Dementia and letrozole

My mother in law who is 92 and has early onset dementia with type 2 diabetes and stage three kidney disease has been prescribed with letrozole. Did to the dementia we were unaware she had cancer but when an ecg was carried out a small tumour and disfiguration of her breast was discovered. She is a frail 92 year old, already tired most of the time, spends great deal of day immobile although we try to walk 20 mins a day. We are worried about starting the prescription because of possible side effects and how this will impact on her when she is already not in the best of health. The breast clinic were unable to give an indication of how long she's had the cancer for. They said take the drug and we will see her in three months time! Any advice? Should we just let nature take its course of inflict more suffering on her with possible side effects?

  • Hello Almeria1960

    I'm sorry to hear about your mother-in-law's recent diagnosis of breast cancer. It's understandable that you have concerns about how starting letrozole may impact her quality of life when she is already dealing with other health issues. 

    It's worth remembering that not everyone experiences side effects from taking medication and indeed not everyone will experience all the known side effects however it's something you won't know unless it's decided to be in her best interests to take the medication. 

    Have you or your partner spoken to the breast care team about your concerns? If not then I'd encourage you to ring and speak with the Breast Care Nurse or the Consultant. 

    Alternatively, you're most welcome to give our team of nurses a call and chat things through with them. I'm sure they would be happy to offer any information, advice, and support that they can. If you'd like to speak with them they're available Monday to Friday 9 am to 5 pm on 0808 800 4040. 

    Best wishes, 
    Jenn
    Cancer Chat moderator 

  • Thank you, we did ask the breast clinic consultant lots of questions because to be perfectly honest she never met my mother in law so had no idea how frail she is. We asked if she would be monitored and it seems we are on our own. Obviously we want to give her the best chance but she's so frail now even the mildest side effects are going to knock her sideways. My partner cannot cope for much longer and I lost my mum to dementia in December so I can't deal with it either. I guess it's just try the drugs and see what happens but who do we ask for help if she does react badly to them. We've heard about memory issues with this drug, that's going to make her dementia worse. It's a no win scenario in afraid.