Fall 2018 starting Hormone Therapy

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Recently finished radiation and started Tamoxifen in early Sep. Creating a Fall group so we can share experiences and tips, side effects and etc

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  • NVDobie
    NVDobie Member Posts: 184
    edited September 2018

    I updated name to reflect its Fall 2018.

    Recent completed rads and started Tamoxifen early Sep. Hoping to share experience and tips for anyone who is starting Hormone therapy in this fall


  • Marymc86
    Marymc86 Member Posts: 102
    edited September 2018

    I'm on the fence about Tamoxifen. I think I'm not going to take it. Maybe I'm crazy, but...

    I'll save it for the other thread.

  • NVDobie
    NVDobie Member Posts: 184
    edited September 2018

    Marymc86

    Welcome.

    Is it because of the side effects? I am concerned about those as well especially on the secondary Cancer part but more scared of recurrence, as I have strong estrogen positive ones. Intermediate oncotype score too, so kind feel like I don’t have much a choice


  • Marymc86
    Marymc86 Member Posts: 102
    edited September 2018

    My oncotype was 27. I'm 95% ER. Yes, it's because of side effects. I had stage 1, clean borders, no node involvement. Did lumpectomy and had breast reduction surgery and that tissue was tested and came back negative for cancer. They didn't expect me to have a high oncotype score, but I did. If I had kids, I'd probably feel differently. I'm otherwise very healthy. I've been under undue stress for a couple if years. I think that is what allowed for the cancer. Some of that stress has been alleviated. I'm hoping my body's immune system kicks back in and works this time. If not, I'll have to be at peace with my decision and I think I am. I also did not do chemo. I know, crazy, but maybe the cells weren't out of the gate and radiation got 'em .

  • Marymc86
    Marymc86 Member Posts: 102
    edited September 2018

    My oncotype was 27. I'm 95% ER. Yes, it's because of side effects. I had stage 1, clean borders, no node involvement. Did lumpectomy and had breast reduction surgery and that tissue was tested and came back negative for cancer. They didn't expect me to have a high oncotype score, but I did. If I had kids, I'd probably feel differently. I'm otherwise very healthy. I've been under undue stress for a couple if years. I think that is what allowed for the cancer. Some of that stress has been alleviated. I'm hoping my body's immune system kicks back in and works this time. If not, I'll have to be at peace with my decision and I think I am. I also did not do chemo. I know, crazy, but maybe the cells weren't out of the gate and radiation got 'em .

    The side effect that scares me is clotting. My family tends to have young strokes. My sister had one at 52 and this is her 11th year in a nursing home. I do not want that.

  • Kidogo
    Kidogo Member Posts: 20
    edited September 2018

    I started Arimidex on Monday. Been looking at the box for a month. 😏

    They told me it is optional for me at stage 1a, but I tend not to be terribly lucky so I figured I'd give it a go. After all, if I end up with a recurrence and didn't take it, well then there's no one to blame but me. And if I can't tolerate it, at least I tried.

    One of the reasons I waited this long to start is that I wanted to be able to id any new side effects as opposed to my normal aches and pains and the residual effects of the radiation treatment. So now that I'm approaching my new normal I decided to take the leap.

    So far so good. I take in the morning along with Claritin ( people on here seem to think it helps with s/e, my drs have never heard of it!). Also 3000 iu of D3 as I seem to have almost none. Supposed to start Calcium but haven't purchased yet. Well, actually I did, but it was soon after I finished rads on August 23 and after studying all the bottles, I bought 3. D3, Ca, and Kirkland brand muscle and back pain relief since I already have some preexisting bone/joint pain. However when I got home I had D3, vitamin C, and ibuprofen! Still have to get the calcium.

    I take in the morning as some have said it interferes with sleep. I have sleep issues already so hoping to minimize those effects.

    I started yoga one day/week. And an exercise program for cancer patients/survivors. One morning X20 weeks. I also have a grand-dog who bugs me to walk and have restarted that.

    We shall see.


  • NVDobie
    NVDobie Member Posts: 184
    edited September 2018

    Welcome, Kidogo

    I am day 6 of Tamoxifen so far so good? MO instructed to take it 1 week or 10 days after rads.

    I jumped on it after noticing the appetite increase which I suspect is estrogen working it’s way back? I always had food craving before period before Dx.

    Appetite is back to normal, waiting to see what else is in store in terms of SE.

    Some posts I saw saying the SE could come 1 yr later. Oh boy.

    Sleeping issue seem getting worse so not sure it was related to Tamoxifen or not.

    Yoga sounds good. I will start it again once skin issue from rads heals

    I lived in Ontario before, still miss it on rainy days. :-)


  • PhoenixCruiser
    PhoenixCruiser Member Posts: 118
    edited September 2018

    Thanks for starting this thread. I'm planning to start this month.

  • Kidogo
    Kidogo Member Posts: 20
    edited September 2018

    I totally forgot my pills yesterday. Arimidex, Claritin D3. Still haven’t started calcium. Finally took at 5pm. Slept great. So weird. Took this am and will see how I sleep tonight. So many things affect my sleep. Hasn’t been great for 15 years.

    I do notice if I have a lazy day I don’t sleep as well.


  • NVDobie
    NVDobie Member Posts: 184
    edited September 2018

    I had decent sleep last night. Wondering whether it has anything to do with the fact I had an acupuncture yesterday, I went to treat my should pain and mentioned I have tummy issue for years and acupuncturist treated my shoulder and massaged meridian points on my middle line abdomen which hurt like hell.


  • Ingerp
    Ingerp Member Posts: 2,624
    edited September 2018

    Just popping in to say hi. I’ll start Arimidex in October sometime—not sure exactly when. I should be finished with rads 10/4. I’m hoping for a little break because I’m really not looking forward to this. I’ve kept an eye on the “Doing Well On AIs” thread and hoping I’ll be one of those women.

    Has anyone heard about sliding in a little more gently? I know some women’s MOs have allowed them to start every other day for a while.

  • NVDobie
    NVDobie Member Posts: 184
    edited September 2018

    Hi, ingerp

    Good to see you here. Hope your rad is going smooth. I am 20 days post, skin are starting to feel normal.

    I just finished the first tab of tamoxifen, 10 days in. I haven’t heard much about taking it every other day. Interesting approach.

    The anticipation of side effect is an interesting journey. I am in the wait and see mode as many said some of things happen 6 months after or more.

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

    I have been on Tamoxifen for a while now, and have a tip regarding sleep. Try magnesium, but check with your doctor first. It helps a variety of side effects, such as sleep, muscle issues, etc.

  • NVDobie
    NVDobie Member Posts: 184
    edited September 2018

    Michelle, thanks for the tip. I will look into it. Seeing my MO in Nov. but adding high magnesium Whole Foods to daily diet can’t burt

  • Justkeepmoving
    Justkeepmoving Member Posts: 106
    edited September 2018

    hi all

    I was hoping that just my double mastectomy would make me free and clear of any treatments (lucky) but my DCIS also had microinvasion (oddly it's ER/PR + unlike the large DCIS tumor it supposedly grew out of). My dr wants to treat with Aromasin.

    I had a clot in my placenta with my 2nd child and tested for MTHFR gene mutation and the doctors think I may have a clotting disorder. She doesn't want to start me on tamoxifen so the plan is to give me Lupron and put me into menopause (I'm 49yo) and start the Aromasin. Just know thinking about this and I guess this is what I'll do. Hoping to hear more later this week


  • NVDobie
    NVDobie Member Posts: 184
    edited September 2018

    justkeepmoving

    keep us posted once you know more.

  • Wink22
    Wink22 Member Posts: 39
    edited September 2018

    Hi all:)

    I started tamoxifen last night. I am 8 days post op BMX with LD reconstruction, so I won't recognise any tamoxifen side effects for awhile as I still feel like I have been hit by a truck! I still have some questions and worries about tamoxifen, but feel decided enough to start. I am 43. Thanks for starting the thread! NVDobie, I am from Vancouver Island but now live in Australia

  • NVDobie
    NVDobie Member Posts: 184
    edited September 2018

    welcome Wink22.

    Definitely can relate to the worries about Tamoxifen. That worry was kind of trumped by the worry of recurrence. Good thing is Tamoxifen has been around for so long so hopefully we are more informed on what it does.




  • Ingerp
    Ingerp Member Posts: 2,624
    edited September 2018

    I had a pre-Herceptin check-in with my MO today and she didn't mention anything about the AIs and I *definitely* didn't ask. I won't see her again until Nov 5th, so maybe I won't start until then. That gets me through my birthday and WDW trip (plus would give me about a month to get over rads), so I am absoLUTEly fine with it (and am actually a little relieved!).

  • odat4me
    odat4me Member Posts: 66
    edited September 2018

    I had my first shot of ‘Lupron Depot this morning. 48 years old (almost). Had no signs of menopause before breast cancer. I am wondering how I will feel on this in combination with Femura. Thank you for the thread.

  • odat4me
    odat4me Member Posts: 66
    edited September 2018

    I wonder why my doctor started the hormone treatments while I am still in Radiation seems like most wait till it’s over. I have 15 more treatments. I was really positive for estrogen maybe they are worried about thsy

  • EJean
    EJean Member Posts: 16
    edited September 2018

    I’m a few days in and last night had a terrible time getting to sleep and staying asleep. I’m looking at 10yrs on Tamoxifen and I’m not sure how I’m gong to get through it.

  • NVDobie
    NVDobie Member Posts: 184
    edited September 2018

    EJean

    Sorry to hear that you are not sleeping well. I had the same issue last week or the first 10 days or so when I started.

    I am now 16 days in, sleeping issue seems gotten better the last two days. So I am hoping that our body is adjusting to it.

    I did try yoga, meditation, exercise or combination of all last week. That probably help a little bit as well.

    Hanging there. I am hoping our body can adapt and adjust.

  • Walden1
    Walden1 Member Posts: 202
    edited September 2018

    NVDobie,

    Thanks for starting this off. I’ve just started AI with ovarian suppression. MO also gave me the option of tamoxifen alone. I’m nervous about the possible long term side effects with both options. Did your doctor suggest options for you too? If so what made tamoxifen your preference

  • Kidogo
    Kidogo Member Posts: 20
    edited September 2018

    imageFinished first two weeks. So far so good. I had some aches and pains before that varied from day to day, week to week, and month to month. So I told my husband this am, “I am down 2 weeks of 520....518 to go!

    I do have 2 friends who have muscle and joint pains often reacting to weather, which I would sometimes do. So they text me their flare ups so I can better judge if mine are weather related also or perhaps side effects. Very scientific micro study....

    M

  • NVDobie
    NVDobie Member Posts: 184
    edited September 2018

    Walden1

    No. My MO didn’t give me an option. I did run into a lady who is on the same regime as you in Vancouver here. Is age a factor? I am 47.

    All Hormone drug options have some side effect, no perfect drug. I worry about the sid effect as well, but I am more worried about BC. So I didn’t want to chance it.

  • NVDobie
    NVDobie Member Posts: 184
    edited September 2018

    kidogo

    Thanks for making me laugh. I heard about joint pain as well. Kind of feeling I am waiting for those side effects to kick in. In the meantime, trying to keep up my exercise to counter that

  • Ingerp
    Ingerp Member Posts: 2,624
    edited September 2018

    Ladies above—Tamoxifen is for pre-menopausal women; AIs are for post- (either naturally or induced). AIs have done better in some studies so some MOs suggest Lupron or an oophorectomy followed by an AI if you’re not planning on having more children.

  • NotVeryBrave
    NotVeryBrave Member Posts: 1,287
    edited September 2018

    Tamoxifen can be taken by pre or post menopausal women. AI's can only be used post menopause - either natural or with suppression or removal of ovaries.


  • Grammieshell
    Grammieshell Member Posts: 56
    edited October 2018

    hi all

    Jumping in on this thread. I'm getting my first Lupron shot tomorrow. I couldn't tolerate Tamoxifen, so they tried an off market use of Evista, it did nothing for me, so on to the next step. Lupron & Femira (I think), anyway.. Any advice?? Warnings?? Suggestions??

    Thanks :)

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