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Discontinuing Letrozole

Jhshl512 profile image
30 Replies

Hello everyone. I’m very nervous and don’t know what the future holds now that I can’t take Letrozole. I have been suffering from interstitial cystitis for over 30 years and the Letrozole is causing horrible bladder pain. I’m also on Ibrance. I’ve been on these meds since 11/20 and things have been great. My Onc said to set up an appointment with my urologist but I don’t see how that will help. It’s the cancer drug causing the pain. I guess I’m just wondering if any one knows if there is anything else I can try. My Onc, whom I love btw says she is worried I’m not taking the letrozole. I just can’t live with that daily pain. I’m thinking about going to Dana-Farber for a second opinion. Thank you for listening and sharing your thoughts. I find this forum to be extremely helpful

Lori-Ann🙏🏻

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30 Replies
USIrishcolleen profile image
USIrishcolleen

Jhshsl512,

I would certainly get a second opinion, probably from another oncologist AND another urologist.

Try not to worry....i know, better said than done.

Sincerely,

Colleen

Jhshl512 profile image
Jhshl512 in reply to USIrishcolleen

Thank you Colleen

USIrishcolleen profile image
USIrishcolleen in reply to Jhshl512

❤️

sandylo profile image
sandylo

There are other cancer drugs I was put on a rigid ex after breastfeeding cancer I was in so much pain then they put me on Exemerstane for 2 years then I was put on letrozole for 7 years after I came off end of August after 10 years now having bowel problems colonoscopy on Thursday for suspected colorectal cancer keeping my fingers xd..

Winner123 profile image
Winner123

Hi. Not sure where you are in the world but CBD and THC have shown great benefit for both management of pain and cancer. Watch some of Dr Christina Sanchez work, Corrie De Yelland, Rick Simpson. I hope this may help you. XX ❤️

AvidBooklover profile image
AvidBooklover

Definitely get a second opinion. Not sure if you are post menopausal. Has there been any talk of putting you on Fulvestrant? It works by blocking the effect of estrogen, slowing tumor cell growth. HOW TO USE: This medication is injected slowly into the buttock muscle as directed by your doctor. It is usually given every 2 weeks for the first 3 doses and then monthly thereafter.

Adele_Julia profile image
Adele_Julia in reply to AvidBooklover

I'm on iBrance and Fulverstrant (Faslodex) works wonders

AvidBooklover profile image
AvidBooklover in reply to Adele_Julia

Agreed!

Kakoburr profile image
Kakoburr in reply to AvidBooklover

Another for the chorus for Second Opinion! DF is great. Agree that Fulvestrant could be a good option: depends on whether you are post menopausal, or if so, whether you had a recurrence despite treatment with tamoxifen and arimedex.

8576 profile image
8576

Hi Lori Ann: Sorry you are having so much pain. Not sure why you think it is the Letrozole that is causing the problem. In any case, good advice from Colleen. See a urologist. Also, not to worry. There are lots of other drugs to take in place of Letrozole.

All the best,

Cheers, June S.

EZSZ profile image
EZSZ

Hello Lori-Ann. I am TPBC, so I know nothing about Ibrance, but a lot about Letrozole. I took Letrozole 12 years ago after a few years of Tamoxifen . The side effects were do sever, I was obliged to stop. Now that I have mets, I shall be taking Tamoxifen again. It works great for me. Some believe that Tamoxifen is only pre-menopausal, but it is not the case; Tamoxifen works both pre and post menopausal. I am certain that an oncologist can fit the right treatment for you. A friend of mine has been changing meds every few years, and she's been living with TNBC for over 16 years.Good luck, please don't panic, you'll be fine..

Dully

OceanBreeze3 profile image
OceanBreeze3

Definitely get a second opinion at Dana Farber, as well as a urologist/nephrologist. There are other options to letrozole, like tamoxifen as other have said. Good Luck and dont give up!

daniellebrooks13 profile image
daniellebrooks13

When side effects were too severe for me my onc switched me to exemestane which I’ve handled fine. Good luck!

Jhshl512 profile image
Jhshl512 in reply to daniellebrooks13

Thank you

EvaL profile image
EvaL

I have some of the same thoughts. I have a new grandson and my only one but some days my pain level is very high. I am unable to do a lot of the things I would like. When your cancer is in every vertebrae in your back and in the rib cage it’s hard to stand for very long. I also am unable to sit for long periods so it’s not just a simple answer to just go and do. It’s also a matter of money. It’s never a simple answer

Jhshl512 profile image
Jhshl512 in reply to EvaL

So sorry for your pain! I have 3 grandkids and when I’m with them is the only time I forget my Mbc. My advice is to spend as much time with your grandson as possible!🙏🏻

PJBinMI profile image
PJBinMI

I don't know if there is any correlation between interstitial cystitis and interstitial lung disease--the term interstitial caught my attention. I was on Ibrance for only a few cycles in 2016 along with the Faslodex I'd been on for several years, and developed ILD. Both my onc and pulmonologist said it was likely from the Ibrance. Apparently for awhile after FDA approval of Ibrance, this side effect had not been identified, but now there are alerts about breathing issues with Ibrance. So I wonder if it could be the culprit, rather than the Letrozole. Letrozole (Femara) is one of three aromatase inhibitors that those of us with E + may benefit from. It and Arimidex are both non-steroidal AIs and oncs seem to prefer one or the other. But I've heard from quite a few bc patients that if one gives them trouble, sometimes just swithing to the other can help. Talk with your 2nd opinion onc abut this. I hope you will end up with a plan that works and that you are at peace with.

Jhshl512 profile image
Jhshl512 in reply to PJBinMI

Thank you. I went off the letrozole for a week and my bladder pain went away. I went back on it for 2 days and the pain in my bladder unbearable. There just has to be a better solution. I pray every day!

Nunky profile image
Nunky

Second Opinion a good plan and my onc tells me often that with metastatic disease its all about quality of life - don't be afraid to call the shots !!

Jhshl512 profile image
Jhshl512 in reply to Nunky

Thank you!

jersey-jazz profile image
jersey-jazz in reply to Nunky

Nunky-------You are so right! We really rarely understand our power. It is our body. No one else knows it and cares for it like we do. It is so interesting that when, after hearing and reading about the options, I have decided on a direction that is perhaps not the one that is recommended by medical professionals in that particular surrounding, the doctors and nurses listen. Flex your muscles!

HazeyMac profile image
HazeyMac

Hi Lor-Ann, I am facing the same decision, but have only been on Letrozole for just over 3 years. I oscillate between French herbal tablets called Confort Urinaire and anti-biotics to try to manage bladder pain. A hot water bottle on my lower abdomen also brings some comfort. But I would like to see data on recovery from bladder pain from those ladies who cease taking letrozole. H Mac

Jhshl512 profile image
Jhshl512 in reply to HazeyMac

Hi HazeyMac I found my cure from bladder pain in the supplement called Uqora. My urologist recommended this and it has been a life saver. Do some research on this. I only take 2 pills a day. They cost about $28 a month. No side effects. Best of luck. I hope this works for you!!

Drsalome profile image
Drsalome in reply to HazeyMac

Wow. I'm reading post because I'm having urinary track pain. After 3 years on leteozole Maybe it's the leteozole? I know you posted a year ago any update?.

Jhshl512 profile image
Jhshl512 in reply to Drsalome

I couldn’t take Letrozole because of bladder pain. It could be related to my urinary diagnosis of interstitial cystitis. Not a fun disease. I still take UQORA once a day and that does help. I am currently in a clinical trial at Dana Farber. So far so good. Wishing you the best!

Drsalome profile image
Drsalome in reply to Jhshl512

Good morning, Thank you for the time taken to reply. This is also new to me after 3 years of no issues. I'm getting good information from you as a starting point to discuss with doctors.

Blessings n love to you

Jhshl512 profile image
Jhshl512 in reply to Drsalome

Anytime 🙏🏻

104shopgirl profile image
104shopgirl

Hi! After taking letrozole with In dance with wonderful results, I had to stop the metronome because of the stiffness and pain. I now take the faslodex shot once a month. It is much more tolerable, and I am still stable.

TammyCross profile image
TammyCross

I couldn't tolerate Letrozole. Severe hip pain. Onc switched me to anastrozole (Arimidex). Much better. I was on Arimidex for five years after original cancer. Didn't have recurrence for 13 years, so onc felt that there was no indication that the Arimidex was ineffective.

sevoia profile image
sevoia

I have bladder pain and urgency and am on letrozole and Ibrance. I take over the counter Azo for the bladder pain and moisten my vagina with coconut oil. This helps as our bladder and vagina get very dry from the estrogen blockers

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