Do you take your letrozole at same time of day as Ad cal d3?

Going through breast cancer treatment Hormone therapy
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Hello,

I take letrozole at 8pm (BCN said to take it late in the day), then chewable Ad cal D3 at 10pm and also 10am.

I forgot an Adcal D3 yesterday, :face_with_peeking_eye: so thinking of combining Ad cal and letrozole at 8pm. Then 2nd Ad cal at 8am.

I learnt from this forum that you can get swallowable Ad cal capsules rather then chewable, and am switching over to those as I often brush my teeth before bed, then realise I need to chew the sugary tablet yet!!:face_with_open_eyes_and_hand_over_mouth: (Although I do like the packaging on the chewable telling you which day/time you are taking).

I look forward to hearing from you wonderful people about when you take your tablets, And hope you are feeling good!!! :blush::heart_eyes:

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Hello, I take my Letrozole first thing in the morning, Ribociclib straight after breakfast and ad cal in the afternoon. I read somewhere that wholewheat foods make it difficult for the adcal to absorb. I have porridge for breakfast and a brown bread sandwich for lunch so I thought the afternoon will do then :grinning_face:

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Oh yes. Porridge. I forgot about that. I have that most mornings, so need to manoeuvre my morning adcal with that!

Thanks for sharing your “routine” :blush::heart_eyes:

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Hi

I take letrozole in the morning as the evening didn’t suit me….. woke at night soaked in sweat and heart hammering away :face_with_spiral_eyes:
So the CalciD - I take the chewable tablet. I did try the dissolvable one but it cause really bad indigestion
I believe it advises you to take with the evening meal so that’s what I do

I have had a quick look online and apparently you can take at the same time

Hope that helps :smiling_face_with_three_hearts:

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Thanks Lynikinz! I had a google and failed miserably! So thanks for helping me out :blush:

I also wake at night soaked with sweat, so might move my letrozole too!!

Thanks again!!:heart_eyes:

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Hi
Yes it’s def worth a try taking it in the morning and then the calciD with eve meal

I’ve almost given up on the letrozole so many times and my friends mum talked me into staying with it all
Side effects have been pretty horrendous
But I promised that I’d keep going
I have been on it for 3 years in August….

I’m sure the lovely people can answer your questions but I will be only to pleased to help if I can

Lynn x

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Thanks Lynn! I’ve just picked up my next prescription of Letrozole and it is a different brand, that has tartrazine in, so currently trying to see how I can get something more like I am used to!!

Well done for sticking with it. I know it’s tough!! Xxx

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Hi @cherryblossom1

I’ve lost count of the times the pharmacist has changed mine. It seems that they go for the cheapest one available
Not good
Which brand is it?

Lynn

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It is cipla - which seems to be one of the worst due to tartrazine being in it.

I’m currently at a different pharmacy Trying to get amarox or crescent!! I think they have both in stock here! Rang lots of pharmacies - no sun pharma around!!Xx

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I’m currently on sun…
I find symptoms get worse when you have to keep swapping
I’ve just put an order in for next lot

God knows what I’ll end up with :joy:

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Fingers crossed it will be something decent Linikinz!:crossed_fingers:

How long have you been taking them? I’m only just about to start my 2nd pack, so been 1 month so far…..xx

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It’ll be three years this August – not that I’m counting! :laughing:

Those tablets are awful. They completely suck the life out of you, and as I’ve said before, I’ve come very close to giving up on them several times.

I was on HRT for 18 years and, after my diagnosis, I had to stop it overnight just before my 60th birthday. That alone was a huge shock to my system, never mind having letrozole thrown into the mix as well.

As you know, letrozole basically strips away whatever little oestrogen you have left. Being post-menopausal, I now feel like a car running without any oil. :flushed_face: I’m officially the Tin Man! :joy:

I’m really hoping that once I finally finish taking it, my body will recover whatever small amount of oestrogen it can, and some of these side effects will ease. At this point, I honestly can’t tell where the menopausal symptoms end and the letrozole side effects begin.

You couldn’t make it up, really, but it is what it is.

I’ve read so many posts from women who’ve stopped taking their aromatase inhibitors, especially letrozole, because the side effects were just too much.

Quite recently, I was on the verge of giving up, but my best friend’s mum talked me out of it. She’s four years post-cancer herself and has one more year of letrozole to take. She told me that her daughter would have wanted me to keep taking the tablets and said, “If she were here, she’d be telling you exactly the same thing.”

My bestie sadly lost her own battle with cancer – not breast cancer – just two and a half years ago. She died only four months after being diagnosed, after it had spread throughout her body. Hearing her mum say that gave me the push I needed to carry on, even though it’s been incredibly hard.

So I hope you manage to take encouragement from this story and keep popping the tablets
You aren’t alone here!

You’re quite welcome to pm me with any questions you may have

Take care
Lynn x

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I take my letrozole in the morning with my breakfast drink, then first adcal around 10am to allow for gap between my cereals then 2nd adcal before going to bed around 10pm

I’ll be starting CDK treatment soon too so may I e things around if needed.

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Looks like we are on a similar time schedule Sunflower, of taking Adcals at 10! But I’ve been taking letrozole at 8pm, because nurse said to take it late. I’m interested people are taking their’s in the morning and planning on joining in! I’d love to sweat less at night and wonder if that might help? :thinking: ( Probably not much in the next few days of forecasted hot weather though! :melting_face:)

Thanks for getting back to me !! Xx

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I’m on tamoxifen but yes take at same time as ad cal. I was told only one ad cal a day. I know it comes in a packet that has am and pm and the packet instructions say twice a day but mine is prescribed as once a day. I questioned this early on but was told once a day. I did miss one last week and thought it wouldn’t hurt to take 2 one day but keep forgetting in the morning. I really wouldn’t worry about one missed tablet though, as long as it’s not a regular thing. X

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Yes looks like a similar regime, I get some hot flushes on and off throughout the day and evening but luckily not too many night sweats.

I don’t remember getting a recommended time to take my letrozole other than the same time each day, and as I was taking some other medications in the evening for my asthma I decided to do letrozole in the morning.

Hope it improves for you.

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Thanks Sunflower. I’m finding inconsistencies in my care - one nurse will contradict another :man_shrugging: which is why I find this forum so helpful. E.g. “you can moisture your scar now”…..2/3 days later another nurse looked and said it was too soon.

So the advice about evening letrozole was probably duff too!!:joy: I think letrozole may make some people tired or nauseous, and late at night suits them? But who knows?!?! Good to know I’m free to do whatever, as we’re all doing our own thing on timings!:smiling_face: xx

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Hi Sprout, yes I’ve read different people take different numbers of adcal d3. Just another random difference in our treatment pathways. Thanks for the reassurance about taking things together. Always good to read some reassurance! Lately !!:heart_eyes: Xxx

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Hi there. I take my Anastrozole when I get up before breakfast, one Adcal mid-morning and another about 8pm. I have two other blood pressure medications which I take at bedtime. I would say do whatever suits you and your lifestyle as regards spacing them out. I’m retired so the morning tablets can vary in time depending when I get up !

I’ve been on Anastrozole about 18 months and had different brands, fortunately I can’t tell any difference but I get prescribed every 2 months so at least have 2 lots of the same make.
All best wishes.

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Consistency is the goal.

I take Ribociclib and Letrozole in the morning - just before breakfast.

I have chewable and tablets and prefer the non chewable.

I have oats for breakfast so try to leave a two hour gap as it will interfere with absorption (same for a lot of foods - suggest googling or chatGPT).

I always manage to take one but then it’s the second where I am hit and miss. Because of the issue with absorption I could never find the right time to take and chewable ones make me feel nauseous so BCN said take with food or just before as better to take than not at all. I also try to up my calcium intake via food (daily Greek yoghurt cheese veg etc)

And tin man comparison - completely agree!

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