Hi Liverbird
I was on Tamoxifen for 5 years and after tests to see if I was post menopausal, changed to Letrazole a year ago. My onc went through the pros and cons and suggested 3 years on it. He used a program that gives a projected outcome given the factors of your particular cancer (size, spread, er+ etc). I thought that a 3% better chance was worth taking as I was used to being on medication.
A year down the line I'm not so sure now. You can never know how an individual is going to react to medication and I have found I've recently had problems with my digestive system - indigestion, constipation, trapped wind pain etc. The side effects listed cover almost everything to do with digestion. This combined with the build up of calcium in my body, I think is the cause.
I was also reading about prolonged use of indigestion tablets (contain calcium carbonate). Apparently 'over time they (Tums, Rennies) cause acid rebound, a condition in which the excess calcium actually stimulates increased acid secretion'. As the dose we take is quite high it's hardly surprising we've had problems.
I get joint pain and stiffnes but feel this is managable. I've also put a bit more weight on but my body shape has changed too so this may just be the menopause (I'm nearly 54).
I'm due to see my GP next week and will see what he suggests. May have to see the onc again soon too.
Perhaps you could ask your onc's secretary to get her to explain again your projected prognosis maybe using the same program mine did - I think it's on the web but for consultants only.
It's so hard when you have to make decisions youself. My onc would have given me chemo if I'd wanted but I decided just to go the homone therapy route (5 yrs tamox, 2 yrs zoladex). I'm lucky that my husband is very supportive and the breast consultant who did the ops is also happy to advise, so I've had a lot of help making my decisions. The decisions I've made have been the right ones for me at those moments in my life, but that still doesn't stop those little doubts every time I get a pain or niggle.
Having had cancer is something that never completely goes away, but the further away from diagnosis I get, the easier it is to cope with.
Good luck R with your decision and I hope there are many more replies from the wonderful women on this site.
fantan
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