Bottle 'o Tamoxifen

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  • kec1972
    kec1972 Member Posts: 269
    edited August 2019

    AnnoyedWoman—you echo my sentiments exactly. I hate taking this pill not knowing if it’s helping me or not

  • mom2bunky
    mom2bunky Member Posts: 189
    edited August 2019

    Preach. All of you.

    You want to know what I'm pissed about? I'll tell you what I'm pissed about. An MO who wouldn't listen to me or my concerns about tamoxifen and even less about my concerns about AIs. An MO who looks 30 if she's a day and hasn't got the first freaking clue what it's like to have a hot flash, or be vain and middle aged and desperately trying not to age before your time. She even made up some total bullshit story about how a lower dose of Tamox can lead to cancer cells becoming resistant to it. Maybe it's true, what do I know. But I've never heard that before and I tried to find something on it and couldn't.

    I went ahead and took her advice and started at 20mg, figuring "WHATEVER" I'll go lower if I need to whether she likes it or not. So far so good, but it's only been two days.

    This is not a good relationship I have here. Am I being unfair? I only saw her once. I'm supposed to see her in a couple of months to see how I'm doing on the Tamox, but right now I'm thinking I'm going to break up with her after that.

    To be fair to her though, she did tell me that not everyone gets the side effects of these things. I didn't know that. I assumed it was a given. So she was comforting on that score, but otherwise.....

  • edj3
    edj3 Member Posts: 2,076
    edited August 2019

    mom2bunky I'm right there with you. I will try the tamoxifen in September after my upcoming 10k race. I may do just fine on it. If so, great. If not, I'm going to stop. I haven't tolerated hormone-related drugs in the past, and I've had bad side effects from drugs that are supposed to have little effect on people. But the number of affected people is still above zero and sometimes I'm that one.

    When I read about joint pain and fatigue, when I read about debilitating hot flashes, well all of that would most definitely interfere with my quality of life and with me doing the things that bring me joy and are part of me being me.

    So I hope for no side effects but won't hesitate to stop taking tamoxifen if it does interfere with what I love to do.

  • cassiecanada
    cassiecanada Member Posts: 166
    edited August 2019

    yup- my thoughts exactly- we give it
    a shot- at least we did that- and toss
    if quality of life is compromised-
    some of these women have a recurrence
    even while on tamoxifin- ya cant win-
    its really all a crapshoot- cancer is
    wily- you do what gives the greatest
    peace of mind, trying not to
    second guess constantly ad nauseum-
    at some point, time just marches ahead
    - stretches on further out- perhaps greater

    1 1/2 mos on tamoxifin- still will
    give it a chance- and still am waiting
    for any se
  • FindingOptimism
    FindingOptimism Member Posts: 67
    edited August 2019

    I am giggling, because I have had all of these thoughts over the past 8 months on Tamoxifen and the 4 months reading about it before that. Unfortunately, I have had a slew of side effects, but, at this point, I have them mostly managed. I have resigned myself to the fact that the oncologist's role is to keep me on the pills because the studies show it lowers recurrence risk. Mine will help me deal with the side effects (gabapentin is my best friend) if I complain routinely, but mostly she just wants to hear that I am still popping that pill. I imagine that if the side effects were so unbearable that I said I was quitting she might choose to switch my treatment, but I am not sure. On the optimistic side of my analysis, I am actually a "fairly boring" patient given my low risk and I am happy to maintain that status.

  • edj3
    edj3 Member Posts: 2,076
    edited August 2019

    That's exactly the cycle I don't want to get on--take a drug to possibly reduce my fairly low risk of recurrence and then need other drugs with other potential side effects to manage the side effects from the first drug. UGH.

  • mom2bunky
    mom2bunky Member Posts: 189
    edited August 2019

    Same edj. I'm not a freaking pharmacy. I already have to take thyroid hormone, and more recently something for high blood pressure. Now this crap. Enough already. But, those may be famous last words.

    FindingOptimism, I'm so glad you've found relief. My husband is on gabapentin for chronic back pain due to a bulged disc or something from years of running. Can i ask how it helps your side effects please?

  • FindingOptimism
    FindingOptimism Member Posts: 67
    edited August 2019

    I will start with my agreement that I abhorred the thought of taking one pill to offset another. With each side effect I have incurred, I have tried to alleviate the side effects and given it a fixed period of time to resolve. With the alternative being the increased risk, I felt like I should give it my best effort. Gabapentin has helped with the night sweats and insomnia. I think, in my case, it eliminates/lessens the night sweats which in turn keeps me from waking up regularly.

  • mom2bunky
    mom2bunky Member Posts: 189
    edited August 2019

    I completely understand FindingOptimism and can see myself doing the exact same thing. Hoping I won't have to

    That is so good to know about the gabapentin. I had no idea! Thanks for sharing.

  • TrmTab
    TrmTab Member Posts: 832
    edited August 2019

    After three years with horrible SEs on Arimedix, I switched to Tamox mid-May...I am taking a low dose 5 or 10 a day, my Rx is for 10 a day...so far I'm okay and when I saw the MO after two months on Tamox and said I was still low dosing, he was fine.

    "Some is better than none."

    So find the dose that you can tolerate. TT

  • edj3
    edj3 Member Posts: 2,076
    edited August 2019

    FindingOptimism thank you for sharing about the gabapentin. Like mom2bunky I didn't really know how it's used, so I appreciate that a lot.

    I'm already going to be going on Prolia next month, assuming my insurance company doesn't deny that. Ugh. Did I mention I also hate needles?

  • Azcactus
    Azcactus Member Posts: 4
    edited August 2019

    I was on Femara for 5 years (started May 2006 and was to scared to give it up after 5 years! Doctor switched me to Tamoxifen 20mg once a day (for the past 8 years). Total time = over 13 years. I call it the anti-cancer voodoo medication..but the side effects are just becoming overwhelming to my body. I want to ease out of taking the medication by reducing to 10 mg daily for I don't know how long. Any ideas or suggestions?

  • DorothyB
    DorothyB Member Posts: 305
    edited August 2019

    I'm with those of you who don't want to take pills to get rid of side effects from other pills.

    In addition to the joint pain / fatigue type side effects, I'm also scared of the ones that just appear without creeping up - blood clots, uterine cancer, vision issues, etc.

    I'm still doing 10 mg / day. I did take an extra 10 mg twice to get up to the full dose in my system faster. With a 7 day (or 7 to 10 day) half life, it takes a while to build up in the system.

    I might take an extra tomorrow or the next day to work towards getting 15 mg average in my system.

  • Lezza13
    Lezza13 Member Posts: 957
    edited August 2019

    Azcatcus I have been on Tamoxifen 20 mg for 7 years now. I never went to Femara or Arnidex due to the joint issues. I would think 10 years total for both drugs should be efficient. I know I am stopping at 10 years. I have never lowered my dose but I understand women who do. Perhaps a talk with your doctor might help.

    TrimTab - I would think the theory is something is better than nothing indeed. Women tolerate this drug at the level they can handle.

  • AngieInAmsterdam
    AngieInAmsterdam Member Posts: 127
    edited August 2019

    hi everyone,

    Have been on tamoxifen for almost 2.5 months. Muscle/bone/joint pain doesn’t seem to be getting better. Appt in 2 weeks to ask MO for different brand. In the meantime, anything I can take or do for joint/ bone pain? It’s increasingly difficult to walk and has only been just over 2 months.


  • Goldfish4884
    Goldfish4884 Member Posts: 75
    edited August 2019

    I started on Tamoxifen 4 weeks ago after trying all 3 of the aromatase inhibitors. I am having total knee replacement in 5 weeks and am debating whether to go off the tamoxifen for a few weeks until I am able to be more mobile, maybe 2-3 weeks after the surgery. I am on a baby aspirin daily but with the risk of blood clots and stroke on the tamoxifen and risk of blood clots after knee replacement I am getting scared. Any advice. My doctor thinks it will be fine since I'm on the baby aspirin but at 71 years old the increased risk of stroke has me worried.

  • runor
    runor Member Posts: 1,798
    edited August 2019

    Angel, with me the joint pain eventually eased off, but it took a long time. Many months. I was worst in bed and when I first got up in the morning but it quickly improved as I moved around. I found that my ankles and lower shins were weirdly stiff and felt like the muscles were locked up. Again, I just worked through it and after many months it got better. I know it's not very helpful or supportive to say hang in there when you're feeling so miserable. Magnesium, calcium, epsom salt baths, plenty of liquids... the basic things to try. Sorry to not be more helpful. Fingers crossed that things get better sooner rather than later.

  • AngieInAmsterdam
    AngieInAmsterdam Member Posts: 127
    edited August 2019

    thanks runor. I’ll try to be patient with SE’s. I’m having a difficult time adjusting to tamoxifen. Hopefully, will start feeling better soon

  • flashlight
    flashlight Member Posts: 698
    edited August 2019

    Hi Goldfish4884, Did your ortho doctor think the aspirin was enough? Ask the doctor if you will have to have Lovenox injections after your surgery to prevent blood clots. I had a meniscus tear and waited a month before starting Tamoxifen. There was definitely more discomfort once I started the Tamoxifen. Rehab is so important. Good luck with your surgery.

  • DorothyB
    DorothyB Member Posts: 305
    edited August 2019

    Runor - I hadn't heard the epsom salt bath recommendation before. Will try to remember it if I have increased joint issues as I up my dosage. You may feel that your post wasn't that helpful, but for at least some of us who are starting to get some of the side effects, it does help to know that they might get better before we stop taking the drug in 5 or more years. :)

  • DorothyB
    DorothyB Member Posts: 305
    edited August 2019

    Angie, I'm having a tough time adjusting also. I'm glad we have this place to vent.

  • umakemehappy
    umakemehappy Member Posts: 42
    edited August 2019

    runor: your post helped me! I have the weird ankle thing in the mornings too... one trip down the steps and it's resolved, but walking TO the steps and the first few are quite ... stiff.....! When even an innocent mosquito bite makes me fear cancer spread (my life now? constant fear?), knowing someone else has my exact same weird symptom eases my anxiety! ; )

  • Cpeachymom
    Cpeachymom Member Posts: 518
    edited August 2019
  • Goldfish4884
    Goldfish4884 Member Posts: 75
    edited August 2019

    Thanks flashlight and peachy mom for your replies. I think I will just stop the Tamoxifen 3 weeks before surgery and wait until 3 weeks after to restart it. It's so hard to get a straight answer between the orthopedic surgeon and the oncologist so I think I will just do what I am comfortable with. I will ask about the Lovenox and whether I should continue with the baby aspirin. Thanks again.

  • runor
    runor Member Posts: 1,798
    edited August 2019

    Umakemehappy ... how you are feeling, like every little thing might be cancer, is very typical of the 'process' that many of us seem to go through. Someone much wiser than me posted on BCORG about The Two Week Rule. A cough, a hip pain, an eyeball twitch, a weird blotch or lump, two weeks. Watch it for two weeks. If it hasn't improved or gone away in two weeks then it's time for a trip to the doctor. That has been a very sensible and do-able piece of advice. It gave me parameters to rein in the panic and the sudden hypochondria, which I hated and resented but seemed to be as much a side effect of cancer as my joints aching and an armpit that doesn't grow hair anymore. I hate what a spastic idiot I've become. It feels like I'm running to the doctor flapping my arms and yelling The sky is falling, The sky is falling! I think he must roll his eyes and sigh at the sight of me. But then I think, hey, no one held a gun to his head and made him be a doctor, if he didn't want to deal with spastic people he should have become a garbage man or ditch mower. It's not my fault that he's a doctor and not my fault that I got cancer so it's just a dog's breakfast all around. What are you going to do?

    DorothyB, epsom salts are loaded with magnesium. Your skin, being your biggest organ and being pourous, is an efficient absorber of magnesium presented in this way. Magnesium is a known helper for muscle cramps and aches. HOWEVER... I should make a few things clear. In order for the epsom salt bath to have any effect at all it must be done according to a specific method. 1) Light scented candles and place around the room. 2)pour a tall glass of wine and place safely on the fattest edge of the tub. 3) a really good book 4) a big smile as you settle into the hot water to soak, sip and read.

    To spice it up a little I buy essential oils or body safe fragrance oils and add a few drops to a bowl of epsom salts. I smush this around with a fork until the scented oil is good and mixed into the salt. If I'm feeling fancy I add a few drops of neon food colouring and smush that with a fork. Dump this all into a pretty container and keep near the tub. I find the scent of lavender or citrus and pine or cloves (pick your fave) really makes it fun and the burst of colour (which immediately fades) as I sprinkle the salt under the running water makes me smile. When the kid was small and hated baths I'd let her pick what colour bath she wanted and dump in a few drops of food colour. Made bath time more fun and less fight. Like, what can't be solved with hot water, salt and food colouring?

  • kec1972
    kec1972 Member Posts: 269
    edited August 2019

    Runor, you really do have a way with words and articulate exactly how I feel about this nightmare. Before all this, aside from the obligatory annual GYN visit, I never went to the docs, for anything. Since cancer, I freak out at every little ache and pain(which are most likely caused by the evil tamoxifen). I worry about my MO thinking I'm a nut job who calls for every little thing(though I haven't actually had to call for anything yet). It's almost like just when I've been worried sick for a certain amount of time, enough to stress me out and cause insane lack of sleep from said stress, the ache pain starts to dissipate. I feel at times like the universe is playing with me. I guess payback for 46 perfectly healthy years..

  • PurpleCat
    PurpleCat Member Posts: 358
    edited August 2019

    Angie, I've had the muscle/joint aches and pains and cramps and twitches and general mild flu-like feeling since shortly after starting the prescription. A magnesium supplement seems to help; at least, I have fewer symptoms when I remember to take it, and they come back when I forget about it for a few days. I take it in the form of magnesium glycinate, which some sources say is better absorbed than other forms.

  • MissouriCatLady
    MissouriCatLady Member Posts: 977
    edited August 2019

    Just stopping by, doing a search on leg cramps from the evil white pill, anastrazole. Runor, thank you for that picture in my mind with Epsom salts and wine. You do have a way of helping us cope! Thank you. PurpleCat, I do love your picture still, and my mag glycinate should be here Thursday, I cannot wait! I have chronic diarrhea with Perjeta and it seems to actually have gotten worse with Slow-Mag since I started this. Hoping to switch and put an end to the all-day bathroom, and return to just mornings. Hugs with love to all you warrior women. Keep us smiling, Runor, thank you.

  • AngieInAmsterdam
    AngieInAmsterdam Member Posts: 127
    edited August 2019

    purplecat, thank you.

    Took some magnesium today and it seems to help a little. If taking daily magnesium supplement, what is the recommended mg? And for how long should I keep taking it?


  • Elephant
    Elephant Member Posts: 88
    edited August 2019

    When I started taking Tamoxifen, my MO gave me a prescription for 520 mg magnesium to take every night before going to bed.

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