Cycling through side effects, worse when I miss a dose
Just marked my 4-year anniversary of starting Tamoxifen and hoping to be done in a year. Side effects have been generally tolerable, although I'm starting to feel like I've cycled through all of them. At various times I've had muscle and/or joint pain, gyno issues, fatigue, mood issues, and a general unwell feeling. But never all at once, thankfully, and most of the time I've also been able to at least partially attribute the symptoms to inadequate sleep/exercise/diet. I find it interesting, though, that the drug seems to cycle me through various side effects at different times.
Maybe more interestingly, it seems like my side effects are worse after I've missed a dose and then gotten back on track. It happens maybe once or twice a month. I don't worry too much about it because my understanding is that it stays in my system for several days so I'm still covered by the previous few doses. However, within a day or two I often experience an episode of crippling fatigue, or body aches, or a bad headache, or a really awful mood (my poor husband.). It's reached a point where when I experience something like this I have learned to look back a few days and realize “oh yeah, I missed my dose on Tuesday night."
Just wondering if anyone else experiences these patterns.