Tamoxifen versus anastrozole

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  1. RSV XenForo Moderator

    Tamoxifen versus anastrozole


    R -- The ATAC (Arimidex, Tamoxifen Alone or in Combination) Trialists' Group. The choice between anastrozole or tamoxifen for the prevention of breast cancer recurrence can be personalised according to their side effect profiles, experts say. A five-year international double-blind randomised controlled trial compared once-daily anastrozole (1 mg) with once-daily tamoxifen (20 mg) for the prevention of breast cancer in 2938 women who had previously had a hormone receptor-positive ductal carcinoma (DCIS) locally excised. The study, the International Breast Cancer Intervention Study-II DCIS (IBIS-II DCIS), found no statistically significant difference between the two drugs in terms of breast cancer recurrence rates, with both showing an overall recurrence rate of 5% and DCIS recurrence rate of 2%. Women who experienced an oestrogen-receptor positive recurrence were more likely to be taking tamoxifen, while those with oestrogen-receptor negative recurrence were more likely to be taking anastrozole, although the difference in this latter group was not significant, according to the study findings published online in Tamoxifen was associated with a 10-fold greater incidence of endometrial cancer, significantly greater incidence of ovarian cancer, and a nearly twofold greater incidence of nonmelanoma skin cancer compared with anastrozole. Anastrozole showed a 14% greater incidence of arthralgia (affecting 832 patients in the anastrozole group and 729 patients in the tamoxifen group), more than twofold increase in the incidence of joint stiffness and threefold increase in carpal tunnel syndrome compared with tamoxifen. Tamoxifen was also associated with a greater risk of deep vein thrombosis without pulmonary embolism, compared with anastrozole. Lead author Professor John Forbes said the study provided information to help doctors personalise the treatment choice to the patient’s risk profile.

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    SAN ANTONIO — The survival benefit postmenopausal patients with breast cancer derive from anastrozole vs. tamoxifen varies considerably. You are most likely to have anastrozole or letrozole for 5 years. Or you might have one of these drugs for 2 years followed by tamoxifen for 3 years. If you can't have an aromatase inhibitor, you'll have tamoxifen for 5 years. Other options might include A total of 668 patients 340 anastrozole and 328 tamoxifen were randomised in a double-blind, double-dummy multicentre study. Anastrozole was given in a.

    I had a partial mastectomy, nineteen rounds of radiation from April till end of September. Last year I woke up and the pain in my knees and legs was so sudden and severe, I could barely walk. I'm still losing my hair, am itchy, two teeth broke, weight gain, especially around my middle, where I never gained weight. I started feeling a little better and began practising yoga again. This was helping until my head went completely spacey. The foggy brain and groping for words, I was getting used to, but this is a spacey head. When you lie down, you grab for something to hold on to..of sleep also. I gained 20 lbs, and none of my carefully acquired clothes fit: big bummer. A lot of doctors just ignore some of these symptoms, but go on any site regarding this and so many women are experiencing these symptoms. Hello, Strength and Love and all other readers - based on my experience, the horrific joint pain from Arimidex/Anastrozole is gone three weeks after you stop taking it. I want everyone to know that the achiness goes away when I take magnesium. But it's still better than getting cancer again. My doctor told me to quit the Anastrazole again for three weeks and then start on Tamoxifen, which has its own unsettling side effects. Going to start exercising more as I recover from oophorectomy. Bilateral mastectomy and six weeks of radiation; removal of ovaries and tubes. Exemestane differs in that its structure is steroidal in nature, and it irreversibly inhibits the aromatase enzyme. These agents are indicated for first- and second-line hormonal therapy in postmenopausal women with hormone receptor–positive breast cancer. Randomized clinical trials comparing 5 years of each of the aromatase inhibitors with 5 years of tamoxifen have demonstrated superior survival rates in postmenopausal women receiving the aromatase inhibitor. Recent randomized trials have also demonstrated additional survival benefits in women who receive 5 years of therapy with an aromatase inhibitor following an initial 5 years of tamoxifen therapy.. Aromatase inhibitor site of activity in the steroidogenic pathway. Common adverse effects include nausea, vomiting, arthralgias/myalgias, and hot flashes. Aromatase inhibition prevents biologic conversion of androstenedione to estrone and testosterone to estradiol. There are high rates of osteopenia/osteoporosis in women receiving aromatase inhibitors (as well as those receiving tamoxifen therapy). As a result, women prescribed these therapies require calcium and vitamin D supplementation, and some may be receiving bisphosphonate therapy for prevention/treatment of osteoporosis. The primary end-point was fatty liver disease and the secondary end-points included abnormal liver function and treatment failure during the 3-year follow up.

    Tamoxifen versus anastrozole

    Anastrozole versus tamoxifen for the prevention of. - The Lancet, About hormone therapy for breast cancer Cancer Research UK

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  4. Hi Maggy1, I had surgery in Feb this year, had radiation and now on Arimidex. I haven't noticed any side effects apart from my hot flushes.

    • Arimidex versus tamoxifen - Breast Cancer Care Forum - 659363.
    • Randomised study of anastrozole versus tamoxifen as first-line..
    • Anastrozole or Tamoxifen in Treating Postmenopausal Women With..

    The first study to compare the efficacy and safety of tamoxifen versus anastrozole in women treated for ductal carcinoma in situ DCIS suggests. Hang in preventing breast cancer symptoms, tamoxifen citrate vs. Oct 3, and and/or were recorded to block estrogen drug interactions, nolvadex, pharmacology. Boccardo F, Rubagotti A, Guglielmini P, et al. Switching to anastrozole versus continued tamoxifen treatment of early breast cancer. Updated results of the Italian Tamoxifen Anastrozole ITA Trial. Annals of Oncology 2006; 17Suppl 7vii10–vii14.

     
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