Anyone else decided not to take HT Tamoxifen or other drugs?

I had lumpectomy end of Feb 2020 (left breast invasive lobular carcinoma 7mm; Grade 2/Stage 1; lymph nodes clear. Post menopause). Completed radiotherapy two weeks ago and given Tamoxifen, but have not taken any as I am paranoid of the horrifying side effects that I read many have experienced.  Hats off to many of you who are bearing with the side effects so bravely.  Of course, there are also many who sail through taking them without any s effects (like a lucky friend of mine, who took it for 10 years!). 

Have been told by oncologist that the benefit in my case is 1% (I know that this is the case for some of you too) - am I ready to compromise 1% benefit for may 10% side effects?   The dilemma is the fear of side effects vs cancer reccurrence...  It would be appreciated to hear anyone who have decided not to take hormone therapy.

Also, has anyone been on a lower dosage of tamoxifen besides 20 mg - e.g. taking it alternate day or cutting it into half?

I hope to hear from some of you. 

My thoughts and best wishes go to those who have recently been diagnosed; we know and understand what you are going through...  This is the right platform where people are willing to share their experiences and give their support.

Many thanks.

  • I am interested in hearing if anyone has had advice on taking Letrozole just on alternate days. I have (reluctantly) began taking it, finished radiotherapy post lumpectomy about a month ago, I am on a load of heart medication and in the past year I can feel the beginnings of arthritis in my wrists so am prone to joint pain already. I have read a lot about the side effects of letrozole and I am depressed and scared just thinking about it- I have a lot of personal problems to deal with at present and am terrified about the possibility of more physical ones being added to the mix. Any advice woul be appreciated- thanks!

  • Hello Mary EI

    well I am currently taking Letrozole every other day. Only been doing this for 3 weeks so it's early days. Just started having back pain today which (I think) is the Letrozole given I have never suffered with my back in my life before. I also think I am a bit 'flat' but can't say I am low mood. 
     

    So it's early days. I AM sleeping better though so that's odd!! Not sure I will keep the regime up. The protective factor is tiny (as it seems to be for everyone?! About 1.5% apparently)

     

    I was supposed to have started taking them in March but just couldn't bear the thought of it. I think I got  a bit scared though and suddenly wanted to try the hormones.  I may stop them if my back isn't better within the week. I find it hard to give up my good health for the sake of a minute benefit. It doesn't inspire me anyway. 
     

    Please let me know how you go.

    All the best,

    Kebbs. 

  • Hi Kebbs!

    Thanks for your reply! I was the same, I postponed taking Letrozole because of what I had heard about it’s bad effects on the body and quality of life. Can I ask what you meant when you said the protective result is 1.5%? I suppose fear got the better of me and I have a friend who has had no problem with it so I gave in, it’s only been a few days and I don’t know if it’s a coincidence but I have pains in my shoulders which weren’t there before ! Anyway I will keep an eye on things and post the outcome here - good luck !

     

    maryEl

  • Hi Mary EI,

    Good to hear from you! 
     

    Yes the 1.5% is the size of the protective factor the hormones will give me from a breast cancer recurrence. The oncologist told me this at my review after radiotherapy had been completed.
     

    Most people have a very small benefit within the same region as mine  from taking hormone tablets. Obviously some people will have a greater protection than 1.5% but most people on this site seem to hover between 1% and 2.5%. It's a difficult decision when they cause so many people so much grief for such a small margin. I guess though it IS a bit like 'insurance'. Not many people actually need it but it's so important when you do!!!! 
     

    Anyway I am going to keep going with it for another 3 weeks. IF my back is worse or if I feel I am getting low mood I will stop and take my chances. It's a bit scary but quality of life is so important too. 
     

    Take care and please keep me posted on your thoughts with this!!

    Best wishes,

    Kebbs x x 

  • Hi I have been taking letrozole for 2.5 years now following breast cancer. . I have lots of other health issues too apart from the cancer diagnosis . I had a lumpectomy, radiotherapy, Herceptin and then started taking anastrozole . This drug made me have terrible hot flashes and every joint possible ached - even those in my fingers . I spoke to my oncologist who switched me to letrozole . My aches and pains disappeared but I suffer terrible hot flashes still . They absolutely drive me mad and in the middle of one I would gladly never take them again BUT for myself the fear of cancer returning is far worse . I do feel low sometimes and have gained so weight but if it stops that vile cancer returning then I'm prepared to carry on . Of course everyone's situation us very different and I just hope you can come to a decision of your own . Lots of luck to you - I know how difficult it is x

  • Hi Saffie,

    yes I completely take your point about the 'fear factor' of cancer returning. I guess it haunts nearly everyone once diagnosed. 
     

    It is a very personal decision and one that's not easily arrived at. I have big respect for people  like you who can 'manage' the side affects as well as you are doing. I know it can't be easy. 
     

    Its interesting your aches and pains disappeared after starting Letrozole. Do hope the sweats calm down at some point too. It must get you down. 
     

    I guess one of the things I haven't mentioned before is the damage to my bones. I have osteoporosis and Letrozole eats bone!!! So the outlook re. that isn't the best either!! However I had an infusion in early April to protect my bones so hoping that will help me. I think a dexa bone scan is a must before starting hormone treatment. 
     

    Please take care. Good luck with everything. 
     

    Kebbs x x 

  • Hi Kebbs,

     

    Thanks for that explanation! It seems a high price to pay for such a small protection factor. Anyway, I will see the consultant in September and I’ll make a decision then depending on how it goes with the drug over the next few weeks. For now I’ll just try and take care of myself and enjoy this summer- I’ll keep updating here-strange times indeed!

    Take care - Mary 

  • Yes I will look out for your updates Mary. 
    Enjoy the sunshine!! 
    Kebbs x