Top
10
Doctor insights on: Tamoxifen Ovarian Sleep Injection

Share
Dr. Sean Canale
638 doctors shared insights

Tamoxifen (Definition)

This medication is used to: treat breast cancer that has spread to other parts of the body in men and women. Treat early breast cancer in women who have already been treated with surgery, radiation, and/or chemotherapy. Reduce the risk of developing a more serious type of breast cancer in women who have had ductal carcinoma in situ (dcis; a type of breast cancer ...Read more


2

2
What are your thoughts of the use of tamoxifen for refractory ovarian cancer?

What are your thoughts of the use of tamoxifen for  refractory  ovarian cancer?

Little: Probably not very beneficial. For uterine cancer, there has been some data. Little if any benefit in ovarian cancer. Unlike breast cancer in which there is a benefit in estrogen positive disease because of the estrogen target, there is no target in ovarian cancer. Hope this helps. ...Read more

3

3
I have always had problems sleeping. It has gotten a lot worse with the tamoxifen.I think it's anxiety about no sleep.With Ambien (zolpidem) i lay there for 4 hrs. No tv in room, don't smoke or drink.Suggestions?

I have always had problems sleeping. It has gotten a lot worse with the tamoxifen.I think it's anxiety about no sleep.With Ambien (zolpidem) i  lay there for 4 hrs. No tv in room, don't smoke or drink.Suggestions?

Other options: Tamoxifen can cause insomnia in about 9% of patients. It sounds like you know about sleep hygiene -- here is a reference for reminders: http://tinyurl.Com/lpcwhxt you might discuss low dose Elavil or sinequan with your physician, especially if Ambien (zolpidem) does not seem to help. By low dose, i mean 10mg - 25mg at bedtime. It may help without causing side effects at that dose. ...Read more

See 2 more doctor answers
4

4
On tamoxifen having several issues with ovarian cysts and pelvic pain. No chance of having children. Would i benefit from removal of my ovaries?

On tamoxifen having several issues with ovarian cysts and pelvic pain. No chance of having children. Would i benefit from removal of my ovaries?

Not necessarily: There are multiple issues in your question and it would be best for you to discuss your symptoms with the doctor presribing your tamoxifen in conjuction with your gynecologist. ...Read more

5

5
Issues with insomnia for a while.Worse on tamoxifen.Ambien (zolpidem) does not work for me.Would i upset or step on my oncologists toes if i went to a sleep spec?

Issues with insomnia for a while.Worse on tamoxifen.Ambien (zolpidem) does not work for me.Would i upset or step on my oncologists toes if i went to a sleep spec?

Absolutely not: I am sure the oncologist would very much appreciate the input from the sleep specialist. Your oncologist knows the effect of sleep and fatigue on the immune system and the importance of a good nights sleep. Consultation would be most welcome I am sure. Best wishes. ...Read more

See 1 more doctor answer
6

6
Ciii ovarian cancer in 06, 1212, surgery and chemo paxitaxtel/carboplatin. In remission. Recurrence treated with tamoxifen, carboplatin alone, abraxan, then topotacan to no avail. Which chemo next?

Ciii  ovarian cancer in 06, 1212, surgery and chemo paxitaxtel/carboplatin.  In remission. Recurrence treated with tamoxifen, carboplatin alone, abraxan, then topotacan to no avail. Which chemo next?

Many options: Choosing chemo depends on many factors, so only your doctor can decide what might work for you. Drugs you haven't mentioned include altretamine, capecitabine, cytoxan, (cyclophosphamide) vinorelbine, ifosfamide, etoposide, and irinotecan. There are also several hormonal agents. And a clinical trial might be an option. Check out www.Cancer.Gov for more info. And good luck. ...Read more

See 1 more doctor answer
7

7
My FSH was 2.7, estrodial was1340, was on tamoxifen, had a couple of ovarian cysts. Had mastectomy for 1mm bc.Grade 3. Was a bilateral ooph necessary

My FSH was 2.7, estrodial was1340, was on tamoxifen, had a couple of ovarian cysts. Had mastectomy for 1mm bc.Grade 3.  Was a bilateral ooph necessary

Need more info: Your fsh indicates you are not yet in menopause and the cysts could be worrisome. Have you done brca testing or ova1 testing for the cysts? Your doctor may be trying to be proactive and remove the ovaries prior to a potentially worse situation. No real way to accurately determine if someone has ovarian ca without pathology, only an educated guess by ultrasound and lab testing. ...Read more

8

8
What could replace tamoxiphen in second 5 years after breast cancer? Tamoxiphen caused me ovarian cyst and uterus thickening . Thanks

What could replace tamoxiphen in second 5 years after breast cancer? Tamoxiphen caused me ovarian cyst and uterus thickening .   Thanks

Letrozole: Tamoxifen for 5 years followed by Letrozole would be an option. However, technically you are still premenopausal so not an option. Another treatment which is controversial is to have your ovaries removes. There is data on 10 years of tamoxifen now but you may not want to do this. The other option would be observation. Hope this helps. ...Read more

See 1 more doctor answer
9

9
Sometimes i feel like i can't breath.. Sometimes i feel like i can't breath.I could be sleeping or just sitting or standing there.It feels like something is cutting off my wind pipes and i can't breath.Recently , i was told I have some ovarian cysts and t

Sometimes i feel like i can't breath.. Sometimes i feel like i can't breath.I could be sleeping or just sitting or standing there.It feels like something is cutting off my wind pipes and i can't breath.Recently , i was told I have some ovarian cysts and t

I : I think your issue is not related to your ovarian cysts. It sounds like you are having a respiratory issue (i.e. Asthma) a psychological issue (panic attack) or a heart issue (decreased blood flow to the heart or an enlarged heart). Regardless, this is a serious issue that needs prompt medical attention. Please see your primary care provider right away. Also you need to follow up with your doctor regarding your cysts. If they are in fact as large as you say they are you will likely need a surgical procedure. Best of luck. ...Read more

10

10
Can the ovarian cysts cause extreme need for sleep and fullet areolas and more montgomery glands?also back pain?

Can the ovarian cysts cause extreme need for sleep and fullet areolas and more montgomery glands?also back pain?

Polycystic: Ovarian Disease (PCOD) can present with a number of complaints related to the HORMONAL abnormalities associated with it! I hope this helps! Dr Z ...Read more

Dr. Heidi Fowler
4,883 doctors shared insights

Sleep (Definition)

Sleep is a topic that involves concepts such as how long it takes to fall asleep, how many times one wakes up at night, how many hours one sleeps at night, sleep stages, ...Read more