Bottle 'o Tamoxifen
Comments
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MissouriCat--Over the last almost 7 years since diagnosis, I've been trying all types of magnesium to see which one does what for me. One thing I can tell based on MY experience is that Slo Mag is the one to take if you're constipated! Definitely not the one if you're dealing with diarrhea! And I tried a strongly recommended magnesium citrate which I felt did nothing for me. Not for a good poop or to help with muscle and joint pain from Tamoxfen. But give me a KAL magnesium glycinate tablet and all is right with the world! I makes me regular and it my body just feels great on it. Don't know why that's the one that works for me but it is. Having said that, every once in a while I swap to the Slo Mag just to really clear me out which I'm feeling particularly stopped up. I take it for a couple of weeks then go back the the KAL and am usually good to go for months. So crazy how the different magnesiums work different ways but I'd definitely think about taking a different kind at least for now for you!
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A high absorption magnesium is best to prevent GI upset. Magnesium citrate or a chelated magnesium (magnesium glycinate) are supposed to be the best. I take a chelated magnesium (Doctor's Best brand). I started taking it years before breast cancer diagnosis and treatment. I find it does help with tamoxifen induced night leg and foot twitches/cramps. I take 200-400 mg/day.
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Everyone needs to find the magnesium that works for them. Magnesium citrate often is used for constipation. I buy a large bottle of Costco's Nature Made, extra strength 400mg Magnesium, in a softgel form. This also dissolves quickly in the stomach for rapid absorption. My doctor suggested I take one after dinner and this dose has been working for me. Try a small bottle and see which one works best for you. It definitely has made a difference.
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I take Nature's Way Complex Citrate blend, has magnesium as citrate/oxide. I take two capsules before bed, it works for me for regularity and leg cramps.
Now I just need to figure out how to get my hair back. I went to the dermo doctor, I am losing my hair due to the tamoxifen. She recommended Nioxin or Keranique. I am trying Nioxin. Just stared coming out in in February, 5-8 strands a day since then. You can see my scalp but it is all over and not subject to one spot.
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Hi Lomlin, I just had a conversation with my hairdresser about my hair. I know it's thinning. I used to only be able to wrap a hair tie around my hair twice and it was difficult on the second wrap, now i can wrap it four times! Fortunately, I started off with exceptionally thick hair. It is not noticeable to anyone else, yet, but I am wondering if it will continue to get thinner.
Since radiation and tamoxifen I feel like a crazy person. I don’t know if my hip pain is joint pain from tamoxifen or just from age. Although, I don’t see many 54 year olds having difficulty walking when they get up from a chair. Then there’s the fatique, it was terrible when I started Tamoxifen. I now take Provigil on weekends, when I remember, because if I take it too late I won’t sleep, and Concerta during the week for work because i was having difficulty with concentration.
The hot flashes and night sweats are a killer!! I am in a study where i get accupuncture twice a week for ten weeks but it’s not really helping, maybe a little at night but I get so embarrrased when I have sweat rolling down my face at work or when I am out with people.
I feel fortunate that I “only” had DCIS, I know there are many people who have far worse diagnoses so I feel like I really shouldn’t complain but I never had these issues prior to Tamoxifen. The good news is that this whole experience has made me think about eating better and exercising more and I have lost 23 pounds!
Sorry to hijack your post. I started typing and just couldn't stop! Enjoy the rest of the weekend everyone
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Lewhy, I just started Tamoxifen on Aug 1st and am building up slowly, so haven't had all of the side effects yet. I am up to almost 12 mg / day steady level in my body. The metabolite builds up more slowly and I am over 10 1/3 mg steady level. The worst side effect so far for me has been nausea when I took anything over 10 mg. I backed off trying to add extra for several days and am now taking an extra 5 mg every other evening. Last night was the second time. So far, going OK.
Anyway, I see you had DCIS. How many mg of tamoxifen does your dr have you on? Studies have been done that say that lower doses are just as effective for DCIS (can't remember if ER / HER2 status matters)
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Hi Dorothy, I was started on 20 mg Tamoxifen per day. I had nausea in the beginning but when I started taking it at night it got a lot better.
I saw the study regarding a lower dose of Tamoxifen for DCIS but when I read it, the study did not seem too big. I just happened to have an appointment with my oncologist shortly after the study came out and she said the practice had discussed the study and did not want to change the practice's decision of 20 mg per day. So, I stayed on it. If I am on the 5 year plan, I am 1.5 years in. If i fi d out it's going to be 10 years, we'll see.
It's just weird that the joint pain is happening now and the thinning hair. Makes me wonder what's next!
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Lewhy when I worked up to 20mg at once my hot flashes were much worse. I opted to do 10mg in the morning and 10mg at night and now just have occasional warm flashes. It might be worth a try.
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Lewhy, I have been on 20mg for 7 years now. The joint pain seems minor even though it does ache from time to time compared to others in this forum and for those on armindex or femara.. i am doing 10 years Tamoxifen and not switching regardless of my age.. The hot flashes are the most annoying but tolerable.
Mymomsgirl I like the idea of splitting the pill in two doses. After all these years I have never thought of that. I will give that a try and maybe the hot flashes will be more gentler like yours with the split dose. Might be easier on my stomach too since I take it in the morning.
Best of luck to both of you!
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It is interesting how the timing of the meds affects different people in different ways. I am still building up to the full dose. I got to 10 mg every night without too much trouble.
So many people do better splitting their dose between morning and evening.When I tried taking extra in the morning, I had nausea 25 - 27 hours after the morning dose. I started adding an extra 1/2 pill every other night - I've done that three times. I have "warm flashes" (not really quite hot flashes) more often, but no real nausea.
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That stupid Tamoxifen. I was fine on it for the first 3 months then I dealt with the joint pain. But the nausea didn't hit till about a year into it! I was ok until then. And I had the nausea and dizziness for close to a year till I figured out that ramping up my water intake got rid of it. I found some info that indicated Tamoxifen COULD be dehydrating. It's what worked for me so you might give it a try. Everybody reacts to Tamoxifen in different ways so try different things til you hopefully find one that works.
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I have many days that I do well w/ water intake (10 - 12 cups / day) and other days that it is a good bit lower. I've never tried to correlate water intake w/ nausea. I will work hard to drink enough water the next few days and see how it helps. I did NOT drink enough today and I am a teeny bit nauseous, but just a teeny bit.
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I tried taking 10 mg in the am just to see. Had this big panic attack which was all in my head.Although I think anxiety is a true SE. I think i will stick to my 20 mg day that I have been taking for 7 years now. Three to go. Those who take 10 mg spit in two doses or even less, I wish all of you luck. I bet MDs say that a little is better than none. Maybe one day you can handle more. For me, it's 20 mg. Those warm flushes are annoying and I bought a fan and a cooling cloth toI wear for them. the joint pain in my hands and hips are annoying but tolerable. I do take Zantac before bed which helps my stomach in the AM. No pepcid AC or Tagamet. not allowed. I will try more water and more B vitamins and more magnesium. I appreciate reading all suggestions.
Thanks for the opportunity to vent. Best of luck to all of you ladies.
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Hi DorothyB, Drinking water I know can get pretty boring. I try to drink 16oz with every meal with sips in between. I started adding a slice of lemon/lime and that has helped. I take 10mg of the tamoxifen at 0830 and 10mg at 7PM, after meals, and that has been working for me. I hope your nausea gets better. I received an email from the Y for the Livestrong program. You have to have your doctor sign a medical clearance form before you start. The first day is an information day and the second is a physical assessment. https://www.livestrong.org/ymca-search for those who are also interested in this free 12 week exercise session at the Y. Most will start mid September.
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I drank 10 3/4 cups of water yesterday
I'm getting tired of having multiple "warm flashes" (and sometimes real hot flashes) every day. Menopause for me was no more than one hot flash each night and none during the day. However, I will take that over some of the other possible side effects.Last night was my 4th extra half pill at night. I'm alternating 10 mg and 15 mg at night, none in the morning. So far it is very tolerable. I am not going to try to ramp it up more until this has reached "steady state" which will be towards end of Sept.
I had my pre-meeting for LiveStrong Tuesday. I got the form for the dr to sign. She said it was fine to be my primary care regular doctor as long as she has knowledge of my condition. I found out at my last visit w/ her that she actually read my files from the MD Anderson website (I had signed her up for access). She also is a breast cancer survivor and took tamoxifen (which caused her to be so depressed that she was suicidal and had to take anti-depressent). I have an appt w/ her for next week. I'm sure she will sign form for me. The other good thing about LiveStrong is that it includes access to the Y and all free activities for the 12 weeks - so water aerobics, etc, etc.
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I think over focus on water intake muddies the picture. We need water in our system. But we get water from everything that goes in our mouth. Fruit, milk, cereal, tea, coffee. The OLD idea that tea and coffee dehydrate you is old and unsupported. At some point your body can no longer utilize the over amounts of water it gets and you spend all your time peeing. This is the problem I have. I used to be able to go all night without getting out of bed to pee. Now I sometimes get out of bed twice in a night to pee and this is not because I drink too much fluid. I think it's because the effect of the tamoxifen on my girl bits means they aren't working up to snuff anymore. Because when I do stagger into the bathroom, stubbing my toe on the dresser and stepping on the dog on the way and all that comes out is 4 tablespoons I literally say into the darkness, "you're kidding me with this shit." I think the muscle elasticity (or whatever) in my bladder has let go. This is most definitely a known side effect of tamoxifen.
If I want to not feel ragged out, I need sleep. I can function on 6 hours a night but I need it uninterrupted by pee breaks! Thus, to feel better, I have to watch my fluid intake and its timing. Yes, I need to be hydrated so that leg cramps are hopefully kept away, but not so hydrated that all I do is pee 15 drops every hour! Struggling to drink more water than you can comfortably or pleasantly bear is not a virtue! Have ice tea or hot tea or juice. It does not have to be water and you do not have to drink to the point of dread. All things in moderation (except coffee. Have lots!)
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Hi Runor, Very good point!!
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100% agree, Runor.
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Regarding leg cramps- another idea is to use a foam roller. My husband is a runner and was plagued with leg cramps at night. He uses a foam roller and he swears it has made a huge difference. So maybe a combination of adequate fluid intake and foam rolling will hel
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Gokale, please explain this foam roller thing. Is it like having someone beat you with a pool noodle?
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I'm not Gokale but yes. They're like the noodles only harder. Amazon has them, probably even the canadian version of Amazon! Or really any store with workout gear would.
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I thought I was tolerating the Tamoxifen well. I did not experience hot flashes or muscle aches. I did experience some insomnia and stomach upset. I split my dosage to 10 Mg 2x a day which seemed to help me tolerate it better. After 1.5 months I realized my GI upset was not improving. I get nausea and my colon felt like it was spasming throughout the day. I had bloodwork done by my primary care and everything looked perfect except my proteins were a little low. Of course I went online to figure out what could cause that. IBS could be the culprit. I called my MO to let them know what was going on. I realized maybe I can't live with this constant discomfort.I am now on a Tamoxifen holiday for 2 weeks and stomach is back to normal. I feel so much better overall. I have more energy too and strangely can tolerate alcohol better (secondary benefit I am not a big drinker but could barely tolerate 1 drink on Tamoxifen). I have no idea what my MO will want to do next. Maybe a different drug. I am afraid of the cancer coming back and of Mets but I feel so good without the drug.
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Here’s a foam roller at Walmart. Or if you know someone who will let you borrow theirs to try, that will give you the chance to see if it helps you.
https://www.muscleandfitness.com/workouts/leg-exercises/videos/calf-roll
Here’s a little video of using the foam roller for calf muscles.
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Yes we must drink lots of water. Tamoxifen does dehydrate you. My onco says to drink 64 ounces. Tough to do on some days. But it does help. I also mentioned to her about the nausea, too and she said I shouldn't be having that problem after a year into taking the tamoxifen. She was ready to do an upper GI for the nausea. Then asked if I have had a colonoscopy recently. Geez, really? I feel these doctors just don't take us seriously when we have these side effects. I went to see a dermo about me breaking out very sporadically and by the way I described the incidents she though it was hives. Happy Labor Day weekend.
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Have been drinking lots of water and also taking magnesium supplements, which helps some. But what is the solution for depression? It’s been 3 months PFC. Feels as though depression started kicking in a week after starting tamoxifen, also 3 months now, which seems to be getting worse.
Will it get better eventually? Or should I talk to a psychologist? Perhaps anti depressants
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Angie, my primary care physician is also a breast cancer survivor. She told me that when she took tamoxifen, it made her depressed to the point of being suicidal and she had to take anti-depressents. She said that Effexor (generic starts w/ a V) is the one that is "best" to take w/ Tamoxifen. So far (just over one month in and still building up - at 12.5 mg / day now) I haven't had bad depression.
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Angie definitely have a conversation with your MO. Tamoxifen can cause depression. Once I built up to treatment blood levels (about 3 months in) I began struggling with depression and wanting to just isolate myself from everyone. I was able to manage through it and things stabilized a little around month 11 for me. Perhaps my body adjusted somewhat although I still have to push myself a bit. I am not taking any anti depressants because of concern with how I metabolize tamoxifen. Otherwise, yeah I think I would be on Efflexor. Be careful with anti depressants because there are quite a few that don't play with with T.
Do not suffer in silence, your body's reaction is real so reach out for any medical support you need. I hope things get better for you quickly.
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Thanks DorothyB and Rah. Appointment with MO next week. Will discuss all SE’s including depression. Have also experienced anxiety attacks, especially while flying. Body and mind having a hard time adjusting to tamoxifen. I can understand why some women gave up on tamoxifen all together.
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Hi All,
I just wanted to check back in regarding joint pain. I had experienced quite a bit of joint pain for the first 6-9 months after starting Tamoxofen and then I switched to a vegan diet. Since that time, I rarely experience any joint pain!! I told my MO about it and she said it's consistent with what she has read---meat and dairy products cause inflammation and eating vegan removes those inflammatory triggers. Now my SEs are hot flashes (which I just deal with) and vaginal dryness--which had started in my perimenopause, before I began Tamox. There are lots of good resources available on vegan diets and since so many meat substitutes have come out (like the Beyond Burger and sausages and the Impossible Burger), I don't miss meat. I actually crave veggies--weird, but true.
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Hi Angie. I've been taking Tamoxifen for 3 years 10 months and for me the worst side effect is low mood and anxiety (I hesitate to say full on depression). It got so bad that I asked to be allowed to have a one month break per year (around the time when we go on holiday) which they were fine with, and it does help. Combined with recovering from the lumpectomy and radiotherapy and probably entering menapause at the same time it was really bad in the early years, so debilitating. I don't know if I have adjusted to the Tamoxifen but I have felt gradually better over the months so that it is tolerable. I am still prone to anxiety, low confidence and get waves of low mood but it's just not so bad.
I almost asked for anti-depressants but was worried about getting off them later on and the SE's they can have. Having said that some friends of mine have found anti depressants useful. I've done all the usual lifestyle stuff: no alcohol, no coffee (I have decaff), fairly healthy eating, light exercise, endless self-help books/articles, prayer, mindfulness(I could do better with that). I find a short period of deep, slow breathing helps take the edge off a wave of anxiety. I am lucky I don't have to work, I'm sure I would have to have left. Also I'm much better at saying no to things and mental self-protection (whilst still trying to do slightly scary things).
Good luck with going to the doctor with your side effects.
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