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Old 05-14-2008, 04:11 PM   #1
NanaKaren
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Question Pain, Pain, Pain

I have been on Arimidex for over a year now, and the bone and muscle pain it causes me is unbearable without pain medication. I have tried Femara and Aromasin with the same results, so I decided just to grin and bear it. I am afraid now of becoming addicted to the pain killers, but can't seem to even function without them. Any advice from all you sweet sisters. NanaKaren
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Old 05-14-2008, 04:33 PM   #2
Patb
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Sorry about your pain. I also am on Arimidex and
have been for 18 months. Exercise and especially
in the water really helps, even though I push myself
to do it. I also take Omega 3 fish oil caps and I think
they help. I have decided to continue on the Arimidex
if at all possible.
Good luck.
patb
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patb

Diagnosed June, 06, Stage I, Grade3, ER+PR- Her2positive, No Nodes. A/C X 4. Radiation 33 with boost, Herceptin every two weeks until Nov.
07, Arimedex for 5 years. Mugas and Echo and chest xRay. Bone scan of whole Body, and Back of Brain and spine MRI.
CT scan of Lungs every six months
due to two small places. December
2009, bone scan due to bone pain.
Follow up test in 2010.
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Old 05-14-2008, 04:45 PM   #3
dhealey
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I had tried arimidex and aromasin, both caused such dibilitating pain in the joints. Now taking femera (2nd month) doing well so far. I walk everyday, lift light weights and do yoga. This seems to help body and mind. Good luck!
__________________
Debbie in North Carolina
Diag 10/2006-high grade invasive ductal carcinoma- mastectomy L breast
2.5 cm tumor ER/PR pos-Her2+++
4 rounds A/C, 4 rounds Taxol
Herceptin every 3 weeks until Jan. 2008
6/18/07 prophylatic mastectomy R breast
8/2007 started aromasin/stopped arimidex (side effects)
12/07 stopped aromasin due to side effects (now what?)
Finished herceptin 1/8/08
started tamoxifen for 2 years then will switch to femera
allergic to tamoxifen started femera 4/2008
June 20, 2008 portacath removed
Learnig to live life to the fullest!
Stopped Femera due to side effects
July 28, 2008 start trial for breast cancer vaccine
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Old 05-14-2008, 05:27 PM   #4
Becky
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Besides taking at least 3g-8g of fish oil daily, try Triple Flex from GNC (joint supplement with MSM, glucosamine and shark cartilage). It might help. If all else fails, you could resort to Tamoxifen or Evista or even Faslodex
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Kind regards

Becky

Found lump via BSE
Diagnosed 8/04 at age 45
1.9cm tumor, ER+PR-, Her2 3+(rt side)
2 micromets to sentinel node
Stage 2A
left 3mm DCIS - low grade ER+PR+Her2 neg
lumpectomies 9/7/04
4DD AC followed by 4 DD taxol
Used Leukine instead of Neulasta
35 rads on right side only
4/05 started Tamoxifen
Started Herceptin 4 months after last Taxol due to
trial results and 2005 ASCO meeting & recommendations
Oophorectomy 8/05
Started Arimidex 9/05
Finished Herceptin (16 months) 9/06
Arimidex Only
Prolia every 6 months for osteopenia

NED 18 years!

Said Christopher Robin to Pooh: "You must remember this: You're braver than you believe and stronger than you seem and smarter than you think"
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Old 05-14-2008, 05:30 PM   #5
Debra
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Exercise, Exercise, Exercise!! It changed my life. I was in quite a bit of pain as well and started to exercise 5 days a week; simple walking on a treadmill and a few exercises with weights. The pain was relieved by about 90%. I still am stiff at times but am so thankful I listend to my doctor on this one. Please give it a try.
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Debra

Diag. 11/05 at age 40 triple positive
3.8 cm tumor and 9 mm tumor
Stage IIb/SN positive(no other nodes)Grade 3
Bilat. mastect. 12/05 (Rt.prophylactic) followed with AC/taxol/Herceptin/tamoxifen then switched to arimidex after hysterectomy in 12/06. August 07 switched to Aromasin due to severe jt. pain from Arimidex. Nov. 2011 No more meds and NED!
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Old 05-14-2008, 10:42 PM   #6
harrie
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I couldn't agree with Debra more.....excercise....keep moving! I notice I am stiffest when I am inactive like in the middle of the night. Once I get up and move, I am so much better. I exercise like a fanatic and I believe that helps me tremendously.
__________________
*** MARYANNE *** aka HARRIECANARIE

1993: right side DCIS, lumpectomy, rads
1999: left side DCIS, lumpectomy, rads, tamoxifen

2006:
BRCA 2 positive
Stage I, invasive DCIS (6mm x 5mm)
Grade: intermediate
sentinal node biopsy: neg
HER2/neu amplified 4.7
ER+/PR+
TOPO II neg
Oncotype dx 20
Bilat mastectomy with DIEP flap reconstruction
oophorectomy

2007:
6 cycles TCH (taxotere, carboplatin, herceptin)
finished 1 yr herceptin 05/07
Arimidex, stopped after almost 1 yr
Femara
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Old 05-15-2008, 04:27 AM   #7
R.B.
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Further to Becky's comments this thread may help.



It is complex but balancing the Omega 3s and 6s, and ensuring a supply of long chain Omega 3s EPA and DHA (found in Fish Oil) can help with pain and joint issues.

I Know it sounds unlikely but fats have a huge influence in the structure and function of the body.

http://her2support.org/vbulletin/sho...ght=greek+diet
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Old 05-15-2008, 08:37 AM   #8
basset girl
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I have been on Armidex for a year now. Lots of joint and bone pain. I have found that walking and exercise really helps me loosen up. When I get up in the mornings I feel like I am about 80 years old. I have to get up and walk it out. I haven't tried to change to a different med yet. Hopefully the exercise will keep working.
__________________
Nancy

Diagnosed 4/06, age 45
IDC, 3.5 cm, 4/7 positive nodes
Stage IIB
Her2++, ER & PR++
Mastectomy, 4 AC, 4 Taxol & Herception for one year
Radiation
Ovaries out 4/07
Currently taking Arimidex and Zometa every 6 months
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Old 05-16-2008, 01:01 PM   #9
abitjaded
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NanaKaren, you are not addicted! You are just controlling your pain. There is so much misunderstanding about pain relievers. If they work, take them. It is not a matter of getting "addicted" to oxycodone or fentanyl and the like. Your body just gets better and better at adapting to the drugs, so they need to be increased. (But so do the things that keep your intestines moving. Increase your diet roughage. Take a metamucil "chaser". Take larger doses of colace and senna.)

My mother had osteoporosis pain for years. Numerous spinal fractures, numerous surgeries. Every time she was hospitalized the doctors would freak about how much fentanyl she got and how much oxycontin, besides. But the pain specialist always got it straightened out.

Ask for a consult with a true PAIN SPECIALIST. They know what they are doing. And they do it one heck of a lot better than an Oncologist, Radiologist, Surgeon, etc. These guys just are clueless about long term pain control.

Carla
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Old 05-29-2008, 11:49 PM   #10
harrie
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My personal experience with Arimidex and now Femara is that the more inactive I am, the more the joint pain will creep up. So of course at night after I have been sleepingfor a while is the worst. EVERY SINGLE morning then I get up, I go straight to the bathroom and soak in a nice deep bubble bath tub and soak. I can literally feel my joints loosen up immediately. At night I also take a nice deep bubble bath with candles, but that is all for relaxation.
As long as I keep active and moving, my joints seem fine....for now...keeping my fingers crossed that it does not get worse.
__________________
*** MARYANNE *** aka HARRIECANARIE

1993: right side DCIS, lumpectomy, rads
1999: left side DCIS, lumpectomy, rads, tamoxifen

2006:
BRCA 2 positive
Stage I, invasive DCIS (6mm x 5mm)
Grade: intermediate
sentinal node biopsy: neg
HER2/neu amplified 4.7
ER+/PR+
TOPO II neg
Oncotype dx 20
Bilat mastectomy with DIEP flap reconstruction
oophorectomy

2007:
6 cycles TCH (taxotere, carboplatin, herceptin)
finished 1 yr herceptin 05/07
Arimidex, stopped after almost 1 yr
Femara
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Old 05-30-2008, 04:01 AM   #11
sarah
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Hello,
Try taking it at night. I take Femara and take some pills for bone loss but no pain pills.
I agree with the others, exercise helps. I walk at least an hour a day with my dog plus other short walks, plus bicycle periodically and go to a gym once a week. that helps. the more stiffness, the more pain.
hope this advice helps
sarah
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Old 05-30-2008, 06:50 AM   #12
Kim in DC
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You might want to check your vitamin D levels. I am a drug rep and one of doctors in our area who specializes in osteoporosis says that most bone pain is due to a vitamin D deficiency. It couldn't hurt.

Kim
__________________
8/98 dx right breast
5/2003 tram flap right breast
8/2004 dx new primary left breast with inflammatory bc
er/pr-, her2neu+++
8/19 taxotere and herceptin
1/15/2005 Navelbine/Herceptin
4/2005 radiation and Herceptin
5/15/2005 Herceptin alone
2/12/2008 skin biopsy positive
2/14/2008 met to sternum, possibly right breast
2/27/08 Start omitarg, herceptin, taxotere trial
3/17/08 Kicked off trial because I started too close to my last herceptin
3/19 start tykerb xeloda
Right breast confirmed met
5/15/08 skin mets gone, no hypermetabolic activity in breast, sternum healing
8/24/08 scans still look good. sternum still active with scarring. No evidence of progression
10/08 Progression in sternum
12/08 Start TDM1 trial
1/09 Scans show stable
12/09 1 year on TDM1 still stable
10/10 progression in chest and liver
11/10 false positive of liver mets; tykerb and herceptin
4/11 Tykerb/Herceptin/Xgeva
4/11 Rads to Sternum
5/12/12 NED Herceptin/Zometa
3/16/19 still NED Herceptin/Zometa very 6months
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Old 05-30-2008, 11:43 AM   #13
NanaKaren
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Thanks everyone for good advice. Kim in DC, I have just added Vit.D to my list of vitamins along with the calcium. I haven't been taking it long enough to notice a huge difference yet. My regular MD also suggested glucosamine, said it couldn't hurt. I will admit after moving around a bit in the mornings the stiffness and pain does seem to ease up a bit.
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Old 05-30-2008, 12:01 PM   #14
harrie
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I will try taking it at night. I usually take it first thing in the AM.

I take almost 2,000 IU of Vit D3 daily. Nanakaren, how much are you planning on taking daily? I also started glucosamine this wk.
__________________
*** MARYANNE *** aka HARRIECANARIE

1993: right side DCIS, lumpectomy, rads
1999: left side DCIS, lumpectomy, rads, tamoxifen

2006:
BRCA 2 positive
Stage I, invasive DCIS (6mm x 5mm)
Grade: intermediate
sentinal node biopsy: neg
HER2/neu amplified 4.7
ER+/PR+
TOPO II neg
Oncotype dx 20
Bilat mastectomy with DIEP flap reconstruction
oophorectomy

2007:
6 cycles TCH (taxotere, carboplatin, herceptin)
finished 1 yr herceptin 05/07
Arimidex, stopped after almost 1 yr
Femara
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Old 05-30-2008, 12:41 PM   #15
MJo
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I'm sorry about the pain. I have been on it two years and the pain has lessened. I take it at night. I also lost some of the weight I gained during chemo and that helped. One thing cancer teaches us is own individual our bodies are. 3 billion people and 3 billion individual reactions. I was invited to be in a study that might have kept me on aromatase inhibitors for 10 years. I passed. Five is enough.
__________________
MJO

IDC, Stage I, Grade 2
Oncotype DX Score 32
Her2++ E+P+, Node Neg.
Lumpectomy 11/04/05 Clear Margins
3 Dose dense AC (Couldn't tolerate 4)
4 Dose dense Taxol & Herc. (Tolerated well)
36 weeks Herceptin (Could not complete one year due to decrease in MUGA score)
2 years of Arimidex, then three years of Femara
Finished Femara May 2011
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Old 05-30-2008, 12:53 PM   #16
NanaKaren
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Harrie, I have been taking 1000 IU of Vit D daily. Do you think 2000 would be better? I will also try taking the Arimidex at night. Anything that helps I am game for!!! And about that nice hot bath...I think my body is on a time clock for that. Each day when I get home from work, that is the first place I go. It really seems to help those joints to loosen up and it makes for a lovely relaxing evening with my husband. I don't feel quite so grouchy from so many aches and pains. All great advice again, my sweet warrior friends. Nana Karen
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Old 05-30-2008, 05:53 PM   #17
harrie
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Nana,
I think 2000 would be better. My Vit D3 contains 1,000 and the additional come from the calcium that I take and the mulitvit.
2,000 is not too much. At the symposium I recently went to on the topic of osteoporosis, I specifically asked that question because I did not want to overdo it. The speaker said 2,000 was fine.
__________________
*** MARYANNE *** aka HARRIECANARIE

1993: right side DCIS, lumpectomy, rads
1999: left side DCIS, lumpectomy, rads, tamoxifen

2006:
BRCA 2 positive
Stage I, invasive DCIS (6mm x 5mm)
Grade: intermediate
sentinal node biopsy: neg
HER2/neu amplified 4.7
ER+/PR+
TOPO II neg
Oncotype dx 20
Bilat mastectomy with DIEP flap reconstruction
oophorectomy

2007:
6 cycles TCH (taxotere, carboplatin, herceptin)
finished 1 yr herceptin 05/07
Arimidex, stopped after almost 1 yr
Femara
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Old 05-30-2008, 06:12 PM   #18
NanaKaren
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Harrie, Thanks for the good info. Do you take Fosamax or any of the biophosphonates? I know my Fosamax could be causing me some of my pain also.
__________________
Dx 7-21-05
1.7 cm invasive ductal carcinoma
Her2 +3 strongly positive
micromet in sentinel node
Sept.05 Lt.lumpectomy/bilat.reduction
Oct.05 4 rounds of AC/12 rounds of Taxol with Herceptin
Radiation 5 weeks
Herceptin only until Jan.07
Started Femara-stopped
Started Aromisin-stopped
Currently on Arimidex with a great deal of pain
Stopped Arimidex
Taking Tamoxifen
Karen
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Old 05-30-2008, 06:46 PM   #19
harrie
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Nana, yes I take Fosomax once a wk. Have for a few yrs now. It has never given me joint ache. It may be possible, but I don't know of any who have had that problem.
__________________
*** MARYANNE *** aka HARRIECANARIE

1993: right side DCIS, lumpectomy, rads
1999: left side DCIS, lumpectomy, rads, tamoxifen

2006:
BRCA 2 positive
Stage I, invasive DCIS (6mm x 5mm)
Grade: intermediate
sentinal node biopsy: neg
HER2/neu amplified 4.7
ER+/PR+
TOPO II neg
Oncotype dx 20
Bilat mastectomy with DIEP flap reconstruction
oophorectomy

2007:
6 cycles TCH (taxotere, carboplatin, herceptin)
finished 1 yr herceptin 05/07
Arimidex, stopped after almost 1 yr
Femara
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Old 05-30-2008, 09:50 PM   #20
sassy
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I have not heard of anyone else that has tried this but...

After being on Arimidex for two years, my GP started looking a changes that might help with the stiffness and joint pain I was experiencing with Arimidex/Lupron. She took me off HZTZ for BP that started while on chemo. She put me on Lasix to help with fluid/BP. After being on Lasix for two weeks, the joint pain from Arimidex/Lupron began to improve tremendously. I have been on Lasix for about six months and feel like a new person. I have very little joint pain/stiffness now and feel physically able to do much more than before.

Not sure why this worked, but this change in medication has to be responsible for my improvement. It was the only variable at the time.

I'd be interested in hearing if anyone else tries Lasix, whether on BP meds previously or not.
__________________
Rhonda (Sassy)
dx age 45
DX 2/15/05 Stage IIb (at surgery)restaged IIIa
Left mast .9cm tumor 5 of 14 nodes
Triple Positive
4 DD A/C
12 Taxol/Herceptin
33Rads
Strange infect mast site one year aft surg, hosp 1 wk
Herceptin for total of 18 months
Lupron Monthly 4 yrs
Neurontin for aches, pains and hot flashes(It works!)
Ovaries removed 11/09 stop Lupron and Neurontin
Arimidex 6 yrs (tried Femara, no SE improvement)
Tried Exemestane-hips got so bad could hardly walk
Back to Arimidex for year seven
Zometa 2X Annual for 7years, Lasix
Stop Arimidex 5/13
Stop Zometa 7/13-Bi-lateral Stress Fractures in Femurs from Zometa
5/14 Start Tamoxifen
3/15 Stem cell transplant to stimulate femur bone growth/healing
5/15 Complete fracture of right femur/Titanium rods both femurs
9/16 Start Evista stopTamoxifen
3/17 Stop Evista--unwelcome side effects!
NED and no meds.......
14YEARS NED!
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