Concerned about the side effects of anastrozole
I completed all treatments for breast cancer but now I am supposed to take hormone blocker, named anastrozole. im concerned about the side effects. Has anyone here taken it and did anyone have hair loss?
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It is vital you trust your doctor - I would not hesitate to find a new one if my oncologist said that to me. Hang in there. Guess they are not good friends any longer!
@cindylb- Thank you, Cindy. Beautifully stated.
Hello Samy
I tried Tamoxifen when I was first diagnosed (when I was pre menopausal) and my blood pressure, which is normally low shot up to really high levels and I had constant headaches. They took me off of that and 2 years later I had Stage 1 invasive cancer. Would the tamoxifen have stopped that? I'll never know. Following bi lateral mastectomy for Stage 1 invasive lobular I first tried Letrozole. I had severe depression (which is what was the worst for me), pain in my hands and wrists and knees almost immediately. I was on it two weeks when I developed Shingles (at age 59) and was quite ill from that. The doctors and I agreed that I should stop Letrozole and try Arimidex, which I did. Arimidex was just as bad, perhaps a little worse and after 3 weeks on it (including trying every other day) I had the usual symptoms and blood in my stools. At that point the doctors said I was 'lower risk' and the drugs were causing side effects that could be severe. Once I stopped the drugs I had no joint pain, no depression (except for the usual......I have cancer and this sucks) and my health improved dramatically.
At my last 6 month follow up (with a new oncologist) I brought up using the drugs again and he said, you are low risk and the side effects, for you, are not worth it. If you get a recurrence you will have to take them but for now, 3 1/2 years in, I am not using them.
I really didn't want to take the drugs because I'd read up on the side effects but I was willing to give them a try and see how I reacted because I sure don't want cancer. Many people will have side effects but you won't hear much from those who don't have side effects, they simply move on, so it's hard to judge. I am 61 now, so I was 56 when first diagnosed (5 years ago) and am 3 1/2 years out from the surgery.
I will say this...............it's overwhelming and physically and emotionally draining with breast cancer treatment. There is no rush to start the drugs I know of (?) If you are at that point and want to wait 3 months or so to regain your strength, ask your doctor if that would be ok? That way you can start at your strongest point and judge the pills then? I went right into the pills while I was still recovering from surgery and lymphedema and all sorts of stuff. That might have taxed my body as well.
When I was diagnosed, had surgery, etc........it all happened pretty fast. I didn't have much time to process so I was beat up really. I did consider my quality of life because I didn't want to feel sick for another 5 years because I hadn't felt sick at all prior to the diagnosis (I think that's often true of all of us). I was also concerned about having side effects like bone loss and then having to take pills for that, having a hear condition caused by the pills and then having to take pills for that, etc....it can be a cascade of pills and unfortunately I think that's how a lot of doctors approach this. Remember, an oncologist is there to treat and cure cancer and not all of them see the bigger picture of treating or curing the cancer and leaving the patient with osteoporosis, heart disease, etc..... Some do, but not all.
This is NOT an easy decision..........see if your doctors will allow you to process this for a while or give the pills a chance and we'll all keep our fingers crossed that you're one of the lucky ones with few if any side effects!!
Hugs
Hi Laurie, I will be interested in your reaction to Letrozole. I took it for 6 weeks and had terrible shooting pains in my knees and legs. I exercise every day and it was very difficult. The pain also woke me up at night. Now I am on aromosin for 3 weeks and trying that one out.
Welcome to Connect.
I think the decision to take an AI for 3-5 years is one of the harder decisions of dealing with Breast Cancer. I took Arimidex for 6 months prior to surgery as part of research study. As a result, I know the Arimidex did what it was suppose to do based on test results during diagnosis and then again after 3 months of Arimidex. With that being said, it came with side effects, for me it was depression.
I stopped taking after surgery, then did chemo and radiation. I have had multiple discussion with oncologist about AIs and have agreed to try Letrozole for a month and then will meet with oncologist again.
I am willing to try it, but if side effects are to severe, I will re-evaluate.
Everyone has different reactions to meds. And you hear more from those who have negative side effects then those with no problems. My sister had breast cancer and had no problems with AI.
Good luck
Laurie
samy - VERY good questions. I am on my second AI (Aromosin) and starting the feel the aches and pains (not as bad as Femura), but still. Have you asked your oncologist if you could go on Tamoxifen? Yes, I know this is a first generation drug, and primarily for pre-menopausal women, HOWEVER, i know postmenapausal women who used it and did not experience side effects. I would like to the reoccurence rates for Tamoxifen vs the new AI drugs?
In a message subsequent to this, you indicated that you decided not to take the AI drug(s). Have you ever taken them, i.e., did you stop or just never start? The decision I’m grappling with is taking this drug at all. As I said, I’m 69 in a month - is Stage 1 survival going to be that much different with or without this drug? And is poor quality of life for a huge % of the rest of my life worth it? I realize I’m “only” 69, but in 5 years that’s “only” 74 - it just doesn’t seem worth it and I’d be better off taking my chances with just radiation. I know nobody can say take it, or don’t take it … it’s up to me. But, it’s a horrible choice. I’d still be living with the unknown of “possibly” getting cancer again, whether I subject myself to 5 years of this debilitating drug or not.
I am so sorry you're having these issues with the doctors. This is way too important for you not to feel comfortable with your doctors! Never a bad idea to get a second opinion or change doctors if you're not feeling 100% comfortable.
I have had 4 oncologists in 5 years. Some was due to insurance changes out of my control and some was my choice. I've very happy with my current oncologist. He hears me and respects my decisions. He offers alternatives and gives me the straight scoop. He's holistic and helps me feel comfortable with my journey. If you don't like your doctor...........find another and another and whatever it takes. Cancer if hard enough.
Hugs
I have not told my doctor I’m not taking the meds. I don’t want to listen to their crap.
Wow !! So that means 80% it won’t return !! He’s not very compassionate!!