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Need answer about Tamoxifen 10 mg. dosage ASAP

Posted by colely @colely, 1 day ago

I am seeing my breast cancer Oncology N.P. soon and need to hear if anyone has been ok'd by their Oncologist, from a major Cancer Center, to take 10 mg. of Tamoxifen. If so, I will need the name of the Center. Does Mayo, for instance, allow their patients to do this? I have been told by my cancer center that it is all or nothing. That only 20mg. will save me from my new cancer recurring. I can't take A.Is for many reasons.

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wellgirl | @wellgirl | 1 day ago

I don't know where you are but I get my treatment at Dana Farber Institute in Boston, MA.
I had a hard time first on AIs and then on Tamoxifen at 20 mg. In my case, it affected my mood. My oncologist started me at 5 mg and slowly inched up. Fortunately with the adjustment of some other medications I already took I was able to slowly inch up over a period of two years. I am now on 20 mg. My oncologist was practically dancing in the hall when he learned I had finally been able to tolerate the full dose.
I don't know this, but I think it depends more on your oncologist not on the center. I was getting treatment in Rhode Island and my oncologist there prescribed 5mg referring to the "Baby Tam" study. This study wasn't of women with the type of breast cancer I have. Mine was Invasive Ductal Carcinoma. Have you tried a second opinion with another oncologist? I know how frustrating it is to want to be compliant and your body won't cooperate and at the same sime you're scared about getting cancer again. Best of luck to you.

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colely | @colely | 1 day ago
In reply to @wellgirl "I don't know where you are but I get my treatment at Dana Farber Institute in..." + (show)
@wellgirl

I don't know where you are but I get my treatment at Dana Farber Institute in Boston, MA.
I had a hard time first on AIs and then on Tamoxifen at 20 mg. In my case, it affected my mood. My oncologist started me at 5 mg and slowly inched up. Fortunately with the adjustment of some other medications I already took I was able to slowly inch up over a period of two years. I am now on 20 mg. My oncologist was practically dancing in the hall when he learned I had finally been able to tolerate the full dose.
I don't know this, but I think it depends more on your oncologist not on the center. I was getting treatment in Rhode Island and my oncologist there prescribed 5mg referring to the "Baby Tam" study. This study wasn't of women with the type of breast cancer I have. Mine was Invasive Ductal Carcinoma. Have you tried a second opinion with another oncologist? I know how frustrating it is to want to be compliant and your body won't cooperate and at the same sime you're scared about getting cancer again. Best of luck to you.

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Thank you for your input!

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peggydobbs | @peggydobbs | 23 hours ago

I have DCIS with invasive cells, stage 1a, grade 2-3. I was prescribed 20mg Tamoxifen, but ended up not taking it since I tolerated anastrozole (after not tolerating letrozole & exemestane). My first cancer center was Memorial Sloan Kettering, 2nd Columbia Presbyterian--both in NYC.

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colely | @colely | 20 hours ago

Thank you for that information. Do you have osteoporosis? If so, what do you do about what A.I.s do to your bone integrity?

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