And so the debate continues !!! I have 3 rads left and will start Tamoxifen then. Thanks for all your post.
How are you doing with those exercises, Christine?! x
that's interesting, finished chemo six weeks ago, had MX / ANC two weeks ago, start rads in about three weeks. See surgeon on friday this week, but he told me last week he'll write to GP re Tamoxifen, he never said not to start it after rads finished.
Hi I'm 8/8 er+ve too, like you 1234 chemo-paused age 48, but still menstruating regularly before chemo.
I spoke to my onc yesterday specifically about this question, and he said I could do either, but perfectly understood when I said I would wait until after rads so that I could be sure what (if there are any) side effects would be down to. He said in the scheme of things, a few weeks makes no difference.
Thanks. I am oest +ive aswell and pre menopausal (well chemopaused now!)so that is why I have to start on Tamoxifen.
There is some research on an American credible site debating the pros and cons of when to start tamoxifen unfortunately chemo brain has prevented me from posting a link to it. It does seem that the jury is out as some say the cells should be "active" for rads to have maximum effect but drugs such as tamoxifen may affect this so it is best to wait.
I've waited since surgery October so what's another 3 weeks in the bigger scheme of things and besides how will I know whether it's rads, tamoxifen, herceptin or even the back end of chemo if I get any side effects surely one thing at a time is best ??????
1234, if your tumour if HER2+, why are you being given tamoxifen? I don't see the point of taking a drug that blocks the action of oestrogen unless your tumour was ER+. I think you should definitely check with either the oncologist or at least your GP and/or the breast care nurse that there hasn't been a mix-up somewhere. It's normal to start prescribed drugs as soon as possible unless told otherwise, so if you're not sure, ask the prescriber. (You can do this by phoning his/her secretary and leave a message, ask to be sent a letter so it's beyond doubt.)
Moya, I never heard about tamoxifen affecting rads, are you able to tell us any more about this please?
I started femara after surgery and well before RADS. I tink it depends on the hospital
Interesting, I was told to start two weeks after last chemo and before I start rads? Will ask radiotherapy team I think, though I assumed the onc was overseeing hat bit too
Thanks everyone.....doesn't seem to be any research papers on this, unless you know different?
I was told to start tamoxifen before rads - was keen to do so as there was a long delay waiting for wounds to heal. Last week, halfway through rads, I was told by another onc to stop tamoxifen as there was a theory that it affected radiotherapy. Same hospital!!
I think opinions do vary. I was told 4 weeks after last chemo. Onc said TAX and TAM are not a good combination and the body needs a little time to recover :)x
I was told to start taking Tam on the same day my rads started - 3 weeks after chemo.
There seems to be some variation in opinion between oncs on this Mine prescribed Tamoxifen when he saw me one week after surgery (I had my chemo before surgery) and said I could start taking it straight away. The wait time for rads wherre I am (Scotland) seems to be double that for England/Wales/NI so that may be a factor - though I'm not sure why!
If it was me, I'd ring the BCN/onc/rads people and ask.
Hope it goes well for you.
I've had mast/axil clearance/chemo ecx3 tax x 3 and am now on with radiotherapy. HER2 pos.
Oncologist gave me a prescrition for tamoxifen just wondered if I should start taking the tamoxifen after I've finished my 15 sessions of rads - read it in another post somewhere and if so why??