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Old 06-16-2007, 02:55 AM   #1
michka
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ARIMIDEX vs FEMARA

Hello ladies,
I need your opinion. I started Arimidex 2 months ago and I have pain everywhere. I cannot move at all in the morning and I have to take pain killers (in France IXPRIM) to be able to move.
My doctor who first told me to hold on because the body would adapt is now suggesting to try Femara.
Did you experience important pain with Arimidex? Should I try to hold on?
Is Arimidex a better treatment than Femara or is it the same?
Thank you for your help. After going through hell with the chemotherapy and then being burned by radiation, having nerve problems in my arm after operation, I am tired of suffering but I am ready to hold on if it is best.
__________________
08.2006 3 cm IDC Stage 2-3, HER2 3+ ER+90% PR 20%
FEC, Taxol+ Herceptin, Mastectomy, Radiation, Herceptin 1 year followed by Tykerb 1 year,Aromasin /Faslodex

12.2010 Mets to liver,Herceptin+Tykerb
03.2011 Liver resection ER+70% PR-
04.2011 Herceptin+Navelbine+750mg Tykerb
06.2011 Liver ned, Met to sternum. Added Zometa 09.2011 Cyberknife for sternum
11.2011 Pet clear. Stop Navelbine, continuing on Hercpetin+Tykerb+Aromasin
02.2012 Mets to lungs, nodes, liver
04.2012 TDM1, Ned in 07.2012
04.2015 Stop TDM1/Kadcyla, still Ned, liver problems
04.2016 Liver mets. Back on Kadcyla
08.2016 Kadcyla stopped working. mets to liver lungs bones
09.2016 Biopsy to liver. no more HER2, still ER+
09.2016 CMF Afinitor/Aromasin/ Xgeva.Met to eye muscle Cyberknife
01.2017 Gemzar/Carboplatin/ Ibrance/Faslodex then Taxotere
02.2017 30 micro mets to brain breathing getting worse and worse
04.2017 Liquid biopsy/CTC indicates HER2 again. Start Herceptin with Halaven
06.2017 all tumors shrunk 60% . more micro mets to brain (1mm mets) no symptoms
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Old 06-16-2007, 05:36 AM   #2
Kimberly Lewis
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femara- I have only done this one and have had minor to moderate joint pain. Usually this is after inactivity like sitting or sleeping then getting up to move around and it stops once I am in motion. I am sorry you have had it so hard! Each of us responds differently to meds so if it is really bad try the other. I am not sure why so many are on Arimidex as opposed to Femara...
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Diagnosed 7/05
Stage 3a er+(45%) pr+(68%) Her2+ (40%)
3.8 cm + .8cm multi focal - pleomorphic lobular tumors
high grade DCIS
7/20 nodes

BRCA 2
positive as of 5/07
surgeries: double mastectomy, hysterectomy (LAVH)
A/C,Herceptin for 1 year completed 11/06
femara


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Old 06-16-2007, 01:54 PM   #3
CLTann
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My signature below is self explanatory. I have no problem with Femara. My understanding is that they are basically the same in both chemistry and efficacy. Best luck to you.
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Ann

Stage 1 dx Sept 05
ER/PR positive HER2 +++ Grade 3
Invasive carcinoma 1 cm, no node involvement
Mastec Sept 05
Annual scans all negative, Oct 06
Postmenopause. Arimidex only since Sept 06, bone or muscle ache after 3 month
Off Arimidex, change to Femara 1/12-07, ache stopped
Sept 07 all tests negative, pass 2 year mark
Feb 08 continue doing well.
Sep 09 four year NED still on Femara.
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Old 06-16-2007, 02:57 PM   #4
Lien
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I don't think there's a great difference between Arimidex and Femara. At first I had trouble with my joints and felt pretty sore. This gradually diminished, and now I only have stiff and painfull joints in the morning and after a long period of inactivity. Stretching seems to help.

I'm sorry you are in so much pain. I've heard of people who felt better after switching from one AI to another. Some others didn't notice much of a difference.

Lien
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Diagnosed age 44, January 2004, 0.7 cm IDC & DCIS. Stage 1, grade 3, ER/PR pos. HER2 pos. clear margins, no nodes. SNB. 35 rads. On Zoladex and Armidex since Dec. 2004. Stopped Zoladex/Arimidex sept 2009 Still taking mistletoe shots (CAM therapy) Doing fine.
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Old 06-16-2007, 04:48 PM   #5
Caroline UK
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My stiff joints are easing now

Hi Michka,
I too had a lot of stiffness and discomfort at first with Arimidex, especially feet, ankles and knees. My oncologist assured me that this is very common, and should start to ease after the first 2 months, and it did.
I've been taking it for about 4 months now. I'm still stiff when I get up from sitting, or first thing in the morning, but it quickly gets easier. My knees still creak and crunch loudly, but on the whole yes, it has got a lot easier, and I hope it will get even better.
I'd be very interested to read what others have to say, especially about any differences in medications.
Best wishes to you
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Caroline
Diag. March 10th 2006, aged 46.
Invasive ductal carcinoma, 2cm + multifocal. Stage 2, Grade 3
HER2+++, ER+/PR+
Right mast. May 2006. 6 of 20 nodes positive
FEC x 4, taxotere x 4; port implanted after 6 cycles
Rads x 25
1 year of Herceptin ended Nov 07.
Arimidex 5 years

Considering reconstruction, maybe soon...
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Old 06-16-2007, 09:00 PM   #6
Patricia
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Hi Michka,

I had the same pain you described when I first started taking the AIs. I have tried both Femara and Aromasin. I switched from Aromasin to Femara because the pain from the Aromasin was awful. The Femara made me depressed so I switched back to the Aromasin as I felt I could deal with the pain easier than the depression. I asked the dr about Arimidex, but he told me chemically it was identical to the Femara so I never tried it. Just like the others, the pain did get better over time. I still have achiness especially in the morning or after being still for awhile, but it is night and day compared to how it used to be before. I wish I knew that when I was having the pain because I thought it was pretty unbearable for awhile and if I had known that it was going to get better I would have at least felt better mentally. Hang in there, I hope you find one that best for you and that i am sure it will get better for you too.

Hugs,
Patricia
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age 37 @ dx 7/21/05: IDC 1.5cm, grade III, Stage 1c, ER /PR+, HER2+,
7/29/05: Partial Mastectomy
dx 8/15/05: Papillary Thyroid Cancer
9/15/05: Total Thyroidectomy
A/C X 4 DD, 11 weekly Taxol + Herceptin, + 9 mos Herceptin Alone, 36x Rads, Lupron, Aromasin
7/29/07: 2 years NED :)
8/6/07 Oopherectomy (Lupron no more! :-)
Aromasin & Estring plus Synthroid and supplements
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Old 06-16-2007, 10:37 PM   #7
Jean
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Yes Sir I did switch!

Hello Micka,
I had started my hormone treatment with Arimidex. I had strong ankle
pain - joint pain along with neck and back pain. My bones and joints
really ached. I hung in for one year hopein my body would adapt.
Then I started chemo...and I had to stop taking the Arimidex with in
10 days I began to feel like my old self. After Chemo I had to go back
to Hormonal treatment. This time I tried Femara. It has been a major
big difference. They both work to accomplish the same measures.
I have found that while on Femara my body feels 90% better. I have now been on the Femara Since Sept. If you feel a strong amount of joint and
muscle pain consider switching off the Ariimidex and try the Femara.

Sorry that you are in discomfort - Also very very important even if you are feeling aches and pains exercise is so very important. It will help grealty
if you walk and do some exercise.

Wishing you the best, let us know what you decide to do.
Kind Regards,
Jean
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Stage 1, Grade 1, 3/30/05
Lumpectomy 4/15/05 - 6MM IDC
Node Neg. (Sentinel node)
ER+ 90% / PR-, Her2+++ by FISH
Ki-67 40%
Arimidex 5/05
Radiation 32 trt, 5/30/05
Oncotype DX test 4/17/06, 31% high risk
TOPO 11 neg. 4/06
Stopped Arimidex 5/06
TCH 5/06, 6 treatments
Herceptin 5/06 - for 1 yr.
9/06 Completed chemo
Started Femara Sept. 2006
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Old 06-17-2007, 04:46 AM   #8
Hopeful
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Michka,

I am sorry to hear you are suffering so. I actually switched from Femara to Arimidex, due to the side effect of tinnitus (ringing in the ears). It is less so with the Arimidex. On Femara, I had no joint pain. With Arimidex, I do get joint pain on occassion, particularly in my thumbs. The two drugs are fundamentally the same, with slightly different molecular configurations. Whatever is different about Femara, for most people it clears up the joint pain side effects they experience on Arimidex.

Good luck with your treatment plan,

Hopeful
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Old 06-17-2007, 06:42 AM   #9
michka
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Thank you for all your answers. Just that makes me feel stronger! I'll try to hang on another month and do a little more walking and stretching. Then if I still suffer as much or if it gets worse I'll switch to Femara since it seems to be the same as Arimidex, treatment speaking.
__________________
08.2006 3 cm IDC Stage 2-3, HER2 3+ ER+90% PR 20%
FEC, Taxol+ Herceptin, Mastectomy, Radiation, Herceptin 1 year followed by Tykerb 1 year,Aromasin /Faslodex

12.2010 Mets to liver,Herceptin+Tykerb
03.2011 Liver resection ER+70% PR-
04.2011 Herceptin+Navelbine+750mg Tykerb
06.2011 Liver ned, Met to sternum. Added Zometa 09.2011 Cyberknife for sternum
11.2011 Pet clear. Stop Navelbine, continuing on Hercpetin+Tykerb+Aromasin
02.2012 Mets to lungs, nodes, liver
04.2012 TDM1, Ned in 07.2012
04.2015 Stop TDM1/Kadcyla, still Ned, liver problems
04.2016 Liver mets. Back on Kadcyla
08.2016 Kadcyla stopped working. mets to liver lungs bones
09.2016 Biopsy to liver. no more HER2, still ER+
09.2016 CMF Afinitor/Aromasin/ Xgeva.Met to eye muscle Cyberknife
01.2017 Gemzar/Carboplatin/ Ibrance/Faslodex then Taxotere
02.2017 30 micro mets to brain breathing getting worse and worse
04.2017 Liquid biopsy/CTC indicates HER2 again. Start Herceptin with Halaven
06.2017 all tumors shrunk 60% . more micro mets to brain (1mm mets) no symptoms
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Old 06-18-2007, 08:37 AM   #10
suzan w
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I, too, had severe joint pain when I started on Arimidex. It moved from one joint to another...started with the hips. Could not get out of a chair unaided, etc. Seems like the pain had to move through all my joints! Now, 20 months of Arimidex later, I have some mild joint pain-usually after period of inactivity, am slightly stiff in the morning. I try to walk 5 miles a day and this keeps me limber too!!!
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Suzan W.
age 54 at diagnosis
5/05 suspicious mammogram-left breast
5/05 biopsy-invasive lobular carcinoma with LCIS,8mm tumor,stage 1 grade 2, ER+ PR+ Her2+++
6/14/05 bilateral mastectomy, node neg. all scans neg.
Oncotype DX-high risk
8/05-10/05 4 rounds A/C
10/05 -10/06 1 yr. herceptin
arimidex-5 years
2/14/08 started daily self administered injections..FORTEO for severe osteoporosis
7/28/09 BRCA 1 negative BRCA2 POSITIVE
8/17/09 prophylactic salpingo-oophorectomy
10/15/10 last FORTEOinjection
RECLAST infusion(ostoeporosis)
6/14/10 5 year cancerversary!
8/2010-18%increase in bone density!
no further treatments
Oncologist says, "Go do the Happy Dance"
I say,"What a long strange trip its been"
'One day at a time'
6-14-2015. 10 YEAR CANCERVERSARY!
7-16 to 9-16. Extensive (and expensive) dental work done to save teeth. Damage from osteoporosis and chemo and long term bisphosphonate use
6-14-16. 11 YEAR CANCERVERSARY!!
7-20-16 Prolia injection for severe osteoporosis
2 days later, massive hive outbreak. This led to an eventual dx of Chronic Ideopathic Urticaria, an auto-immune disease from HELL.
6-14-17 12 YEAR CANCERVERSARY!!
still suffering from CIU. 4 hospitilizations in the past year

as of today, 10-31-17 in remission from CIU and still, CANCER FREE!!!
6-14-18 13 YEAR CANCERVERSARY!! NED!!
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