After finishing active treatment I’m due to start Anastrozole/bisphosphonate tablets. Since chemo my food feels like it is stuck after I’ve swallowed it (varies on how much) so I am very reluctant/worried to start the bisphosphonates. Is there a liquid form of them? 

Thanks P x

I am at the same waiting stage too. You can have bisphosphonates either as a tablet or as an infusion. 

Info here:

I guess there might be reasons why one is suitable for you and not the other. I want to discuss with my team at my next appointment too. When I had my initial oncology appointment, the consultant said that they usually recommend the tablet if you don’t have any gastro issues. I didn’t ask any questions at the time as there was so much to take in at that appointment. But looking at the detail, I find the thought of the tablets miserable - you have to stay upright for an hour after taking them, first thing in the morning, and only drink water. My morning routine is to have a cup of tea and then rush around like a headless chicken trying to squeeze in exercise, housework, getting kids off to school, making lunches etc. I don’t really want to have to adjust the rest of my life to accommodate an hour of just standing, walking or sitting. Not to mention the lack of tea…

Hi Yorkie51 

Thank you for posting your question about bisphosphonates.  

As @Dot2Dot mentions, bisphosphonates can be given as a tablet (sodium clodronate) or intravenously (zoledronic acid). There is no liquid option for sodium clodronate, but you may find it helpful to ask your treatment team if there are any alternatives that may be available as a liquid. They can also answer any worries you have about starting the bisphosphonates.   

Side effects from chemotherapy can sometimes take several weeks or even months to get better. You can talk to your breast care nurse or treatment team about the swallowing difficulties you are having. They with be able to advise on the best way to manage this or refer you to a dietician for support if needed.   

You may be interested in our resources that are particularly for those who have come to the end of their main hospital treatment. These are known as our Moving Forward services and include our Moving Forward booklet and Moving Forward courses.  

The courses are open to people who have had a primary breast cancer diagnosis and have finished their hospital-based treatment within the last two years.   

Through supportive, open conversations in a safe, confidential space, you’ll connect with people who understand. And you’ll find the tools you need to feel more empowered, confident and in control to begin to move forward with your life. 

You can attend Moving Forward either at our face-to-face course or take part by joining online. Find a course near you or register for an online course via the links above or call us on 03457 077 1893.  

Do call our helpline if you would like to talk this through or have any further questions. The helpline team have time to listen to your concerns, talk things through and signpost you to more support and information. Your call will be confidential, and the number is free from UK landlines and all mobile networks. The number is 0808 800 6000, (Relay UK - prefix 18001). 

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