and ultrasound of liver a few months ago because of high liver enzymes and now have fatty liver. My liver enzymes went down 10 points after being off of it for only 2 weeks. Problems I’ve had on tamoxifen : dry, brittle hair that falls out horribly, no feeling in my private area, dry itchy rash between my fingers, hot flashes from heck, severe insomnia that no medicines help, 25 lb weight gain, hair growing on my face, feeling like crap 24 hours a day, blurry vision with vision decrease along with brain fog, leg cramps and hip with back pain. Meds I take to help with side effects: vitamin d, magnesium glycinate, calcium, turmeric, aspirin and Effexor

  • vampeyes
    vampeyes Member Posts: 1,227
    edited May 2018

    Lovinggrouches - when you go back on Tamoxifen will you try a different brand? I have been off for 10 days now and I feel soooo much better. A little arthritic pain going on in my wrist and back, but other than that I feel pretty good. I can breath!!!!! I was contemplating a different brand when/if I go back on it.

  • Artista964
    Artista964 Member Posts: 530
    edited May 2018

    yes, different manufacturers can make a big difference. I use mylan and while ses, they are doable.

  • Lovinggrouches
    Lovinggrouches Member Posts: 530
    edited May 2018

    I’ve never paid attention to the brand. I will look into it

  • AnnN
    AnnN Member Posts: 12
    edited May 2018

    Lovinggrouches, in what ways are you feeling better after a few weeks without tamoxifen? Are you sleeping better? Any other specific improvements?

    You should definitely try a different brand. Two times in my seven years of tamoxifen my brand was changed, and I had greatly increased joint pain after about a month. Watson, now Activis, is best for me, though others seem to prefer other brands.

    I'm considering a 30 to 60 day break if not stopping completely. I'd like to see how I feel without my numerous se's. Doctors appointments in next two weeks.

  • Lovinggrouches
    Lovinggrouches Member Posts: 530
    edited May 2018

    It’s great that I don’t feel like crap with the extreme fatigue so bad. My hip pain is much improved, sleep still sucks but that is probably because of having ovaries out also. My urine also doesn’t smell as bad and I have some feeling back in my private areas. I will look into the brand thing, but I think the elevated liver enzymes had a lot to do with my feeling bad also and at least it went down som

  • DownNotOut
    DownNotOut Member Posts: 99
    edited May 2018

    I've been on Tamoxifen for about 9 weeks now and some of my SE's line up with you and some don't! I guess it is so individual like most other things, but I'm feeling like I'm dodging a big bullet so far...Early on I had daily headaches which were tough. Now I have a couple per week but my new best friend is Excedrin Migraine (which also contains aspirin, so no need for an extra dose of baby aspirin). My last period was 9 days late and I am due to start any minute but we'll see if it happens. Definitely having joint pain, especially in my feet, right knee, and hands. I feel very sleepy and tired in the afternoons and have NO problem falling asleep at night. It's like I crave sleep. Hair falling out more than usual. Absolutely no sex drive but able to respond if DH makes the move. No change in appetite but have shed 7 lbs so far on a high protein/lots of veggies diet modification. I'm taking 4,000u VitD, and a Fe and Ca/Mg supplement with my T at night. No hot flashes (thank God!) or feeling cold. Able to work full time no problem but I'm beat when I get home. Is anyone else's husband resentful that we're not 100% like we used to be? Mine is starting to complain A LOT about me not pulling my load (not his words). We also have growing tweens who need to learn to do more for themselves and so they are doing more around the house (of course they don't do it as well as I would but it's not like it is a disaster - I am proud of them and these are good life skills). For him, it's like the BC thing is "over" now so I must just be lazy. This is becoming a problem. For the first time I am actually trying to pay attention to my body and what it tells me, and I really don't care if something that does not matter gets delayed or needs to be redone to a higher standard. I'm trying not to let his attitude get me down but this is not cool.

  • vampeyes
    vampeyes Member Posts: 1,227
    edited May 2018

    Seen my GP today, he went over all tests with me. Unlike the MO who doesn't even have a file on me! Anyway no clot, something was there, they just don't know what... strange. My GP said could be mets on its way to somewhere else - awesome {insert scarcasm} No bone mets, it is arthritis, appatently the two glow differently on the bone scan. For now essential oils and Robax Platinum for the pain. GP also wrote me a script for name brand Tamoxifen - no substitutions. Picked it up today and will start tomorrow. I sure hope the SEs are better than the last one! Going to see a naturalpath on Friday for his thoughts on all this.

  • Artista964
    Artista964 Member Posts: 530
    edited May 2018

    be careful what natural stuff you are doing doesn't interfere with tamoxifen. I believe there is talk on this somewhere her.

  • Beaverntx
    Beaverntx Member Posts: 3,183
    edited May 2018

    re Tamoxifen--my drug guide specifies to avoid St. John's wort, dong quai and black cohosh.

    Hope this is helpful.

  • Pollifax
    Pollifax Member Posts: 9
    edited May 2018

    Hi fellow Tamoxifen recipients, I started my doses on May 1 after weening off antidepressants and am having insomnia, hot flashes (the AC bill for summer in Texas is going to be high with these) and pain/cramps on the backs of my legs. A coworker suggested Nuun electrolytes tablets. Anyone used those? Know of any problems? I have also heard Effexor might help. Any one tried that? Already having a banana daily plus drinking more water than I thought feasible. Thanks,

  • AnnN
    AnnN Member Posts: 12
    edited May 2018

    Vampeyes, what do you mean by name brand tamoxifen? I've been advised there is no longer a non-generic tamoxifen.

  • vampeyes
    vampeyes Member Posts: 1,227
    edited May 2018

    AnnN - I am in Canada, not sure if that makes a difference. I received Nalvadex D - Tamoxifen Citrate, came in a box and I punch the pills out of the foil package.

    Beverntx and Rosabella - thank you for bringing that to my attention about herbs and Tamoxifen.

    Took the first one today - I am hoping for the weight loss and no more period SEs.

  • shelabela
    shelabela Member Posts: 584
    edited May 2018

    pollifax, i take effexor and it helps a lot. I would have 1 long all day hot flash. Now i have maybe 1 small one a day.

  • red332
    red332 Member Posts: 54
    edited May 2018

    Sorry again for delay. Natural Calm is magnesium Citrate. it is supposed to help with sleep, and supposedly hot flashes as well. Also joint pain.

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