Best Of
Re: Newly diagnosed stage 1 Invasive Ductal Carcinoma
Hello @forwardmove. Taking everything one day at a time and trying to have positive thoughts does help. I’m sorry you are joining us here but welcome. It’s a wild ride for sure. Figuring out how to do the AI treatment and managing side effects can be a challenge. I’m glad your oncologist is already planning for that!
(My limited experience) I was premenopausal and had never experienced a hot flash until after being on Tamoxifen for a few months. I probably would have naturally experienced them going through menopause but I’ve only known this version of things. They are crazy! (It’s more the freezing cold chill that leads up to a hot flash that drives me insane, I fall for it all the time and layer up only to get the blazing hot flash and my brain says “I’m dying” while I scramble to shed layers.) I cannot imagine how uncomfortable you’ve been coming off HRT!!
I too was prescribed Gabapentin (more to help me sleep) but it did not help much and it did little to nothing for the hot flashes. My gynecologist suggested Veozah and I was willing to try it. She did bloodwork beforehand and then monitored it each month for a few months (making sure my liver wasn’t affected). She had me quit the Gabapentin cold turkey (it had been about a year that I was taking it ) and start Veozah which resulted in about a month of a nonstop headache. Afterwards she said maybe we should have tapered off the Gabapentin even though I wasn’t taking a high dose (600mg) because it might have been a rebound headache. Good to know. Anyhow, I adjusted after a month or so, the headache dissipated and in time the Veozah definitely helped with the hot flashes. I would still have some noticeable ones after about 18-20 hours so the daily pill doesn’t seem to work for 24hrs or at least not for me. I take it at bedtime. I would still have a few hot flashes throughout the day but they were pretty mild and I could mostly ignore them. I’d occasionally have a rogue strong hot flash but mostly they were mild.
Fast forward to switching to Lupron and letrozole while staying on Veozah … (Tamoxifen was messing me up in other ways) … unfortunately the hot flashes are much stronger! That is probably from the Lupron. I have tried stopping Veozah to see if I notice a difference and each time I can’t do it. It’s a big difference. The hot flashes seem to come twice as frequently all night long (blankets on, blankets off constantly … forget sleep!)
I guess this is my very long-winded way of saying the Veozah might really help, and you might experience significant relief or maybe just partial relief but enough to manage day by day. I studied the possible side effects of taking Veozah and definitely was concerned about it affecting my liver but all bloodwork shows my liver is functioning fine. I know there is another drug just recently approved that is similar to Veozah but haven’t researched it. My insurance initially denied Veozah but my doctor appealed it and it got approved. I also signed up for a savings card through Veozahsavings.com which is a huge help until I meet my deductible (I pay $30 instead of $530 for a 30-day supply … crazy I know).
I hope your radiation treatment goes very well!
Re: Long-term LCIS?
FYI, I was diagnosed with LCIS around '06 or so. In late 2015 I had a bilateral mastectomy because: 1) I was getting picked apart by constant needle & excision biopsies and 2) tired of living my life in 6 month increments of anxiety 3) I lost faith in the diagnostic technology when (during the same appt) I was told I was cleared for another 6 mos and then minutes later brought back for more imaging and then told I needed a biopsy in THREE locations. At that point I decided I can't do this anymore. When I had the preventative bilateral mastectomy they discovered LCIS in the other breast which had heretofore never shown up on any form of the many types of imaging tests I had been having. I have now been nearly 10 years free of all the breast anxiety and off the medical hamster wheel. It's been PRICELESS. I have not any reason to take any meds (tamoxifen etc) either. I have no regrets.
