I too am asking this question, more so after reading some of the content here in this topic.
I have been on Letrozole for 7 months, during that time increased mobility issues due to joint pain and muscle weakness along with brain fog and anxiety. My prognosis is ‘poor’ Invasive Lobular 10cm tumour with 12 positive nodes seemed like a no brainer to take the little pills.
Then my hair, which had started falling out for fun from the beginning of treatment no longer covered my scalp … like glaring bright pink patches of skin shining through. Hair loss literally broke me into pieces, almost suicidal in my distress, unable to venture outside the house, constantly crying.
After explaining how I felt to my breast nurse and then to my Oncologist I’m currently 6 days into a 3 week drug holiday. Most of the joint and muscle pain has disappeared and I’m no longer bursting into tears at the slightest prod. I’m still very upset about my hair loss but instead of sitting around crying about it I’m looking at ways of dealing with the crisis, like using topical monoxidil, caffeine shampoo etc. and have ordered a wig so that if I want to … I can just shave the lot off and therefore stop worrying about the loss.
What is most worrying to me is the realisation of what Oestrogen deprivation was doing to my brain and my inability to cope with a problem !
My Oncologist is planning on starting me on Tamoxifen instead of Letrozole in 2 weeks … as far as I can glean, cognitive function is impaired with all these drugs.
After reading all comments in this forum I went to NHS predict … my 5 year survival with surgery only is 35% with the addition of hormone treatment this increases to 48%. A 13% chance of survival is not to be sniffed at BUT what good is survival if that is all it is ? I want to ‘live’ my life to the end and most importantly I want to be ‘ME’ to the end, capable of rational thinking and making my own choices.
At the end of my drug holiday I will make my decision whether to take Tamoxifen … Letrozole - I was more or less told to take it without any information ‘you will be on this for 10 years’ !
Maybe if I’d been better informed in the first place as to side effects I wouldn’t have taken the Letrozole would still have a full head of hair and been much less miserable for the last 7 months !
I admire everyone who perseveres with the side effects but for me, the most disturbing aspect of my mental and physical health under the influence of this drug, is that my husband of 40 years was also suffering greatly and I’d like us to be dancing and smiling at our 41st anniversary, even if it may be our last.