Concerned about the side effects of anastrozole

Posted by tinalove @tinalove, Jan 31, 2016

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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I have been taking anastrazole for almost 5 years. I think my hair is thinner, but I’m not sure if that was the result of the hair loss from chemo, the fact that I have thin hair to begin with, and I’m older, or the Anastrozole. The bigger issue I’m having with the anastrozole is an almost total inability to lose weight. I don’t think I’ve gained any or if I have, I haven’t gained much, but any attempt to lose weight almost always fails. When I talked to the chemo doctor about it and explained that I was getting , for a 71-year-old woman, an extremely high amount of consistent exercise, was following a sensible diet, and still could not lose anything. His response was it is the Anastrozole. For some reason it causes fat cells to settle in adipose tissue rather than be burned off by activity.

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I had no side effects on Anastrozole for the first year. Then I got dry eye and a huge stye, which was treated with moist heat and antibiotics. Now I feel like I have a UTI, which is a side effect but may not be related. Otherwise, nothing else. No hair loss. Does depression count?

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@francine6829

cindylb - did the oncologist suggest tamoxifen? I was taking aromasin every other day, but my oncologist said there are no studies to validate taking it every other day and put me on tamoxifen every day.

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How are you responding to tamoxifen?

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@monical

Hello - I was diagnosed with Atypical Ductal Hyperplasia (posted a follow-up on the other thread, but see it must have gotten lost in cyber land). I had a stereotactic biopsy and then a surgical biopsy. The pathology came back clear for DCIS. In fact, there were no ADH cells present either which meant those cells were removed during the stereotactic procedure and left me shaking my head over the stress and recovery from the surgery.

So now I am 59 and faced with taking Anastrozole to try and prevent cancer. Due to family history and the ADH, I fall into the high risk category with >30% lifetime risk of developing breast cancer. I won’t take Tomoxifen because I have a family history of stroke. I’m left with Anastrozole as an option but I already have degenerative discs, arthritis, (controlled) hypertension and occasional abnormal liver enzymes. I DON’T WANT TO TAKE THIS DRUG. I’m supposed to start taking it tonight but then realized my oncologist never took a baseline blood for the liver enzymes so I will hold off until I speak w/ her (it’s in her clinical notes but a fairly big over sight if you ask me).I have a 30 day supply and try very hard to just look at this as a “trial”, but it is scary. I don’t have cancer but I have to fill my body with a drug that perhaps will prevent (only) an estrogen fed future cancer, but then maybe I’m taking this all for nothing because I could fall in the percentage of people who never develop cancer (my mother didn’t, but my sister, material aunt and cousin did).

I’m angry. My husband is scared that I won’t feel well. I’m scared that if I don’t take the medication I will regret it. I’m scared that if I do take the medication I will regret it. And though I asked a couple of times, my doctor won’t check my estrogen levels either. I am somewhat bothered by the fact that the FDA has approved the use of this drug to treat cancer, but has not done so for the use of a CPA (chemoprevention agent) for high risk women. I know that, with the support of clinical studies, doctors use drugs for off-label purposes, but it bothers me. Anyway, now I know I am rambling...I just feel that it is all a big crap shoot.

Best wishes to all of you that are dealing with so much...there are some days I feel so overwhelmed by it all it takes my breath away.

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OMG!! this is ME! Going through d same exact thing… don't know which way to go.… I'm like I don't want to take this med (Tamoxifen) it can cause uterus cancer and stroke, blood clot just a whole lots of stuff!

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@otas

I have just started to take Anastrozole after having lumpectomy & radiation for stage 2 ER+ breast cancer with clear lymph nodes.
I also have thalassemia minor & gilberts syndrom.
I’m quite anxious about taking Anastrozole as I’m not sure this is safe for me considering my health situation.

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Check with your oncologist or pharmacist regarding “safety”. If it is just know that it’s a daily dose and can be stopped ( and replaced) quite easily if it’s not working out for you.

Best 🌸

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@mjay

I have been on Anastrazole/Arimidex for one year. I've had some joint pains but nothing unmanageable. I do notice my hair thinning likely due to less estrogen. I have recently been diagnosed with Gilbert's syndrome due to a slightly elevated bilirubin, which is a condition in which the liver doesn't flush bilirubin out sufficiently resulting in yellowing of the whites of your eyes or yellowing skin. I have a question out to my doctor about next steps but would be interested in hearing if any others have had this particular issue arise while on Anastrazole. Best wishes to all of you!

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I have just started to take Anastrozole after having lumpectomy & radiation for stage 2 ER+ breast cancer with clear lymph nodes.
I also have thalassemia minor & gilberts syndrom.
I’m quite anxious about taking Anastrozole as I’m not sure this is safe for me considering my health situation.

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@sequoia

@tamtam24 (((HUGS))). You are not alone. We are all here for you. I’m sorry you are going thru this. I took Anastrozole and had side effects. Took it for 2 1/2 years. Maybe ask your dr to prescribe a different AI or I’ve also hear others here say getting the name brand vs generic made a difference. Talk to your dr and try and get them to listen. Blessings & hugs.

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Thank you for your kind words!

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@tamtam24

I am crying as I write this because you capture perfectly how I feel on Anastrozole. I don't even recognize myself in the mirror - weight gain, thinning hair. Plus, I have raging insomnia that leaves me tired all the time. I find that oncologists, naturally, just care about the cancer returning and downplay the side effects. That then leaves one feeling so alone, like a failure if you experience side effects that they minimize.

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@tamtam24 (((HUGS))). You are not alone. We are all here for you. I’m sorry you are going thru this. I took Anastrozole and had side effects. Took it for 2 1/2 years. Maybe ask your dr to prescribe a different AI or I’ve also hear others here say getting the name brand vs generic made a difference. Talk to your dr and try and get them to listen. Blessings & hugs.

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@virginiae

Oh, you are not alone! Almost 2.5 years on this drug and anxiety & depression are significant side effects... you begin to feel like "why can't I just pull it together?" but it is very real. Not sleeping soundly doesn't help either. I try to meditate but I'm not that good at it. I also use an essential oil diffuser at home and find that some of the anti-anxiety blends help a little. Worth a try and diffusers are inexpensive. All the best to you.

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I am crying as I write this because you capture perfectly how I feel on Anastrozole. I don't even recognize myself in the mirror - weight gain, thinning hair. Plus, I have raging insomnia that leaves me tired all the time. I find that oncologists, naturally, just care about the cancer returning and downplay the side effects. That then leaves one feeling so alone, like a failure if you experience side effects that they minimize.

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Has anyone found any significant difference in hair thinning between the various inhibitors? I've been on Anastrozole for about a year and a half. I have knee pain/stiffness when I get up from a chair or walk up and down stairs, but once I get going on a flat surface, no pain. I also have chronic tiredness and terrible insomnia. However, I can live with all those. The hair thinning is particularly tough for me because I already struggled for years with androgenic alopecia. Fortunately, it was mostly around the hairline and on top and I have naturally wavy/curly hair, so even the dermatologist I saw a few years ago had to get right on top of me to notice. I then started taking Rogaine, which seemed to stabilize my hair. However, since being on the Anastrozole, the thinning seems much worse. I don't lose hair, just each hair is so thin. I've had two really humiliating experiences recently where I was in a picture and shocked at how noticeable my thinning has become. I know that the hormone therapy is key, but, boy, I already felt so bad about myself and how I looked, and now I feel so defeated and depressed. Any insights? Experiences? Advice? Thanks for listening!

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