Can't Sleep and aching joints and muscles

In the US they use melatonin,  which has the added bonus of apparently reducing recurrence a little.  I bought some in Spain from the supermarket and it gives a lovely all over tiredness feeling and I usually sleep about 5-6 hours, longer than my usual up twice,  and fall asleep again. I only take them if I haven't slept well for a few days.    It's prescription only here so you'd need to speak fo the doctor if you were interested

Thanks for your reply.  I'll speak to my doctor about the melatonin

Can’t you go on tamoxifen? I take it I’m post menopausal and no side effects at all. I have been told I can go in n letrosole but up to me !!

I'm having a 4 week break from the Letrozole and then starting Anastrozole, hoping it will suit me better.  I think it depends on what type of breast cancer you have on what tablet you get.

It's good that you are ok with the tamoxifen.  I'll try whatever they offer as long as I can get rid of the aches and pains.

I started letrozole two weeks after I finished radiotherapy. Soon the hot flushes arrived, by four weeks I was having pains in my hands + trigger finger on one hand; by five weeks I was only managing two hours sleep a night before waking up again; past few days my knees feel tender; I get the odd twinge in feet/ankles. I was taking the pill before bedtime so changed to morning but then had headaches (worse behind eyes) for three days straight that I went back to taking the “yellow peril” late at night. I’m hoping things will settle down as time goes on. With ER+/PR+ both 8/8 I can’t see myself not taking AI’s. I have an appointment Friday with oncologist, it’s been three months since last one!

Icing on the cake...appearance of dermatitis on my face since my surgery.

I was recommended sominex as an alternative to sleeping tablets, half tablets seem to work when I’m desperate. Also ibuprofen for the aches may help x

For different reasons I do relate as I have fibromyalgia. I find a load of soft cushions in my bed, to support any bits of me that need support. I also bundle up small blankets to put in crevices - under my hip when I’m on my side, or under my armpits etc. When my asthma is bad and I have to sleep sitting up I put cushions under my arms and a small one under my chin to keep my airway open. I avoid all caffeine from lunchtime as it takes 8 or 9 hours to leave your system. I should avoid screens but clearly I don’t! I find heat packs and ice packs work on different pains. I have an electric heat pad which is a godsend, and has a 90 minute timer on it so switches off in my sleep. I also have a fancy TENS machine that electrically interferes with the pain signals. It comes with special socks for my feet when they’re painful as well as the normal pads.