Anastrazole and anxiety

Posted by momandrph048 @momandrph048, Jun 14, 2023

Has anyone else taking an aromatase inhibitor been dealing with crying very easily, and anxiety that comes out of nowhere?? It doesn’t seem to be related to anything, it just appears out of the blue.. My oncologist has me on Effexor, but it doesn’t seem to be doing that much and I really don’t want to increase my dose.. Can anyone share a similar story? Counseling isn’t really for me, I just need to deal with it on my own, and I really feel that the medication is the reason for it.. Mostly because my dr had me stop it for a couple weeks due to joint pain and everything got better.. Thanks for your input!

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@danielleboily

I've been on anastrazole for over 1 month and I just stop taking because of my swollen ankles among othe effets.

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@danielleboily

I see your new member to Mayo Connect, welcome. Similar to you, I could not tolerate anastrozole, but it was due to other side effects.

Have you talked to your your oncologist about alternatives? There are other options.

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Thank you,
I will be seeing a n oncologist In december,I'm from Quebec and healt care is often slow.
I'm 81trs old without a personal doctor.

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@auntieoakley

They can definitely affect our quality of life. I wish there was another way to reduce our risks of relapse, sadly this is what we have now. I still believe it is better than what was available in the past, my grandmother just had to cross her fingers. Sometimes people do better on one drug than another, even a different manufacturer of the same drug will make a difference.
Did you talk to your doctor about possibly try a different endocrine therapy?

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Thank you for your response. I did discuss with my oncologist, but for right now I am just going without to monitor my symptoms, to see if they were truly caused by the anastrozole.

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I was on Anastrozole and asked to be removed because it made me very emotional. The thing is, they all affect your hormones. Right now I am on Exemestane. Not quite as bad as the Anastrozole, but am still very emotional. I don't get alot of aches and pains that some people do though, so that's a blessing. I guess it's just a trial and error kind of thing. Best wishes to you!

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@sally484

I was on Anastrozole and asked to be removed because it made me very emotional. The thing is, they all affect your hormones. Right now I am on Exemestane. Not quite as bad as the Anastrozole, but am still very emotional. I don't get alot of aches and pains that some people do though, so that's a blessing. I guess it's just a trial and error kind of thing. Best wishes to you!

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Anestrozole ruined 4 fingers. Needed surgery on pointer.
More surgery threatened. It's not that effective of a drug.
I went off of it.
Saw hand dr. - Had Hand PT.
I was developed by Satan. Horrible drug. The worst side effects.

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@bloncape

I was diagnosed with Stage 1a-b breast cancer in 2020. I had a lumpectomy, a second surgery to clear the margins, 16 rounds of radiation and then started to take anastrozole which was the most difficult part of my treatment. The side effects, which were from head to toe, resulted in a very poor quality of life. I can definitely relate to your anxiety. I was severely depressed. My oncologist, at the time, did not acknowledge any of my symptoms as being caused by anastrozole. Sadly, this seems to be a common complaint on this forum. At the only appointment my husband was able to attend because of covid, he told the doctor that the medicine had changed my whole personality. I was aware that I had not been myself, but his comment summed it up for me. He was always more than patient with me but was trying to impress upon the doctor that the medicine was indeed having an extremely negative effect on me. I decided to stop taking the medicine after about 2 1/2 months. The side effects subsided. I also started walking which I have continued to do every day for over 3 years.
I know that I am fortunate that my Stage 1 cancer was discovered early, and my chances of recurrence are lower than many others. I would never suggest that anyone not try to take an aromatase inhibitor. These medicines affectCs everyone differently and you can always stop. We each have to make decisions based on many factors - stage of cancer, age, other health issues, family situation, etc. However, it is our decision to make. There will always be a part of me that wonders if I made the right decision.
I hope this input is helpful. I wish you all best of luck in your treatment and good health in the years to come.

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Thank you for sharing your story. I had very early detection, a lumpectomy, and 5 rounds of radiation, with clear margins and nodes. My oncologist prescribed anastrozole, and after 3 months, I have stopped taking it. My Dr. mentioned only the weight gain. He didn't warn me about the other possible side effects. Mine in particular, became a crippling depression, not wanting to get out of bed, crying every day. My body aching so badly I can't stand up straight when I first get out of bed. I don't know if I will go back on it, but I know I can't keep going with these powerful side effects. Foggy brain, total loss of libido. And yes, weight gain. I have a follow up appt. with the Dr. in one month. I wonder if the alternative drugs are as bad? This is the first time I have been on a forum like this, and I really appreciate reading everyone's story. Thank you!

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@maliana

Thank you for sharing your story. I had very early detection, a lumpectomy, and 5 rounds of radiation, with clear margins and nodes. My oncologist prescribed anastrozole, and after 3 months, I have stopped taking it. My Dr. mentioned only the weight gain. He didn't warn me about the other possible side effects. Mine in particular, became a crippling depression, not wanting to get out of bed, crying every day. My body aching so badly I can't stand up straight when I first get out of bed. I don't know if I will go back on it, but I know I can't keep going with these powerful side effects. Foggy brain, total loss of libido. And yes, weight gain. I have a follow up appt. with the Dr. in one month. I wonder if the alternative drugs are as bad? This is the first time I have been on a forum like this, and I really appreciate reading everyone's story. Thank you!

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@maliana, did your oncologist discuss switching aromatase inhibitors with you?

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Diagnosed with ER breast cancer almost four years ago, at 38 years old. It was stage one, with no lymph node activity. I had four chemo infusions over 12 weeks. After chemo was completed, I was put on monthly Lupron injections and a daily Anastrozole pill. I did not experience many side effects of either medication until about two years ago. By the time I started experiencing side effects, I had already been taking the medications for two years. The worst side effect has been the anxiety attacks, to the point where they feel like heart attacks and I’m being rushed to the emergency room. I have had several of these now, at random times, with no explanation, over the course of two years, and it is debilitating my daily life. I have been seen by a cardiologist, and my heart is just fine. I have been seen by a neurologist, and my brain is fine. I have never really been an anxious person throughout my life, and now, I get these attack at least three times per week. My PCP has prescribed me a small-dosed Ativan as a “rescue pill,” but I don’t certainly want to have to rely on something as strong as Ativan continuously. Recently, an ER doctor brought up that it could be the Anastrozole and that with hormones being depleted and blocked, there’s nothing in my body to combat any sort of stress or adrenaline-causing situations. I don’t live a very stressful life, at all. I drink one cup of coffee per day. I don’t smoke. And I really don’t live a very exciting life. I could be sitting on the couch watching tv, and these anxiety attacks come out of nowhere. I would love to know if anyone else out there has experienced any of this with Anastrozole, and any advice or help would be greatly appreciated. Very much so!

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@jfross01

Diagnosed with ER breast cancer almost four years ago, at 38 years old. It was stage one, with no lymph node activity. I had four chemo infusions over 12 weeks. After chemo was completed, I was put on monthly Lupron injections and a daily Anastrozole pill. I did not experience many side effects of either medication until about two years ago. By the time I started experiencing side effects, I had already been taking the medications for two years. The worst side effect has been the anxiety attacks, to the point where they feel like heart attacks and I’m being rushed to the emergency room. I have had several of these now, at random times, with no explanation, over the course of two years, and it is debilitating my daily life. I have been seen by a cardiologist, and my heart is just fine. I have been seen by a neurologist, and my brain is fine. I have never really been an anxious person throughout my life, and now, I get these attack at least three times per week. My PCP has prescribed me a small-dosed Ativan as a “rescue pill,” but I don’t certainly want to have to rely on something as strong as Ativan continuously. Recently, an ER doctor brought up that it could be the Anastrozole and that with hormones being depleted and blocked, there’s nothing in my body to combat any sort of stress or adrenaline-causing situations. I don’t live a very stressful life, at all. I drink one cup of coffee per day. I don’t smoke. And I really don’t live a very exciting life. I could be sitting on the couch watching tv, and these anxiety attacks come out of nowhere. I would love to know if anyone else out there has experienced any of this with Anastrozole, and any advice or help would be greatly appreciated. Very much so!

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I am sorry you are having these problems but also interested in your post. I have been on Anastrozole for just over a year and have been experiencing worsening panic attacks and uncontrollable feelings of impending doom and uncontrollable crying for the last six months or so. My cancer diagnosis was very similar to yours and from the viewpoint of clear mammogram etc all looks well. Whilst I have had a history of panic attacks previously the current attacks are off the scale. I am becoming increasingly concerned that Anastrozole is key to these symptoms and will hope to discuss this with my oncologist at an upcoming review. I feel it maybe that patients who have previously diagnosed panic/ anxiety conditions may be more likely to experience these more extreme reactions. Possibly this could be a fruitful area for research into the side effects of AIs.

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@jfross01

Diagnosed with ER breast cancer almost four years ago, at 38 years old. It was stage one, with no lymph node activity. I had four chemo infusions over 12 weeks. After chemo was completed, I was put on monthly Lupron injections and a daily Anastrozole pill. I did not experience many side effects of either medication until about two years ago. By the time I started experiencing side effects, I had already been taking the medications for two years. The worst side effect has been the anxiety attacks, to the point where they feel like heart attacks and I’m being rushed to the emergency room. I have had several of these now, at random times, with no explanation, over the course of two years, and it is debilitating my daily life. I have been seen by a cardiologist, and my heart is just fine. I have been seen by a neurologist, and my brain is fine. I have never really been an anxious person throughout my life, and now, I get these attack at least three times per week. My PCP has prescribed me a small-dosed Ativan as a “rescue pill,” but I don’t certainly want to have to rely on something as strong as Ativan continuously. Recently, an ER doctor brought up that it could be the Anastrozole and that with hormones being depleted and blocked, there’s nothing in my body to combat any sort of stress or adrenaline-causing situations. I don’t live a very stressful life, at all. I drink one cup of coffee per day. I don’t smoke. And I really don’t live a very exciting life. I could be sitting on the couch watching tv, and these anxiety attacks come out of nowhere. I would love to know if anyone else out there has experienced any of this with Anastrozole, and any advice or help would be greatly appreciated. Very much so!

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I'm 58 and had a unilateral mastectomy. I've only been on Anastrozole for 7 months, but the hot flashes - ugh. And I did see an uptick in small bouts of anxiety. What has helped me is acupuncture. University of Washington Medicine has an Osher Center for Integrative Medicine and my provider is awesome. I started with weekly visits and am down to once per month. It helps with my hot flashes, anxiety, and my overall mental health. I look forward to my visits every time. My insurance covers 24 visits per year. I really love it.

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