Quality of life and letrozole

Hi

I was diagnosed last September and had surgery the week before my birthday in October. Radiotherapy the week of Christmas and put on Letrozole. I have found that the side effects have progressively got worse. Stiffness of joints especially my hands and feet. Hot flushes continually through out the day and sleep deprivation at night. My mood levels are low and I find it very hard to tell my family about how I feel. I’ve got a telephone appointment with BCD in 2 weeks and just feel at my wits end. Trying to get an appointment with the GP has been impossible. I’ve managed to get physio booked in for problems with my neck and shoulder (left side)Most people I’ve spoken to who have gone through BC have said the same thing….try and change your tablets or come off them.Prior to my diagnosis I went to the gym 4-5 times a week and did lots of walking. Now I have days when I’m exhausted and have trouble climbing the stairs and have gained 8kg since my op I just need some positive news soon please

3 Likes

Hello I gave Letrozole a solid try but at 7 months I had had enough. My oncologist switched me to an anastrozole and side effects are much more tolerable. Phew. Some people just sail through o Letrozole while others have issues. Quality of life is important.
I also take loratadine ( Claritin). It helps block pain receptors. I cannot take any anti inflammatory medication due to an allergy. See if you can switch to a different aromatase inhibitor if you feel your quality of life is being affected.

Cheers.

2 Likes

One thing that did help with my joints when I was on it was my gentle Pilates class. Might be worth a try?

1 Like

Yes,

I went on Wellbutrin. Helped some.

I switched to Anastrazole. Helped a little.

I’m trying every other day. Helps. Not recommended but I figured better than stopping so I don’t know about the dosing aspect. Also due for a scan tomorrow due to something noticed on MRI. That’s not due to my dosing which is only recent but I might have to go back to every day if the scan proves positive.

1 Like

Oh gosh , I am with you. I have been on lestrozole and verzenio for almost a year now. But afraid of cancer comming back. So I push through, some side effects may settle down. I had to back to back cancers a year apart and just look a picture compared to today and almost cried I look like I aged 20 years in two years. But still many good days . I have learned so much through this journey and very grateful for each day. ,Hang in there.!

3 Likes

Has the verzenio helped with your hot flushes?

I second that exercise makes a huge difference to symptoms. They will ask you to stick with it for a bit longer, but if not tolerable try asking the question of switching to Exemestane instead

How long are you doing the every other day on Letrezole I’m just got my prescription to start My oncologist did say I can start every other day but nervous about starting them as I already suffer with joint pains

I’ve been on Letrozole for about 4 years now, and the fatigue is increasing. I work from home thank goodness, but log in super early and log off late most days to allow a quick nap each day. Taking no doze every 3-4 hours in the meantime, and sleep almost 18 hours every Saturday or Sunday to feel human for the next week of work.

If anyone has advice, I’d love to hear it.

3 Likes

I haven’t started, as like you I get some pains in muscles and finger joints. I keep looking for alternative things that may suit me better. I generally have a dislike of drugs and can’t get my head around taking it. Still have it and may try but if do it will be every other day so that my body can get used to it gradually. It will have more chance of settling down but that’s just how I feel and others may not have any problems with drugs. overreact to drugs, so generally take a wide birth around them. I am told mostly people do well on the drug. I have been using something that may help the joints and muscles and so far it has been quite good. have a link below. Although I think safer to use the GEL as its external and Silicum is part of creating Collagen and that can be a problem in cancer so best to use externally at first and check it out for yourself. It may support you whilst on the drugs. My body overreacts to drugs, so I am being careful. There is a link below to the SILICIUM available silica product.

SILICIUM info https://silicium.com/en/products/silicon-g7-original this is the one without preservative and the do another one without preservatives. Also a gel which is mostly likely the one to use as can put directly on joints and muscles.

@perry235 The fatigue is tough.

I started to really struggle with fatigue on Letrazole after about a year, which was really affecting my quality of life. I talked to the breast care nurse about it and was switched to Exemestane which has been better, although I still don’t have the energy levels I had 2 years ago before all this started.

I did some research and found a paper which suggested ginseng helps with cancer related fatigue so I now take ginseng every morning at the same time as my Exemestane and a multi vitamin at lunchtime.. My energy levels feel more stable since I’ve been doing this. Hope this is helpful

1 Like

@marriott I’m almost exactly a year ahead of you, my diagnosis was in September 24. I struggled with Letrazole, mainly fatigue, but also some joint stiffness, tendon problems and vaginal symptoms. I spoke to my breast care nurse and was switched to Exemestane which has made a big difference, although my energy levels are still a bit up and down and nowhere near where they were before all this started.

I was fit and healthy too before diagnosis and I’ve found accepting the fact that I’m not that same fit person any more one of the hardest things. I’m getting there but still have my moments. Everyone’s experience is different but I have found that the side effects have reduced over time, either that or I’ve got better at coping with them. Either way I’m in a better place than I was 6 months ago, so hang in there and chat to your breast care team about changing drugs if you’re struggling.

1 Like

Thank you all for your words of wisdom. I’ve seen my physio who has given me gentle exercises for my neck pain but am still awaiting my telephone appointment with my breast nurse. :crossed_fingers:that I can change medication or be given something to help with the joint pain and stiffness

Keep fighting everyone we’ve got this :raising_hands:

1 Like

I am so incredibly sorry you are going through this, and please know that your feelings are entirely valid and not “whiney” at all—it is completely exhausting to deal with sudden, severe joint pain and a heavy emotional dip. Letrozole significantly lowers estrogen, which is vital for keeping you safe but also functions as the body’s natural joint lubricant and mood stabilizer, making this a very common and difficult hurdle. Please don’t feel like you are locked into seven years of this suffering; the first few months are often the hardest peak before the body adjusts, and your oncologist has a toolkit of options—including switching pill brands, trying a different hormone therapy, or adding targeted joint support—to ensure your quality of life is protected. Just as navigating a complex health transition requires analyzing all the hidden internal factors to restore your life’s natural balance, looking at your spiritual energy patterns through a destiny matrix calculator can help you find clarity, peace, and alignment during overwhelming times. Please reach out to your care team and share exactly how you are feeling, because you do not have to navigate this heavy transition alone.

1 Like