3 months on Tamoxifen and side effects adding up- STRESSING OUT!
I started tamoxifen on Oct. 3 and up until about 3 weeks ago the side effects were completely tolerable: night sweats occasionally, minor joint pain, but recently I’ve added almost daily nausea, moodiness/weepiness, slight dizziness (if I get up too quickly is when I notice this), and my period just showed up a week early. My question is: has anyone had a similar experience with side effects and did they go away or lessen over time? I’m worried they’re only going to get worse and then what will I do? I’m stressing out over this, which is probably making things worse too!!
Comments
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Many women experience side effects on Tamoxifen. Some here have stuck with it and say the symptoms improved. Mine did not, so I discontinued the drug. My oncologist said that because my side effects were so terrible, didn't improve even with a half dose, and my risk of recurrence was very low he would have advised his own family member to quit. It's a personal decision, but I don't regret quitting, not at all.
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I made it through 4 years on Tamoxifen. First year was Arimidex. I was 7 years out last August.
Side effects for me were completely manageable although the joint pain was especially painful at night. I also have osteoporosis so that didn’t help.
It did get better with time but I’m glad to be off the drug even though it was an extra insurance policy to prevent a recurrence.
Diane
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My tamoxifen side effects have only gotten worse over time. Sorry. At least we're not alone in this, right? I need to keep taking it though, I can't handle the idea of the increased risk going without.
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I am 6 months in and saw an uptick in hot flashes and muscle spasms/leg pain at month 5. The leg pain is on my shins and pretty constant. Occasionally my left hip cranks up as well. I have started Calcium with Magnesium for the muscle spasms and that is helping a lot. Started acupuncture for the hot flashes and that seems to be helping some. Walking a half hour every day at a brisk pace seems to be helping the leg pain. So I am going to try and battle each SE as it comes along for as long as I can. But you definitely don't feel normal that is for sure.
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I lasted 9 months. My hot flashes from the start were consistently every 2 to 4 hours around the clock. The nights were horrible. I also had this strange numbness in the face thing going on- all over. That lasted 3 months but then subsided.
The worst for me was the joint pain. Just kept getting progressively worse. Started with painful feet in morning. By the time I quit my hips were aching all day regardless of if I was sitting or standing. I’ve always been a runner - if I did run on Tamoxifen I’d be incapacitated for a week. If I banged my arm against a wall, a week of pain. I was falling into a serious depression. Went to MO and she agreed with me 100% that I couldn’t stay on it.
I’m fine with my decision - no regrets and no fear.
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I was maxing out on side effects about 18 months in and rapid fibroid growth and a very thickened endometrial lining gave me the push I needed to stop the drug. I took four weeks off and it was glorious. My endometrial biopsy was negative for malignancy, so I did start again and after a short adjustment period, the side effects felt more manageable. The incredible brain fog lifted and has never returned to a noticeable degree. I do worry that the worst of the effects may return, but I’m enjoying life at the moment! Sometimes taking a break seems to help women. The body resets or something. Just an option instead of chucking it for good.
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How long before everyone started having side effects, especially hot flashes? Did it take awhile or was it the second day? thanks!
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thank you all for sharing your experiences! The nausea had subsided today, thankfully. I’m hoping that it stays away. I have an appt with my onc in February. If I’m still struggling then, I’m going to see if I can take a couple weeks break to reset and then try again.
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flag, I was never on tamoxifen but anastrozole. It seemed to build up to a peak about 1.5 years in. The joint pain was unbearable at night and in the morning. I never stopped the treadmill 3.5 miles everyday or swimming.
I switched to exemestane, worse dry eye and skin issues had to stop swimming. Now off everything still after almost 3 years have lingering pain. I wish I never started exemestane. Not sure about anastrozole but never had a single joint pain before any of this.
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Two years on Tamoxifen and doing great. The first several months are tough, but you can address each side effect and combat it. Taking it in the evening on a full stomach helps.
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I'm on year 6 of Tamoxifen. I've had almost all the SEs, including some liver function issues, but over all it's all calmed down. I took effexor for a few months to reduce some SEs, but had some serious problems with it. It's a hard balance. Quality of life if something that doctors know is an issue, but their job is to keep you going, not to worry about the nuances of your daily life. I wish there were more focus on QOL from the medical profressionals we deal with.
I can say that for me, things improved.
Best of luck on your path!
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I declined tamoxifen and my doctor was fine with it. I had DCIS, lumpectomy with clean margins, 6 weeks rads. I have recently lost 35 pounds and am predisposed to depression so my doctor said he would not reccomend it for me. Recently I saw the study from the San Antonio Synosium of 5mg of tamoxifen daily, for DCIS patients having the same benefits as 20 mgwith no side affects. I asked my doctor and he said it was fine to start that. Tamoxifen only comes in 10mg pills, so I got a pill cutter no problem. Hoping for no side effects. Don’t think there will be. Something to consider and there are articles on site about the new research and outcome of low dose tamoxifen.
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I had symptoms of headache and nausea on and off during the first year with some night sweats and hot flashes. Leg cramps too. I’m several months into my second year and am doing great on it. An occasional symptom here and there but it really doesn’t affect my everyday life like it did during the first year. If it stays like this, I can do the full 10 years.
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I'm very happy for those who can take this drug as prescribed.
However, it is often implied by those who do stick with it that those who do not stick with it do not do all we can to combat the side effects. This is absolutely false.
I agree to do all you can to stay on it. However, don't beat yourself up or feel ashamed if you can’t
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VL22, absolutely. I just started in the last few weeks, every other day until this weekend, now trying every day. I haven't had hot flashes or some of the other SEs, but my already-arthritic joints are screaming at me, and the odd leg cramps have started. I keep thinking, okay, this isn't killing me, but then again, it's not much of a way to live, either. I'll try to stick it out for this month, and add magnesium and Claritin. If it's not better by February, though, I may bail and take my chances.
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I bailed out of AI drugs really struggled 4 years then I said forget it no more. I don't give up easily but it wasn't worth it to me. Obviously, everyone responds differently and should not be judged as not doing everything to prevent cancer. Just because some people can tolerate some pain don't assume the pain is similar for everyone.
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See your doctor. He or She may give you the option of having your ovaries removed and discontinue Tamoxifin. Some will still want you on Tamoxifin but it's always your right to refuse. My side effects have increased and gotten worse over the last 3 years to the point that I can't think clearly and my bone pain is debilitating. I've taken all of the others and they were worse. I'm opting to have mine removed most likely.
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I've been on tamoxifen for a year and a half. My issue has mainly been thickened lining and ovarian cysts, although my hair is thinning and falling out and my skin is horribly dry, etc. I started getting some major hot flashes at the year mark, but amazingly, they went away after a month. So far, they haven't come back. I have also had some joint/bone pain come and go. So for me, I have seen symptoms come and go and get better. I consider myself very lucky. My MO said that the effects can be cumulative and that things could get worse or new SE's could show up, but it's not a given. Sometimes it takes awhile for it all to even out in your body. Hang tight. There is definitely a possibility that some of your SE's will lessen.
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VL22....I totally agree! IMO when someone starts a thread like this its not helpful to hear that others are doing great on it. I'm happy for those who do well on it. I wish everyone did well on anti hormone therapy. However if that was the case the compliance rate would be much higher. These feelings need to be validated first and then ways to cope might be helpful. My only goal for this post is to support those who need it and to strive for better treatment options.
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I have been on Tamoxifen for almost 10 years (stopping it in May 2019) and the side effects definitely improved over time. I used to have leg cramps at night, so I stretch before bed and watch my electrolytes. I only have hot flashes occasionally now, but more often in summer than other months. Best of luck to you with your side effects!
Kristy
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If you experience unbearable side effects, don't stop yet. There may be another solution. First, just try to take your prescribed dose in the evening, at dinner time or just before going to sleep. If your condition doesn't approve after a couple of months, ask your oncologist if s/he allows you to switch to a half dose. Even half a dose is better than nothing.
After 15 months on Tamoxifen I just couldn't take it anymore. I experienced many side-effects and was hardly able to work. Life looked black and bleak. I then switched to taking half a dose (10 mg) in the evening instead of taking the full dose (20 mg) in the morning. This made all the difference. I actually got my life back. I still experience side effects, but it's very doable.
I'm now on a temporary break of Tamoxifen because of vision problems, but wouldn't mind going back to it.
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Joint pain was a big issue for me too during the 1st few months, then it got better. After about a year, it started getting worse but only for a couple months, now it’s way better and I’ve adjusted to it. I take glucosamine nightly for the joint pain and do my best to stay active.
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