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What problems have you had with Tamoxifen?

Breast Cancer | Last Active: Jan 25, 2023 | Replies (67)

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@shortie0650

Thanks for this information. It makes me feel a whole lot better about the radiation part of the treatments. I will go into it with a better outlook now. I had the appointment with my medical oncologist yesterday. It is a teaching hospital, so all the appointments I have had so far involve much more time with the students than with the Doctors themselves! The student I had yesterday was a very kind young man and I think he will make an excellent oncologist when he is done. The actual oncologist did not seem to have as much empathy although she comes highly recommended. She wants to put me on anastrozole - an aromatase inhibitor - instead of Tamoxifen. The side effect list is very scary. I am wondering how many people have taken it without side effects or little side effects? Anyway, thanks for your input, it has definitely helped ease my mind about the radiation.

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Replies to "Thanks for this information. It makes me feel a whole lot better about the radiation part..."

Glad that you're less worried about the radiation. Anastrozole and the other aromatase inhibitors have some side effects, the one that is pretty much a given is accelerated loss of bone density from the depletion of estrogen in the body. The actual rate acceleration differs among people due to body chemistry, age, existing bone density and other factors. I'd try to get a DEXA scan if you don't have a current one so you have a baseline pre-anastrozole picture to measure future DEXA scans against. And be prepared to explore drugs to prevent or treat osteoporosis if that is an issue. (That might sound onerous but the regrets of people who weren't adequately informed about anti-osteoporosis strategies when on aromatase inhibitors is a major cautionary tale. I'd also tell my cardiologist so s/he will keep a more-frequent watch for any change in cholesterol levels at a minimum. I regret if that sounds discouraging buy tamoxifen is harder on the body (risk of DVT and related cardiac events) so anastrozole is a gentler drug in many ways though be prepared for some arthaligia. If you don't encounter it, great.