Bottle 'o Tamoxifen

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  • shelabela
    shelabela Member Posts: 584
    edited April 2020

    runor, molliefish, yes the cramping is horrible also. I have found that massage therapy helps a lot.

  • runor
    runor Member Posts: 1,798
    edited April 2020

    The cramping... I fear the cramp. Mine go on and on. I find drinking water before bed helps, but then I have to get up to pee. So it's either a cramp throwing you out of bed onto the floor to flail and moan OR you have to get up to pee. Or it's a hot flash roasting you awake. No wonder I feel tired all the time! 

  • BlueGirlRedState
    BlueGirlRedState Member Posts: 1,031
    edited April 2020

    Leg cramps. I no longer take tamoxifen, but when I did, I was prone to leg cramps, especially in the left calf. It could happen anytime, when active, when sitting, when stretching, etc. And always hurt/interfered with what I was doing. Magnesium seemed to help a lot. There are many formulations. The one that seemed to help the most was magnesium glycinate. Just do not take too much since it might excite the bowels. I tried a magnesium lotion as well, but don't think that really helped. One person told me she used "Calm" to help with sleep rather than cramps. Staying hydrated and active also helped.

    2009 ER+ left breast. 52 yrs. Lumpectomy, Sentinel node removal, negative. Radiation 6 weeks, tamoxifen 5 years. Dense lumpy left breast, normal right. Acupuncture offered at facility as part of integrative medicine. It really helped with anxiety/stress during radiation treatment.

    2016 ER+ left breast. Probably a new cancer, but unknown. 4 rounds TC Aug-Oct 2016, Bi-lateral (my choice) Nov 2016, no reconstruction. 2 sentinel nodes remove, negative. Cold Capping using Chemo Cold Caps (DIGNICAP not available). Anastrozole 1 mg starting May 2017. Joint issues noticed immediately. Stopped Anastrozole after 3-4 months due to joint stiffness in. After several months of no AIs, fingers were feeling better. Started tamoxifen March 2018

    6/2019 Noticed Swelling in R-arm, opposite side from where lymph nodes removed. Trip to urgent care. They did ultrasound, concerned that there might be a clot, there was not. 7/2019 called my oncologist who referred me to lymphatic therapist, who fortunately recognized something was very wrong, contacted my oncologist.

    Oct-Sept - scans, biopsies. Tumor in R-axilla. Stopped Tamoxifen. Started Ibrance and Arimidex.

    1/2020 CT showed tumor in Axilla shrunk (hooray!!) from 2.3 to 1.1

  • Mareny109
    Mareny109 Member Posts: 34
    edited April 2020

    I just picked up my Tamoxifen. 20 mg. Walgreens is NOT the place to get it. 30 pills $40. No insurance here. I'll go to Walmart next time. Hubby was nice enough to tell me it was cheaper there. No surgery here yet b/c of the Covid and just found out I'm DCIS yesterday. Dr. wants me on the Tamoxifen b/c she can't do surgery or send me to the oncologist yet.

    I've rooted around in this thread some. It seems taking it towards dinner is better? Some ladies were saying they sleep better taking it towards night? Also it can cause some constipation- so drink plenty of water with it. Does anyone still drink coffee? I was reading my menopause books for hot flash tips and of course it advises against caffeine. Is there any way to avoid mood swings? Also- naively I was thinking it would throw me quickly into menopause. duh. So I guess I'm still going to have periods for awhile and they'll be irregular and possibly heavy? I guess I'll have to go get some magnesium glycogen so I don't have leg cramps? I guess I should maybe think of putting some extra sheets on the bed or a towel under me in case I sweat like a freak and don't want to get up and change the sheets in the middle of the night?

    If I'm about to have a period should I wait until it's done to start? TIA

    Am I in the ballpark for what to expect? I'm just afraid this is going to wreck my Qol. You know. Sweat at night, leg cramps, so hence no sleep. No sleep makes me super witchy. Then having to try to work fatigued and witchy. Am I allowed to say fml? I already have fatigue and body ache. If it gets worse I'll be barely able to function. It's the reason I went to my PCP in the first place. Had blood work- everything fine there. Had mammo and 3 moths later biopsy.

  • runor
    runor Member Posts: 1,798
    edited April 2020

    Mareny109, I find taking my pill when I am least likely to forget is the main thing. So I take it at night with my blood pressure pill. I have never noticed if side effects are better or worse due to pill timing. 

    Constipation, yes. For me especially the first few months but that leveled out. And crazy dreams! Like....sit up and think, what the hell was that all about?! That passed too after a while. To avoid mood swings have Hub move to a separate residence and arrange visits in which he brings wine, chocolate, roses and FOOD. You will be happy. Then he will go home and you can sweat, or not, alone in bed and disturb no one with your on and off again cover tango. Coffee is the elixir of life and anyone who tells you to give that up is just plain evil. As I figure it I can be miserable and caffeinated or miserable and NOT caffeinated and which leads to homicidal, so coffee is a good idea. 

    At 53 I was having regular periods that were so hideous  they ruled my life. I asked doc (onc) if tamox would affect my periods. He said no. He was wrong. Last period was July 2017. After that period I started tamoxifen and that was it. Over. Finished. Gone. Woohoo! He did warn that sometimes when people go off the tamox the periods come back. Oh hell no! But I have had no spotting, no smudging, no suggestion or threat of a period. NOTHING.

    Good luck with this. This must be a horrible time to be waiting for surgery. Anxiety over a diagnosis is bad enough, but this endless waiting is even worse.  Hugs.

  • Mareny109
    Mareny109 Member Posts: 34
    edited April 2020

    Thank you Runor. It’s 12 am and just had a freak out moment so I’m back here reading the form. So afraid to take it, but I saw someone say you can just stop and all the se go away. I guess the time to try it is now before I do have to go back to work. I’m non essential.

  • Salamandra
    Salamandra Member Posts: 1,444
    edited April 2020

    Hey Mareny,

    Do your best not to borrow trouble. For many women it's like a sugar pill. For others, it has side effects that go away either by themselves with time or with a little pharmaceutical help. Others can solve the issue by playing with the timing, splitting the dose, or trying different generic bands. It's only a minority of us who can't tolerate it, and for us there are other hormonal options (not only OS+AI, but also SERMs like toremifene, which is what my oncologist agreed to for me and which is working out great so far).

    Hang in there! The uncertainty is the hardest part.

  • Bird-of-light
    Bird-of-light Member Posts: 167
    edited April 2020

    I’ve posted this question on two other boards so forgive me for duplication. Friday I started bleeding. Last we checked, 6 months the ago I was in menopause. Hadn’t had a period for 3 years (since chemo) I’m taking 10 mg of tamoxifen and have one ovary. I’m bleeding heavier than my periods ever were. Anyone have this experience or advice? I’ll call my ONCO and the OB today.

    Bird

  • Rah2464
    Rah2464 Member Posts: 1,647
    edited April 2020

    You are starting the wisest course which is to confer with your Onc and Gyno. I too had a heavy bleeding episode about 3 months in to taking Tamoxifen. It lasted for forty days (I call it my biblical period). I think my hormones were just dancing around, doing a final clean out maybe? Did get a pelvic ultrasound as well as an attempt at a uterine biopsy. Nothing suspicious found, so we just keep a close eye on me. I hope you get evaluated quickly - I know the experience is unsettling to say the least. Hugs

  • Bird-of-light
    Bird-of-light Member Posts: 167
    edited April 2020

    Thanks, Rah. 40 days is a long time! Then you’ve had nothing since? Strange thing was my estrogen was just tested and in menopause has been for 3 years. Guess we will see what docs say.

  • Rah2464
    Rah2464 Member Posts: 1,647
    edited April 2020

    Bird-of-light no big events after that one thank goodness. I was in peri-menopause at that point. Hope all goes well for you and glad you are following up with your doctors.

  • Bird-of-light
    Bird-of-light Member Posts: 167
    edited April 2020

    I called and the OB can see me May 15. I’m a new patient as my former OncoOB only see patients with vaginal cancers. If things don’t slow down, which they haven’t, I was advised to go to emergency. Thank you.

  • wheatfields
    wheatfields Member Posts: 81
    edited April 2020

    I'm so sorry you can't get in till the 15th and I'm hoping things slow down! Keep hanging in there. Hugs.



  • Bird-of-light
    Bird-of-light Member Posts: 167
    edited April 2020

    Thank you, wheatfields. Still bleeding so I figure if I am still bleeding tomorrow, I’ll call and nag.

  • wheatfields
    wheatfields Member Posts: 81
    edited April 2020

    Don't feel bad about "nagging" - you are doing the right thing. I'd hate to see you have to go to emergency while the pandemic is going on. I'm hoping it's better today! Or phasing out like a real period!

  • scoop
    scoop Member Posts: 34
    edited April 2020

    has anyone had dizziness on tamoxifen? Been on it about 7 weeks. Last week started experiencing persistent dizziness, sometimes worse than others. Gets much worse if I sit with my head down (looking at a desk or table). Sometimes nausea accompanies it during the bad waves.


    Given my bad luck with health, I am of course worried now I have a brain tumor.

  • Prahan
    Prahan Member Posts: 75
    edited May 2020

    Yes me too have dizzyness nausea. Drinking lot of water and just lying down helps me. I am taxing Tamoxifen for past 1 year with Lupron for ovarian suppression.

    All this mess are due to hormone imbalance.

    What is your age when you are diagnosed?.Iam 38 and my hormones are in full swing, when stopped abruptly all mess happens.

  • Rah2464
    Rah2464 Member Posts: 1,647
    edited May 2020

    Yes my dizziness comes and goes. I also agree with Prahan, make sure you are drinking enough water. When I am not sufficiently hydrated I can be more prone to dizziness and nausea. I have been on Tamoxifen almost two years now and these symptoms can come and go for me.

    Consider adding a daily lower sugar gatorade or pedialyte to your fluid intake as well. As with all things, though, talk to your doctor if it persists even with keeping yourself well hydrated.

  • scoop
    scoop Member Posts: 34
    edited May 2020

    thank you Prahan and Rah2464. That helps me not freak out. I will focus on hydration.


    Praha I am 38 also. Turning off the estrogen seems like it could really confuse the body.

  • lala1
    lala1 Member Posts: 1,147
    edited May 2020

    Tamoxifen is shown to be VERY dehydrating. Drink lots of water. And when I say lots, drink lots and then lots more. I struggled with nausea and dizziness for a year before I finally found that water was the key. Didn't get rid of it totally but definitely got me to about a 90% improvement!

  • cassiecanada
    cassiecanada Member Posts: 166
    edited May 2020

    Scoop! Wow! i was just about to post
    a question about vertigo and tamoxifin-
    i have been side effect free fir clise
    to a year ( 20 mg a nite right outta
    the gate-)- then got up 4 days ago
    and the room was spinning around-
    had to lie back down and felt like
    I’d be on the Whirling Teacups at
    the fairground- been a bit nauseous
    ever since- maybe ear virus ?covid?-
    menieres disease?- of course
    everything runs the gamut in your mind
    of possibilities- but the only thing
    that made no sense was zero symptoms
    of flu etc like headache etc-otherwise-
    So lastnite i researched on
    Dr, Google and saw that vertigo
    is a common symptom- so i am
    doung a wait and see for now-
    i see my OT in June so may ask
    him about this( unless it happens again)
  • scoop
    scoop Member Posts: 34
    edited May 2020

    cassiecanada oof! That is no fun. I described it to a doctor friend as everything just feels kind of wobbly constantly. It's almost like I'm drunk? I've severely increased my water intake (per lala1 and others). The last two days I drank 135-150 ounces a day. Unfortunately I'm still having symptoms. Yesterday riding in the car I got so nauseous I almost had to ask my fiance to pull over. I'm hoping if I stay consistent with the water I will start to see some relief, because this is miserable.


    I told my MO about it and she had me in for blood work. All normal. Her first solution is to try zofran for nausea, but the nausea is a result of the dizziness so really I just want to resolve that.

  • Bird-of-light
    Bird-of-light Member Posts: 167
    edited May 2020

    Wheatfields: update. Stopped bleeding and will see a new OB on the 15th. My guess is if I am not in menopause as we thought, the recommendation will be to remove my remainng ovary.

    Prahan, I have not expereinced those side effect. I did get bad cramps in my legs at night and take 1/2 now, which helps.

  • Rah2464
    Rah2464 Member Posts: 1,647
    edited May 2020

    Scoop - it may not be enough to drink only plain water. You may need pedialyte or gatorade to give you electrolytes as well. So maybe try changing out a glass or two of water with electrolytes. Hope that gives you some relief. Also for the nausea - when it really bothered me (and still occasionally does) ginger tea, ginger gum really helped. Hope you get answers soon.

  • deweygirl19
    deweygirl19 Member Posts: 38
    edited May 2020

    I've been taking tamoxifen for 3 months now, one of my side effects have been really unusual (from what I read on here).My plantar fasciitis, that I've had pretty severely for the last 3 years, completely went away within a week of taking tamoxifen! I can finally walk bare foot! I am extremely tired all day and sleep like the dead at night, I feel like I can never get enough sleep. Other than that I'm having mild hot flashes, dry skin and I just recently started getting charlie horses in my left foot. I also seem to have weakened tendons or muscles in my joints, I have injured myself twice since taking tamoxifen. My gluteus minimus muscle has a tear (discovered on an MRI for the terrible hip pain I was having) I have no idea how I did it. And I did something to my knee while doing a few squats. I feel like I am falling apart, my endurance for exercise has plummeted. I am immediately out of breath when I try to exercise, I exercised throughout my radiation and didn't have this problem. They also discovered on my MRI that I have a hemorrhagic cyst on my ovary, not huge but a significant size and causing pain and pressure, my GYN is following me for this, but I've never had an issue with ovarian cysts that hurt or cause problems. I've read mixed things about tamoxifen causing cysts. My MO scheduled me for a follow up 6 weeks after I started taking it, but that got rescheduled to the summer so I haven't been able to pick her brain.

    overall I'm doing well on tamoxifen, it's an adjustment though.

  • runor
    runor Member Posts: 1,798
    edited May 2020

    I think today is the first day I seriously wondered if it was time to toss in the towel. To quit tamoxifen. 

    I have been really down, but worse, in a deep self hatred over my weight gain. All in the middle. None of my pants fit me anymore or stay on. Because I have no waist. It's like putting a dress on a pig. I hate how I look but even more I hate how I feel. My bones hurt, my joints ache, my gut is bloated. Things that used to be easy are very hard. One of the first side effects I had was that suddenly sleeping, moving in bed, was hard and it hurt and I remember waking up after another bad sleep and wondering, when did sleep become painful? But it was. That faded. But now, oh my god, it has been gathering momentum, the pain and creakiness, the joints that lock in place, the arthritis that sprang up out of nowhere in my hands. I'm just a fat, slow, clumsy pail of guts. And I hate myself. I am a ponderous, aching cow.

    Today I finished a two day job of sitting on the floor and hacking the dog's hair off with scissors. He is a doodle and weighs almost 90 pounds. He was in desperate need of a groomer but none are taking clients right now. It could wait no longer. His smell was atrocious and he was becoming an outcast. Try and get your dog to social distance. Good luck with that! It took about 10 hours to hand hack his hair off. And when I got up off the floor...because I sat on the floor to do this, let's just say my spine did not get the memo to stand up straight. I hobbled around like Quasi Motto and still am suffering pain. I took an ibuprofen an aspirin in hopes that I don't die of pain in bed tonight. Pain. There is way too much pain in my life! This was NOT my life before swallowing my first tamoxifen August of 2017.

    I looked at Hub tonight and gave utterance to something that has been on the back burner in my head for a long time. But I've had it with the fat and had it with the hurt. I said to him, "I wonder if I should go off  tamoxifen and take my chances with cancer."  He said, "I'll let the dog in if you think that's the answer." He's deaf. He hears maybe 10% of what I say. Everything else he's just guessing. I just nodded because fat, aching me did not have the energy to shout at him again. This is fucked. 



  • edj3
    edj3 Member Posts: 2,076
    edited May 2020

    Oh runor, I have no words. You are stronger than I am, I bailed after three weeks.I won't be someone who tells you what to do (that's so rude amirite?) but I will say you are a smart, wise woman. If it's time to stop, it's time to stop. If you believe in your heart of heart you need the potential mitigation this drug offers, then I send you strength and love.

  • Rah2464
    Rah2464 Member Posts: 1,647
    edited May 2020

    Runor my heart hurts for the impact this drug is having on you. You capture so elegantly the difficulties in taking this medicine. I will echo what edj3 says - you are a wise, thoughtful woman and I know you will make the best decision for you because that is what this is all about, living for you. What terrible choices to have to make, no road is easy. Sending you love and hugs.

  • Beaverntx
    Beaverntx Member Posts: 3,183
    edited May 2020

    Runor, share the weight gain issues. I recently took a month off Tamoxifen, due mostly to increasing brain fog and lassitude. Those did improve but no weight loss and no change in joint pain, not really surprising as I had arthritis before starting T. I am back on and doing OK but anticipate it happening again and will be sharing your shoes about whether to continue or not. It's a tough decision, one which I was seriously considering until my doc suggested I try a month off.

    Supporting you in making the decision that is best for you.

  • runor
    runor Member Posts: 1,798
    edited May 2020

    Thank you, ladies. 

    I play potential outcomes over and over in my head: Quit tamoxifen, feel better, get cancer again, die. Stay on tamoxifen, feel like shit,  get cancer again in year 7, die. Take tamox for 5 years, never get cancer again and think, why the hell didn't I quit that damn drug while I was young enough to enjoy life and spend that time not hurting and being a fat blob? Or, quit tamox,  die of covid?  Like....I'm just feeling bleak. And fat. And stiff. Blah.

    Thanks for letting me whine. I don't know how comfortable I am going off the drug, despite how much I hate what it's doing. But I might dial it way back. I already only take 10 mg most days. Have since the start.   I suspect that I am one of those people who is PROFOUNDLY affected by tamox and think I would have to quit it entirely, for an extended time, to see any improvements. Like Beaverntx, I also do not lose weight in a month. My weight seems to be really attached to me and doesn't want to leave. 

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