Letrozole

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Been taking letrozele four weeks. Waiting for results of more biopsies and scans. So far I have been diagnosed with micropapillary ductal invasive carcinoma in left breast and lymph glands. 
Letrozole is making me have constant extreme diarrhoea, depressed, everything aches and I’m exhausted. 
I felt fine before taking it and I’m not sure I want to go on with it. My joy in my life is gone. All seems pointless if the cure is worse than living with the cancer. Just want the operation to get rid of it and to get on with my life. Don’t want chemo nor radiotherapy. I’m 75 have had a brilliant life if treatment gives me an 82% of another five years it seems pointless. 

I don’t want my brilliant partner to become my carer nor my grandchildren and daughters to witness my change of essence! 
sorry this is contrary to the idea of “fight” or “battle”…. But I want me back even for a short time. 
sorry if this is inappropriate but it’s real. Susie 

  • Hi   your post is completely appropriate. For some people letrozole has very few side effects, for others it is hell on earth. For me it was the latter. I took it for one year, and then my oncologist decided to change it to anastrozole. Still not brilliant, but for me it is a life long medication so I have no choice but to take it. I have a different cancer to you but it is hormone fed, so the treatment mirrors breast cancer treatment. if you click on my name you can read my story in my profile. 

    Are you taking letrozole pre op to help shrink the tumour? If yes then I would suggest you carry on, but please do talk to your oncologist about how you are feeling! Don’t stop taking it until you have spoken to him. You won’t be the first one that he has had this discussion with, it is very unfortunate that you are having such horrid side effects. 

    “Try to be a rainbow, in somebody else's cloud” ~ Maya Angelou
    Chelle 

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  • Thank you so much I m going to ring  breast nurse today and find out when my surgeon is back from Christmas and new year ( what a bad time to be waiting for results!). Then I can talk to her, I don’t think it’s to shrink the tumour it’s a holding brief while they find out what unknowns are in my body. I had biopsies in my right breast last week and a chest and abdomen scan. She was quite clear with me that until she knows the full extent of things, she does not want to operate . When I spoke to the Breast nurse she said I’d be taking Letrozole long term even after surgery but the way I’m feeling right now is that it will be pointless and frankly it’s stopping me be who I am!

    good luck with your treatment. I will have a look at your profile. 
    Susie 

  • Hi  , absolutely nothing wrong with your post. The great thing about this site is that we can say it as it is. I’m not a fan of the fight/ battle terminology as that’s not how I look at it, personally.

    Re letrozole, definitely worth asking re alternative hormone treatments. I’m on Anastrozole and I don’t love it, in fact I retired early because of the side effects, but am able to enjoy retired life all the same. I don’t know why I’m on it rather than letrozole, it’s just what I was prescribed post op, in my case. 
    Hope you get results soon and can discuss the way forward. Love and hugs, HFxx

    HappyFeet1 xx
    Don’t be afraid to cry. It will free your mind of sorrowful thoughts. – Hopi
  • I’m at the very start of my cancer treatment (I had a lumpectomy and lymph node removal 8 days ago). From what I keep reading I’m more terrified of having to take letrozole (which is what is being recommended) than the surgery itself. I’m obvs hoping they’ve got it all bit more surgery is an option.
    I’m speaking to a nutritionalist in the morning just for an alternative view.

    Your post really hit a chord with me. What’s the point of saving our lives if we can’t enjoy them… 

    I’m sorry you’re experiencing such a rubbish time. Hopefully you will be offered an alternative that will make you feel a bit better x 

    Only 84% of breast cancers are detectable by mammogram 

  • Hi, I’m on Anastrazole (aged 62) so not your age, but I can understand why you have written what you have. I was prescribed it in July 2021 for ten years. I literally became 112 years old within a few weeks. Terrible disabling pains in ankles, exhausted etc. I should say that I also had 5 months chemo prior to a mastectomy, and then 3 weeks radiotherapy. However, I have found that the side effects have eased tremendously in the last year, and so I am glad that I stuck with it. This is something that oncologists know can happen as the body adjusts. 
    I respect your views about not having radiotherapy, but of all the treatments, this one was the easiest (for me). Most people nowadays only have a weeks treatment. I did get some short term fatigue about 3 weeks after (they tell you this can happen), but it soon passed. 
    With respect to hormone treatment, there is also another tablet called Exemastene. I know someone who switched to that, and had no problems with it, but we are all different of course. 
    Perhaps once you have all of your results, an informed chat with your surgeon and oncologist would be useful, discussing all the available options that you are happy to consider. Xx

  • Thank you! I do Hope you do well after your surgery. Letrozole affects different people in many ways. I spoke to the Breast nurse today and she asked me to pop into my surgery and do a stool test. Apparently I was second patient ringing today with the same symptoms. Apparently Norovirus  is rampant here in SW Scotland right now and she needs to ensure I have not got a bug. I can see my surgeon next week and she may change the oestrogen blocker I am using. 
    Thank you so much for your reply. I have has really nice feedback from people. I don’t know your age but maybe at 75 I have a different attitude to treatment pathways. I know a brilliant herbalist and I plan to go to see her once my diagnosis is complete. Regards Susie 

  • Thank you! Such a full response! It’s such a strange time at the end of the year and solstice anyway and the waiting for results is frustrating.

    My partner and daughters, I’m sure, want me tohave radiotherapy  and until I’m faced with all the results next week I can’t finally decide. 

  • Like others here I had five days of radiotherapy after two rounds of surgery and I have to say it was an absolute breeze. No side effects at all, other than perhaps an occasional feeling of slight  tightness if I reach back with my arm, and that goes away with a moment's massage.

    I know everyone reacts differently, but just to tell you that it's possible to have, essentially, a completely painless and trouble-free experience.

  • Thank you! Good to know.