Is there any one who felt good on Tamoxifen

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  • Wendiwithani
    Wendiwithani Member Posts: 108
    edited November 2018

    I've been on Tamoxifen for more than two years now and can honestly say the only persistent side effect I have is muscle cramps, but those are pretty easily controlled.

  • Elisabeth_W
    Elisabeth_W Member Posts: 14
    edited December 2018

    I asked my gynecologist about taking tamoxifen and after talking through my concerns, she said the majority of her patients do just fine. If I had any troubles with vaginal atrophy, to come back and see her for help. It was nice to hear that it may not be so bad after all from a less invested source than my oncologist.

  • Falconer
    Falconer Member Posts: 1,192
    edited December 2018

    Wendi- I get muscle cramps too- have you tried tonic water before bed? My MO recommended that and soft leg warmers. I just saw her on Wednesday so ITried them for the first time last night and it felt nice. Of course it's winter here and cold. In summer I don't think I'll want them since my other SE is the hot flash. It's more like a slow burn for me.

  • KatyaD
    KatyaD Member Posts: 2
    edited December 2018

    Hi there - was on Tamoxifen for just over a year after not being able to cope with Anastrosale - first off seemed okay then after about 6 months started having a problem with my eyesight - I have glaucoma and thought was to do with eyedrops - but long story short - it was not the eye drops - so I decided to stop the tamoxifen for a while and after just under two weeks, the problem of 'mistyness' in the distance had disappeared. That confirmed it for me and I know we are all different and my doctor does not agree with me stopping - I shall not continue to take it - I am 75yrs old and old enough to make my own decisions (!) and for me it is quality over quanitity any day.

    But try it -you may well be fine with it - hope it all works out for you

    Regards

  • PurpleCat
    PurpleCat Member Posts: 358
    edited December 2018

    Subscribing to this thread because I'm starting after radiation is done and am determined to keep as positive an attitude as possible.

    I read something that said the chances of getting blood clots with tamoxifen are about the same as getting blood clots with hormonal birth control. Anyone know if that's true?


  • Palesa2018
    Palesa2018 Member Posts: 140
    edited December 2018

    Hi PurpleCat, not sure if that is true. But blood clots are a real risk. My MO recently gave me an injection to thin my blood because I'm flying long distance 8hrs+. Specifically to reduce risk of blood clots because I'm on Tamoxifen. A good friend of mine was also on Tamoxifen for 5 years no issues and travels a lot and said as long as she wore compression socks and took the injection she felt comfortable. Just to manage that risk.

  • TC73
    TC73 Member Posts: 25
    edited December 2018

    Hi All, I'm due to start taking Tamoxifen late January after completing radiation. I'm trying to remain positive and not stress about the side effects. So it's great to hear that the side effects haven't been too bad for some.

  • PebblesV
    PebblesV Member Posts: 658
    edited December 2018

    Agree - I have this thread in my favorite topics. I'm meeting with the oncologist tomorrow now that I just finished rads to discuss starting tamoxifen. I plan to ask him all my questions and concerns about side effects, risk scenario for side effects, and whether he has any recommendations to minimize side effects that do NOT include removing my uterus.

    If anything good comes from the conversation, I'll keep people posted!

    (also waving hi to PurpleCat from the December radiation thread )

  • Elisabeth_W
    Elisabeth_W Member Posts: 14
    edited February 2019

    I was 49 when diagnosed, just turned 50. Coincidentally, I haven't had a period since end of May, 2018-about 2 weeks before my diagnosis. So I was perimenopausal and coming up on the one year mark with no period. I started tamoxifen end of December, 2018 after a unilateral mastectomy for ILC (long story I won't go into here). I was worried about side effects too.

    As wiser souls than me have pointed out, you just don't know how tamoxifen will affect you until you take it. So hold out judgement until you KNOW how it affects you. I've taken the Teva generic for a month, then the Mayne for a month, and now I'm back on Teva from mail order pharmacy.

    The only menopausal symptom I had prior to my period ending was night sweats-probably 1-2/month that woke me up. I also tend to run cold-I was the one wearing a sweater in an air conditioned building. Just prior to starting the tamoxifen, I noticed I was getting hot flushes. Suddenly, I'd just be warm. I'd take off my sweater, and feel fine. Post tamoxifen, I got flushes more often, like 2 a week, but they've faded. We'll see what happens when it warms up. For the first 2-3 weeks, my fuse was VERY short. I'd get very mad, very quickly. But that seems to have faded.

    The real thing I've noticed is that I get a night sweat every night at 1-2 am (I take my tamoxifen about 9-10 before bed). The sweat part isn't always there, but I always wake up hot. I take off the covers, turn on the ceiling fan, sternly tell myself it isn't time to get up yet, and go back to bed. I tried taking it earlier in the day, but found myself very irritable. I also noticed the sweats were slightly worse with the Mayne over Teva generic.

    Any vaginal discharge I had had stopped with my periods, and odor was entirely neutral. With tamoxifen, I started having discharge again, and it smells like it used to between periods when I was menstruating. So while this is a clear change on the tamoxifen, I don't really count it as negative since it's just a return to my old discharge state (I confirmed this with my partner-god love him). And since I was worried about vaginal atrophy/dryness due to menopause, not a bad thing. On the topic, I have no interest in sex, though I used to. It's not even like I want to, but have no interest, it just doesn't even occur to me in the first place. But once things get going it's fine. That could be just menopause, not the tamoxifen, the two are coinciding so closely for me.

    All in all, very manageable. Surprisingly, I've come to be very attached to my little white pill as my cancer defender. If I miss it I get a touch anxious-like I'm not pulling my weight on the cancer defense front. I thought I'd resent it every night (I don't take any other medications, and was not in the habit of doing so), but instead I find it comforting. I'm doing all I can to take care of myself.

    I hope it stays this way, as I see no problem at all with continuing to take it for the next 5-10 years.

  • Sjacobs146
    Sjacobs146 Member Posts: 770
    edited February 2019

    I had absolutely no side effects on Tamoxifen. On Arimidex, I've had joint issues, and bone density loss. Although after two years on Arimidex, joint issues are improving. Possibly due to exercise and weight loss, or perhaps I'm just adjusting to it

  • wanderweg
    wanderweg Member Posts: 549
    edited February 2019

    I’ve been on Tamoxifen for 12 weeks now. I started at the 20 mg dose daily and had no side effects. After a month or so, I’ve developed some very mild wooziness, particularly whe I first wake up. I just feel a little swimmy-headed, as if I’d been drinking. It eases up quickly after I wake up and isn’t bad at all. That’s it. Interestingly, I was having some hot flashes prior to my diagnosis and have had none on tamoxifen. I’ve also had zero migraines since chemo/tamoxifen when I used to have them a couple of times a week. So all in all, I’m actually feeling better on tamoxifen than I did before. But I’d echo what others said about not knowing how it will affect you until you try it.

  • Tresjoli2
    Tresjoli2 Member Posts: 868
    edited February 2019

    I had painful foot and leg cramps in the beginning. I feel like it takes your body awhile to adjust. I have been on tamoxifen since October 2015...so 3.5 years now. The cramps are gone, and other than not having my period (a side effect which I love, if I'm honest), no issues here. I gained some weight in the beginning, but now that's starting to come off too. Good luck...

  • Elisabeth_W
    Elisabeth_W Member Posts: 14
    edited February 2019

    Interesting, Wanderweg, very mild wooziness actually happens to me too, now that you mention it. Kind of like vertigo for about 10-20 seconds here. By the time I realize it, take a moment, and wonder what's going on, it's usually gone. Huh. No big deal though. No weight gain here, either.

  • Beaverntx
    Beaverntx Member Posts: 3,183
    edited February 2019

    I've been taking Tamoxifen for about 7 months. Some SEs ( like joint pain in joints where I have arthritis) are difficult to differentiate between a SE and what would have happened anyway. Usually I don't have hot flashes but am cold instead. Other than getting up and walking about every 1.5 to 2 hours when traveling to help prevent DVT the main things I have done are those things recommended to help prevent a recurrence: weight loss (occurring much slower after starting Tamoxifen but still happening), healthier diet, more exercise(walking 10,000 to 12,000 steps a day), and lots of fluids. If I don't do the latter three I am quickly reminded by the threat of my one most consistent SE, constipation.

    All in all, I agree that doing what we can-- and taking Tamoxifen is what is left on the prevention agenda-- is well worth doing!

    For all who are concerned, please don't let other's negative experience convince you that is the experience you will have. You really can't know until you try and many people report that their SEs are much more tolerable after a few months or so. Also, to agree what others have said, there are likely more reports of negative than of positive experiences because many of those with positive experience have "moved on".

  • rachelcarter35
    rachelcarter35 Member Posts: 368
    edited February 2019

    Nothing but good things to say about Tamoxifen. I've been on it for 6 months. My only SE has been manageable hot flashes at night.

  • PebblesV
    PebblesV Member Posts: 658
    edited February 2019

    I'm 6 weeks into tamoxifen and so far so good. Although I'm at half dose (10mg) right now, going to discuss with my onc. whether it's really necessary to go to full dose (I'm 5 ft., and there are starting to be some studies showing smaller doses are just as effective) or whether I can continue at half dose. I did have mild nausea twice, but that also might be because I didn't eat. If I eat and take tamoxifen, there's no nausea.

    Hoping this continues! Will be a much more manageable 5 years if so!

  • kec1972
    kec1972 Member Posts: 269
    edited March 2019

    PebblesV, just curious if your onc said it was OK for you to do that? My onc prescribed the 20mg right off the bat, but I'm also only 5 feet tall and 112 pounds and without my onc's blessing, will be starting off (in April) by splitting the pill in half to take a 10mg dose. It just doesn't make sense to me to start a smaller woman at the same dose as a larger woman. I'm sure he'll give me a tongue lashing when I go see him in June.

  • dolcevita
    dolcevita Member Posts: 9
    edited March 2019

    I just started my tamoxifen last night, March 1. I was given the 20mg dose as well, but decided to start myself off a little at a time, as I too am a fairly thin/small woman (I am about 5'6, 118lbs). I agree that it doesn't seem that a "one dose fits all" regimen should be appropriate. I decided to start by cutting the pills in quarters and staring with 5mg, just to see how my body reacts and adjusts. If that goes well over the next week or two, I will bump it up to 10mg, etc. I have seen other women on these threads do the same thing.  I have also come across the recent publication regarding 5mg dosage for women with DCIS. While I realize that doesn't apply to IDC, it does seem that some would at least be better than none. 

    Honestly, the absolute benefit of tamoxifen is pretty low for me with my tumor stats (approximately 3%), so if I can't tolerate it, I think I could live with the decision not to take it. I figured I would at least try it and if I have no SE's then I will take it. But I really think oncologists need to do a better job at letting their patients know the difference between absolute and relative risks of recurrence with and without the drugs.

     

  • PebblesV
    PebblesV Member Posts: 658
    edited March 2019

    kec1972 and dolcevita - yes my onc said it was fine for me to start at half dose. However he had blessed me starting at half dose for a month and then moving to full dose in a month. I haven’t started at full dose yes and don’t know what he will say when I see him next week. Will keep you pisted

  • Daisygirl66
    Daisygirl66 Member Posts: 4
    edited March 2019

    Hello Dhanno, I started 10 mg of Tamoxifen on 6/1/18. I was so nervous and leary of the noted SE. I feel blessed to report that my SE are minimal. Slight anxiety and rarely, night time restlessness. I take my dose 1 x/day right after breakfast. I take in the a.m. to try to avoid stomach upset and insomnia. I also take a low dose aspirin to help ward off any blood clots which are rare, but my biggest worry. My MO would like me to stay on T for 1 year after I am through menopause and then switch to another post menopausal med. I just turned 53 and would really appreciate it if things would just get going. Best wishes that your T experiences will be as good or better than mine. Hope this helps in some way. Take care.

  • AliceBastable
    AliceBastable Member Posts: 3,461
    edited March 2019

    I started taking Tamoxifen the last week of January. I've had just a few SEs, like weird cramps when I woke up, but I started taking magnesium which lowered the intensity, and now I only have leg or foot cramps if I've over-indulged in candy the night before. I had that happen before I was taking any pills, so it was just a reminder to watch the junk food at night. I've also started having heat waves in the last month, but they're sort of tolerable. They come on about 5 hours after I take the pill, and last 4 - 6 hours, but not constantly. The most frequent has been about every half hour; last night I just had one or two. And each one is very brief, just like a wave of warmth pouring over me. I'm a night owl, so they happen when I'm playing computer games late at night in our cold back room. I usually have a Sherpa blanket wrapped around me, and I just shrug that off when the heat hits - but I can still keep my sweatshirt or polarfleece on. I've noticed some eye dryness, but that could also be the forced air heat running more than usual this winter. Ditto for dry mouth when I wake up. I've had joint pain, but I already had arthritis in many joints, and I had to give up using Motrin for non BC reasons, so I can spread around the blame for that - plus I've gained weight thanks to the trifecta of quitting smoking, holidays, and too much cold-weather comfort food. I'm TRYING to work on that so my knees can work and feel better. And just because.

    My PCP had started me on low-dose aspirin a few years ago, plus I take one Metformin daily for mild diabetes, and I started taking a statin drug recently - so those should all help with warding off clots, and also boost the cancer-fighting properties of Tamoxifen. I had a hysterectomy years ago, so I don't have to worry about problems with those parts. So over all, so far, so good.

  • PebblesV
    PebblesV Member Posts: 658
    edited March 2019

    Hi all- just wanted to post an update. I saw my oncologist yesterday and he was fine with me staying on the 10mg dose until our next visit, possibly for the entire 5 year stretch, which was such a relief to hear! I think he'd like me to give the 20mg dose a try at some point and I might actually, but since I'm tolerating 10mg so well and he knew of all the recent studies, I think he's thinking more long-term that better to have me stay on this dosage for the 5 years than quit early and not take anything at all.

    RE: feeling better on tamoxifen (original topic of the thread), I would say there are 3 areas that appear to be better than before!

    1. I sleep better than before. I used to be a night owl, not able to fall asleep until past midnight, and staying up on my computer or phone late into the night. Now I'm pretty ready to sleep by 10:30 or 11pm, I have no trouble falling asleep (I used to!) and I sleep through the night and wake up refreshed the next morning. I think it's better for us to get our full 7-8 hours sleep.

    2. I remember my dreams, and yes probably have more vivid dreams. I think they say that happens on tamoxifen - I suppose as long as they are good dreams, this is a cool new thing.

    3. Not really minding the hot flashes in the winter! And a hot flash for me appears to be pretty mild - I take tamoxifen in the evenings, at some point later, I just feel like I have to open the door and let some fresh air in. Then later I close it because I'm cool again. I do think this is tamoxifen related because I usually am freezing cold and need to hike the heat up like crazy (I have a portable heater under my desk at work and still have it on most of the day!). But I'm really not minding that I actually get warm enough to want some fresh air, and later on I'm feeling normal enough that I can still cuddle up to my husband. It's nothing sweaty or discomforting.

    RE: other side effects, I had some nausea the first week but that went away and I haven't had it since. Maybe my body was adjusting to tamoxifen, maybe it was because I didn't eat much those days, who knows, but it's not happening now. No joint pain, possibly because I'm good about keeping up my movement and stretching and flexibility (I have a dance background). Nothing else discernable, but who knows if there's something that I can't feel, I did get all my baseline blood tests and I plan to measure again in a few months to track my liver enzyme panel, cholesterol and all that. When I visited the doctor yesterday my blood pressure was good, so no concerns there.

    I started Jan. 16th so I'm almost 2 months in. Keep in mind I'm at 10mg still and not 20mg yet. That might be part of why I'm having a better time on tamoxifen so far?

  • SheWra
    SheWra Member Posts: 17
    edited March 2019

    How long have you been on T? The brain fog and fatigue is my biggest concern. I am handling it ok otherwise.

  • One_Bad_Boob
    One_Bad_Boob Member Posts: 40
    edited March 2019

    I've just completed 2.5 years on Tamoxifen and switching to Arimidex (anastrozole) until I hit the 5 year mark. What I am experiencing could easily be blamed on menopause: hot flashes, night sweats, weight fluctuation, stiff/achy joints, insomnia, fatigue. My menopausal friends have the exact same complaints.

  • Engel12345
    Engel12345 Member Posts: 3
    edited March 2019

    Hi Dolcevita

    I am about to start on Tamoxifen or Als later next week after I finish my radiation. I am in France and our doctors here are just very different to your doctors. No one has ever told me about benefits of Tamoxifen, what exactly does that mean ( the absolute benefit of tamoxifen is pretty low for me with my tumor stats (approximately 3%) My radiation oncologist controls everything and knows none of these facts. You guys are so lucky here they just follow the protocol and everyone virtually get the exact treatment.

    Warm regards Engel


  • dolcevita
    dolcevita Member Posts: 9
    edited March 2019

    Hi Engel 12345. 

    It all has to do with relative vs. absolute statistics. With my low oncotype score, my chance of recurrence WITH tamoxifen is approximately 3%, according to my oncoytpe DX results. The theory is that tamoxifen reduces recurrence rates by approximately 30-50% (this is the RELATIVE risk reduction). So, assuming that tamoxifen is reducing my changes of recurrence by up to 50%, then I can extrapolate that my recurrence risk WITHOUT tamoxifen is only approximately 6%.  So the ABSOLUTE risk reduction with tamoxifen is only approximately 3%. Most medical data are presented as relative statistics. Most oncologists are not going to tell you this, because I think to them, any reduction in recurrence is good, no matter how small it may seem.

    Now with all that being said, someone is going to end up being that 6%....and yes, these are just numbers and probabilities and sometimes cancer does whatever it wants that. This is what makes these decisions difficult. I am giving the tamoxifen a fair chance. If the side effects become unbearable, then I will have to re-evaluate my decision. 

    Hope that makes sense.


  • Jor
    Jor Member Posts: 10
    edited March 2019

    I took Tamoxifen 21 years ago when I had my first round with cancer. I had no side effects to notice, except the hot flashes. In June I had a double mastectomy due to a new cancer in the same right breast. I started Letrozole and stopped after 6 mos. MO not happy and I'm seeing him in a few weeks (after more reconstruction). I was suicidal for four days. I take antidepressants and have been fine on them for over 25 years. I know the Letrozole was an issue. I'm hoping he will switch me to Tamoxifen to see if I can handle it again.


  • Lezza13
    Lezza13 Member Posts: 957
    edited March 2019

    I have been on Tamoxifen for 6 years now. The only side effect that bothers me are the hot flashes that happen during the summer mostly.. Otherwise I feel fine. I do take it in the morning.

  • Salamandra
    Salamandra Member Posts: 1,444
    edited March 2019

    I am on month 4 of tamoxifen and I'm having a slew of side effects that range from mildly annoying (clumsiness and morning achiness) to really impacting on quality of life (acid that impacts sleep and hunger, executive function impairment that has led to a couple of potentially serious mistakes at work).

    My medical oncologist's office has said that it sometimes takes bodies a while to really adapt to the Tamoxifen.

    I'd love to hear from women who started out rough but then got to be comfortable on tamoxifen, and what they did and how long it took. Thank you!

  • LilyCh
    LilyCh Member Posts: 193
    edited March 2019

    Today is the 10th day my wife started to take tamoxifen and so far she is not feeling any obvious SEs, However, the pills were a little too big for her to swallow, she broke it into 2 pieces on two days. Today when we mentioned this to the Nurse Practitioner and she said we should not do that. Is 10 mg tamoxifen smaller than 20 mg one? Can she take 2 of 10 mg instead or ask for liquid form? Would insurance coverage be an issue? Thanks a lot.

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