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« Forum: Hormonal Therapy: Before, During and After: Risks and benefits, side effects, and costs of anti-estrogen medications such as Tamoxifen (Nolvadex), Arimidex (anastrozole), Femara (letrozole), and Aromasin (exemestane).

Topic: Tamoxifen and SE's

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Joined: Oct 2007
Posts: 524
  • Posted on: May 6, 2008 12:32 pm
jdg1 wrote:

I took my first Tamoxifen last night and noticed this am that my stomach is not feeling to well, although I do not have diarrhea I have had a lot of soft stools.  Has anyone had this problem and does it mean that I might be the one who gets the diarrhea.  I am thinking it is too soon but since I am new to it I have no idea. 

Infiltrating Ductal In-Situ Stage IIB Grade 1 No node involvment, ER/PR + HER 2 -, Oncotype DX 17
Dx 5/30/2007, IDC, 0/2 nodes
Posts 1 - 22 (22 total)
jpann39
Joined: Dec 2006
Posts: 2513
May 6, 2008 01:15 pm jpann39 wrote:

I think when we are told we will be starting a new med we research the crap out of it to see what the side effects might be and sometimes we talk ourselves into having them....try not to do that to yourself....I found that if I just take the pill and go on about my business instead of dwelling on the "might be's" it is a little easier to take...

Im not discrediting your upset tummy as I have read many women here post that it upsets theirs too....Ive never heard much about the stool part....

Sometimes your system just needs a few days to get use to the new meds and those quirky side effects will disappear....I sure hope thats what happens for you.....I have very few se's with the tamox and when I had my last "bad boob" scare and the path report came back b-9 I jumped for joy that I take it and that it apparently is doing its job....

Sorry you feel icky :(

'Life may not be the party we hoped for...but while we're here we might as well dance!!!!"
jdg1
Joined: Oct 2007
Posts: 524
May 6, 2008 09:32 pm jdg1 wrote:

Thank you for your response, I was not concerned at all with the diarrhea more concerned about blood clots and the more serious side effects. 

It could just be that today was a day that my body decided to get rid of everything I guess you could say. 

Infiltrating Ductal In-Situ Stage IIB Grade 1 No node involvment, ER/PR + HER 2 -, Oncotype DX 17
Dx 5/30/2007, IDC, 0/2 nodes
Harley44
Joined: Jul 2007
Posts: 2889
May 6, 2008 09:48 pm Harley44 wrote:

jdg1,

When I take Tamoxifen, sometimes my stomach feels a bit 'upset'.  I don't feel nauseus, but I just feel kind of 'unsettled'.  I was taking it with a meal, either Lunch or Dinner, but because of the terrible night flashes, I now take it before bed.  I usually don't have any stomach upset when I take it at bedtime.

Hope you feel better soon.

Harley

jdg1
Joined: Oct 2007
Posts: 524
May 7, 2008 12:34 pm jdg1 wrote:

Harley,

Thanks for you post.  My stomach has done well this am so maybe it was just a fluke.  Who knows.  Are you taking the whole dose at bedtime.  I asked my Onc about splitting the pills and he said no just take it all at once so I am taking it with all my other Vitamins I take.  It could just be too many things at once.

June

Infiltrating Ductal In-Situ Stage IIB Grade 1 No node involvment, ER/PR + HER 2 -, Oncotype DX 17
Dx 5/30/2007, IDC, 0/2 nodes
MAMHOP
Joined: Aug 2007
Posts: 596
May 7, 2008 01:23 pm MAMHOP wrote:

Well strangely enough, I have the opposite problem that I suspect is from the tamoxifen.   I feel fine, have no hot flashes etc., but tend to get constipated -- something that was never an issue before.

M.

Harley44
Joined: Jul 2007
Posts: 2889
May 7, 2008 08:38 pm Harley44 wrote:

I am taking it ALL at once, but I have thought about trying to take it 1/2 pill in the am, and 1/2 pill in the pm.  I may ask at my next onc appt., but it seems like my onc would have told me if he wanted me to split up the dose.

Glad to hear that you are feeling better.

Harley

jdg1
Joined: Oct 2007
Posts: 524
May 7, 2008 09:12 pm jdg1 wrote:

Mamhop,

Since I have started the Tamoxifen I don't really have as many hot flashes don't know kinda weird.  Today my stomach was better so who knows.  I already have a problem with constipation so for me to have reg bowel movements from this drug would be great.  lol

June

Infiltrating Ductal In-Situ Stage IIB Grade 1 No node involvment, ER/PR + HER 2 -, Oncotype DX 17
Dx 5/30/2007, IDC, 0/2 nodes
MAMHOP
Joined: Aug 2007
Posts: 596
May 7, 2008 11:03 pm MAMHOP wrote:

June,

That is so funny -- I had diarrhea on and off for almost two years -- went to several doctors and no one could tell me why.  Now, I am constipated and I think I would rather have diarrhea!   (I can't believe we are talking about this.....)

I have been taking stool softeners quite a bit -- haven't asked my doctor if that is OK, so I hope it is -- it does say on the bottle not to use it for longer than a week or so, but I have been.  I guess I should ask.....

M.

san4850
Joined: Apr 2007
Posts: 99
May 8, 2008 05:50 pm san4850 wrote:

Everyone's different.  A friend of my sister's had a mastectomy.  She said she experienced what felt like morning sickness after taking tamoxifen for 3 months, which is why she said she decided to remove the other breast too, as a precaution, because she didn't want to have to take tamoxifen for 5 years.

I've been taking tamox. for a year now, and the only SE's I'm experiencing are hot flashes and irregular periods (I'm premenopausal and my periods used to come like clockwork).  I thought I'd experience nausea too because my sister's friend did.  My onc. told me the only things he wanted me to be aware of when taking tamox. was blood clots, endometrium cancer (or is that uterine cancer) and hot flashes/night sweats.  My onc. said I could split the pills if I wanted to, and take half in the morning and half at night, if it was affecting my stomach, but he said it shouldn't.  I just take it about 1 hour before I go to bed and I've never had any problems.

jdg1
Joined: Oct 2007
Posts: 524
May 13, 2008 04:27 pm jdg1 wrote:

San,

Funny I asked my Oncologist about splitting the pills and he said nope just take the whole pill at once.  I don't think he ever said why.

I take mine right before I go to bed so I am not awake and nauseated. 

June

Infiltrating Ductal In-Situ Stage IIB Grade 1 No node involvment, ER/PR + HER 2 -, Oncotype DX 17
Dx 5/30/2007, IDC, 0/2 nodes
BinVA
Joined: May 2007
Posts: 1204
May 13, 2008 06:57 pm BinVA wrote:

June,

Your doc can prescribe Tamoxifen in 10 mg pills, take one in a.m. and one in p.m.

I can't take the nausea and diarhhea any more.  This is my second try on Tamox.  I'm giving up again today after trying it for another six weeks.  It's scary.  I'd rather have aches and pains.  I didn't even mind the hotflashes. I was taking it at night with food.  I'd wake up sick and be like that all day until it was time to do it again.  I tried Arimidex and lasted a week.

I've had a total hysterectomy ... maybe I should think about going back for mastectomies ... don't know what to do at this point.  I had IDC and am high risk with LCIS.

Best wishes to you,

Bren

booklady
Joined: Apr 2007
Posts: 69
May 13, 2008 07:21 pm booklady wrote:

This may just apply to me, but I'm wondering if there is a difference in makers.  After I switched my Rx to a different drug store, I started experiencing the stomach uneasiness.  Luckily its not real bad, but I'm wondering if the ingredients are slightly different.  Haven't done the research the find out if this could be the case or if it was related to something else.

jdg1
Joined: Oct 2007
Posts: 524
May 14, 2008 04:21 pm jdg1 wrote:

Bin,

Wow!  I am so sorry to hear that you are having the issue with the Tamoxifen.  Have you spoken with your Surgeon about having the mastectomies done?  I reacted the same way as you to birth control pills and I thought that I would react the same way to the Tamoxifen.  Only seems like stomach issues and some joint pains.  But then again I have only been on them now for 10 days so who knows.

June

Infiltrating Ductal In-Situ Stage IIB Grade 1 No node involvment, ER/PR + HER 2 -, Oncotype DX 17
Dx 5/30/2007, IDC, 0/2 nodes
jdg1
Joined: Oct 2007
Posts: 524
May 14, 2008 04:22 pm jdg1 wrote:

Booklady,

You bring up a very good point.  I will have to look into this as well.

June

Infiltrating Ductal In-Situ Stage IIB Grade 1 No node involvment, ER/PR + HER 2 -, Oncotype DX 17
Dx 5/30/2007, IDC, 0/2 nodes
BinVA
Joined: May 2007
Posts: 1204
May 14, 2008 06:45 pm BinVA wrote:

Hi June,

Nope, haven't talked to him about it yet.  Just saw him 3 weeks ago and I didn't bring it up.  I'll see the medical oncologist this June and talk to him.  I have my first MRI scheduled for this Nov or Dec and I'll wait and see what that looks like.

Just for today, I'm trying to find a little serenity between 3 month intervals!!!  My new thinking is, if I go at it one day at a time, it may be easier to manage ... than trying to mange obsessing about the next 3 months, 2 years, 10 years, etc. 

I'll let you know how my new plan works!!

Booklady ... great suggestion.  I'll see if CVS uses a different distributor than wallymart, which uses "barr laboraties."  BTW ... we sure had a close call with those tornadoes didn't we!!

Take care all,

Bren

jdg1
Joined: Oct 2007
Posts: 524
May 15, 2008 09:53 pm jdg1 wrote:

Bren,

Yes, that is all you can do is take it one day at a time and not look any further than that.

Did you have to do chemo? 

Please keep me informed.

June

Infiltrating Ductal In-Situ Stage IIB Grade 1 No node involvment, ER/PR + HER 2 -, Oncotype DX 17
Dx 5/30/2007, IDC, 0/2 nodes
62192
Joined: Mar 2008
Posts: 28
May 15, 2008 11:33 pm 62192 wrote:

I have a question.  I am rather new to these forums. I had a breast reduction at the end of January of this year. I was very happy with my results. When I had the tissue that was taken out biopsied (it is always biopsied when removed) they found LCIS on 1 spot. They looked very carefully to see if it spread but luckily it had not. I do not have any breast cancer in my family.  After seeing 2 Oncologists, a breast surgeon they said it would be a good idea for me to go on Tomoxifican.  They told me to think about it.  Well I just went to my 3 month check up with my Oncologist and he mentioned it again and suggested I go on it.  I am very nervous about going on this drug with the SE I keep hearing about.  However of course I would rather deal with this than cancer. I also worry about the possibility of stroke, aneurysm etc that they say can happen, even though it is rare.  I know I need to at least try it but I am so worried about it.  SOmetimes I just wish I would go through and have a bilateral mastectomy and be done with it. My Dr did not recommend this at this point.  Any advice. Thanks - I am so happy that i found this site.

jdg1
Joined: Oct 2007
Posts: 524
May 16, 2008 01:11 pm jdg1 wrote:

62192,

I know exactly how you feel.  I did not want to take Tamoxifen either.  But here I am started the Tamoxifen train on the 5th of May.  I am taking it because I want to throw everything I can at the Cancer.  Just to let you know I had bilateral mastectomies as well I don't believe that if you go this route that you would not have to take Tamoxifen.  I wish you luck I know this is a very difficult decision to make took me 5 months to decide to at least try it.

June

Infiltrating Ductal In-Situ Stage IIB Grade 1 No node involvment, ER/PR + HER 2 -, Oncotype DX 17
Dx 5/30/2007, IDC, 0/2 nodes
kimbly
Joined: Feb 2008
Posts: 174
May 16, 2008 01:44 pm kimbly wrote:

I have been on Tamox. for 2 weeks now.  The first few days I did feel nauseated.  I thought it maybe was the vitamin I took with it too.  Now after the 2 weeks i am doing well with it, no side effects to speak of. 


Dx 11/21/2007, IDC, 1cm, Stage I, 0/3 nodes, ER+/PR+, HER2+
BinVA
Joined: May 2007
Posts: 1204
May 16, 2008 04:26 pm BinVA wrote:

Hi June,

No chemo for me.  I was 51 at dx with 7 mm IDC tumor, no nodes.  Did lumpectomy and rads.  I'm 10 months post rads now.  I had a total hysterectomy years ago.

I'm sad to report I again failed on the Tamox.  I just couldn't handle the nausea and depression.  It never went away.  I feel much better after just 2 days. 

I've given it my best try twice and Armidex once.    Maybe I'll try Femara next.  Will talk to the onc in June or July about this.

So happy for all the gals who have minimal SE's or they get less as time goes by.  This is such a huge relief for them. 

Bren

artsee
Joined: Feb 2008
Posts: 347
May 20, 2008 09:55 pm artsee wrote:

Hello all...Does anyone know if spotting can be a s/e of the three inhibitors? It seems I may have read that on one of these threads but am not sure. That would not be a good thing after being menopausal for almost ten years.

Thanks for the input in advance.

Evie


Dx 1/15/2008, IDC, 1cm, Stage I, Grade 3, 0/2 nodes, ER+/PR+, HER2-
Kestrel
Joined: Apr 2008
Posts: 14
May 22, 2008 04:44 am Kestrel wrote:

Hey, great to contact a stream of people who started Tamoxifen at the same time as me (3 weeks ago, whatever that date was).  I was very nervous and carried it around in my purse for a couple of weeks before taking the plunge, but so far my SEs aren't really noticeable.  I already started hot flushes with the last chemo.  I am tired but I have also resumed working full time so I don't know what is what.  No nausea etc. 

Does anyone know whether you need to take tamoxifen if you have a bilateral mastectomy?  I managed to avoid taking the pill for 30 years and I would love to stop taking medication now.

Good luck to you all with your tamoxifen!!!! 


Dx 12/7/2007, ILC, 3cm, Stage IIa, Grade 2, 0/4 nodes, ER+/PR+, HER2-

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