← Return to bone density medication while on anastrozole

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bone density medication while on anastrozole

Breast Cancer | Last Active: Feb 15, 2023 | Replies (39)

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@mjay

I have switched from Anastrazole to Letrozole and now Tamoxifen due to side effects. My onco wants me to go back to an AI as it is preferred for postmenopausal lobular BC plus take a bone med . The Tamoxifen does not require a bone med as it helps build bone, which is a plus, but it is also has blood clots and uterine cancer as side effects and is not the best med for lobular BC as it has a higher recurrence risk. If I go back to an AI, I will need to take something to prevent further bone loss. I'll have to research all of my options of bone meds before deciding as I know there are injections, infusions, pills, etc. All so difficult as last thing I'd want to do is add another set of symptoms to my growing list. I'm wondering if there is one place to look for comparisons of all the different options. I've also heard once you start the drugs you are supposed to continue, which sounds absurd, but once you stop the bone may be in worse shape than previously....not very easy decisions to be made.

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Replies to "I have switched from Anastrazole to Letrozole and now Tamoxifen due to side effects. My onco..."

@kamra and @mjay I already had osteoporosis, which was not mild, when I started my 5 years of letrozole.

For various reasons my endocrinologist did not want me on bone meds and/or I could not tolerate anabolics- all because of some heart rhythm issues. Once I finished my cancer meds, I found out that Tymlos has an adjustable dose and I started with two out of 8 clicks and moved up. I have been on it for 18 months.

I did fracture between letrozole and Tymlos but honestly that was from an extremely unwise movement.

Prolia is the medication that you cannot just stop. I will take something short term to "lock in" my gains on Tymlos and then take a break from meds.