The information available on the Breast Cancer Network Australia website is not medical advice and is provided for information purposes only. It should not be viewed as a replacement for a consultation with a qualified medical professional. Our website is designed to offer information and support to the general public. Be aware that we do not provide any medical advice, and for medical advice we recommend you speak to a qualified medical professional or doctor. 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to Zoladex and Tamoxifan? & Genetic Testing for Drug Metabolism","id":"message:142455","revisionNum":1,"repliesCount":23,"author":{"__ref":"User:user:21395"},"depth":0,"hasGivenKudo":false,"board":{"__ref":"Forum:board:general-treatment-and-surgery"},"conversation":{"__ref":"Conversation:conversation:142455"},"readOnly":false,"editFrozen":false,"moderationData":{"__ref":"ModerationData:moderation_data:142455"},"body@stripHtml({\"truncateLength\":200})":"Hi all, Who has had Genetic Testing for Drug Metabolism? I have and it has been spot on with understanding why over the years I have had sooo many side effects with different drugs. At this s...","body@stringLength":"2566","rawBody":"Hi all,
Who has had Genetic Testing for Drug Metabolism?
I have and it has been spot on with understanding why over the years I have had sooo many side effects with different drugs. At this stage the testing is not covering every medication, but it is improving it's data base the more people do the test. It has been helpful when I have had my lumpectomy, my anesthetist tailor made my drug regime and I had no horrible side effects from the sedation or pain killers. I was also able to see that Tamoxifen is a no go for me. I was interested to see why, so I rang the genetic testing company to see why it came up as Red when I typed it in on my report. They told me that I may or may not have side effects, but I will not metabolise the drug to make the effective ingredient for it to work. I have told my onlocolgist this, and she is insisting I try it. I had severe side effects with Zoladex, the physical, while crappy, I could put up with. But the mental side effects were debilitating; Severe Depression, Anger, Irrationality etc, hence we did not start the aromatse inhibitors. My oncologist used a tool on the web (I think this has be spoken about in another post) and said that if I stopped taking the Zoladex that my 10 year survial rate would decrease by 2.7%. I was willing to take those odds, and we both agreed to stop the Zoladex. But my last visit, she wants me to start the Tamoxifen, because, some women do not have any troubles with it. :/ Again I do not want to, because 1. my genetic test and the company say that studies show that my genetic make up will not metabolize the drug to make the effective ingreadient; and 2. I do not want to add to the horrid mental side effects that I am experiencing ( A little less now that I am not on Zoledex) but still life disruptive. Because of my Genetic make up, I can't take nearly all of the antidpressents used to treat the side effects either. Im about ready to find another oncologist that will listen.
What other alternatives to Tamoxifen are there? Other than Zoladex and Aromatase Inhibitors? Is anyone out there not taking anything at all?
","kudosSumWeight":0,"postTime":"2019-07-17T03:03:31.000-07:00","images":{"__typename":"AssociatedImageConnection","edges":[],"totalCount":0,"pageInfo":{"__typename":"PageInfo","hasNextPage":false,"endCursor":null,"hasPreviousPage":false,"startCursor":null}},"attachments":{"__typename":"AttachmentConnection","pageInfo":{"__typename":"PageInfo","hasNextPage":false,"endCursor":null,"hasPreviousPage":false,"startCursor":null},"edges":[]},"tags":{"__typename":"TagConnection","pageInfo":{"__typename":"PageInfo","hasNextPage":false,"endCursor":null,"hasPreviousPage":false,"startCursor":null},"edges":[{"__typename":"TagEdge","cursor":"MjUuMnwyLjF8b3wxMHxfTlZffDE","node":{"__typename":"Tag","id":"tag:alternative-therapies","text":"alternative-therapies","time":"2025-03-25T05:02:00.541-07:00","lastActivityTime":null,"messagesCount":null,"followersCount":null}},{"__typename":"TagEdge","cursor":"MjUuMnwyLjF8b3wxMHxfTlZffDI","node":{"__typename":"Tag","id":"tag:anxiety","text":"anxiety","time":"2025-03-25T05:01:46.886-07:00","lastActivityTime":null,"messagesCount":null,"followersCount":null}},{"__typename":"TagEdge","cursor":"MjUuMnwyLjF8b3wxMHxfTlZffDM","node":{"__typename":"Tag","id":"tag:depression","text":"depression","time":"2025-03-25T05:01:50.372-07:00","lastActivityTime":null,"messagesCount":null,"followersCount":null}},{"__typename":"TagEdge","cursor":"MjUuMnwyLjF8b3wxMHxfTlZffDQ","node":{"__typename":"Tag","id":"tag:menopause","text":"menopause","time":"2025-03-25T05:02:18.027-07:00","lastActivityTime":null,"messagesCount":null,"followersCount":null}},{"__typename":"TagEdge","cursor":"MjUuMnwyLjF8b3wxMHxfTlZffDU","node":{"__typename":"Tag","id":"tag:tamoxifen","text":"tamoxifen","time":"2025-03-25T05:01:51.381-07:00","lastActivityTime":null,"messagesCount":null,"followersCount":null}}]},"timeToRead":2,"currentRevision":{"__ref":"Revision:revision:142455_1"},"latestVersion":null,"metrics":{"__typename":"MessageMetrics","views":441},"visibilityScope":"PUBLIC","canonicalUrl":null,"seoTitle":null,"seoDescription":null,"isEscalated":null,"placeholder":false,"originalMessageForPlaceholder":null,"messagePolicies":{"__typename":"MessagePolicies","canModerateSpamMessage":{"__typename":"PolicyResult","failureReason":{"__typename":"FailureReason","message":"error.lithium.policies.feature.moderation_spam.action.moderate_entity.allowed.accessDenied","key":"error.lithium.policies.feature.moderation_spam.action.moderate_entity.allowed.accessDenied","args":[]}}},"archivalData":null,"body":"Hi all,
Who has had Genetic Testing for Drug Metabolism?
I have and it has been spot on with understanding why over the years I have had sooo many side effects with different drugs. At this stage the testing is not covering every medication, but it is improving it's data base the more people do the test. It has been helpful when I have had my lumpectomy, my anesthetist tailor made my drug regime and I had no horrible side effects from the sedation or pain killers. I was also able to see that Tamoxifen is a no go for me. I was interested to see why, so I rang the genetic testing company to see why it came up as Red when I typed it in on my report. They told me that I may or may not have side effects, but I will not metabolise the drug to make the effective ingredient for it to work. I have told my onlocolgist this, and she is insisting I try it. I had severe side effects with Zoladex, the physical, while crappy, I could put up with. But the mental side effects were debilitating; Severe Depression, Anger, Irrationality etc, hence we did not start the aromatse inhibitors. My oncologist used a tool on the web (I think this has be spoken about in another post) and said that if I stopped taking the Zoladex that my 10 year survial rate would decrease by 2.7%. I was willing to take those odds, and we both agreed to stop the Zoladex. But my last visit, she wants me to start the Tamoxifen, because, some women do not have any troubles with it. :/ Again I do not want to, because 1. my genetic test and the company say that studies show that my genetic make up will not metabolize the drug to make the effective ingreadient; and 2. I do not want to add to the horrid mental side effects that I am experiencing ( A little less now that I am not on Zoledex) but still life disruptive. Because of my Genetic make up, I can't take nearly all of the antidpressents used to treat the side effects either. Im about ready to find another oncologist that will listen.
What other alternatives to Tamoxifen are there? Other than Zoladex and Aromatase Inhibitors? Is anyone out there not taking anything at all?
","customFields":[]},"Conversation:conversation:142455":{"__typename":"Conversation","id":"conversation:142455","solved":false,"topic":{"__ref":"ForumTopicMessage:message:142455"},"lastPostingActivityTime":"2019-08-04T17:33:07.000-07:00","lastPostTime":"2019-08-04T17:33:07.000-07:00","unreadReplyCount":23,"isSubscribed":false},"ModerationData:moderation_data:142455":{"__typename":"ModerationData","id":"moderation_data:142455","status":"APPROVED","rejectReason":null,"isReportedAbuse":false,"rejectUser":null,"rejectTime":null,"rejectActorType":null},"Revision:revision:142455_1":{"__typename":"Revision","id":"revision:142455_1","lastEditTime":"2019-07-17T03:03:31.000-07:00"},"ForumReplyMessage:message:142478":{"__typename":"ForumReplyMessage","id":"message:142478","conversation":{"__ref":"Conversation:conversation:142455"},"author":{"__ref":"User:user:16650"},"revisionNum":1,"uid":142478,"depth":1,"hasGivenKudo":false,"subscribed":false,"board":{"__ref":"Forum:board:general-treatment-and-surgery"},"subject":"Re: Alternatives to Zoladex and Tamoxifan? & Genetic Testing for Drug Metabolism","readOnly":false,"editFrozen":false,"moderationData":{"__ref":"ModerationData:moderation_data:142478"},"parent":{"__ref":"ForumTopicMessage:message:142455"},"body":"I know it doesn’t help but the generalising of treatment (‘it helps in most cases’) is a phase in any developing understanding of a complex disease. It applies to almost anyone with cancer, and doubtless to rare diseases. As has been said many times, breast cancer treatment has improved a lot in the last 30 years. No, it’s not perfect and not yet fine tuned to individuals. My choice is to support research and make my decisions on the best advice I can find and trust. I am lucky to have medical advisers prepared to say “ we don’t know yet”. “Yet” probably will come, too late for me in all likelihood (30 more years may be past my use by date!) but it will come and benefit countless others. In the meantime, yes let’s support advocacy groups, let’s speak out about the impact of treatment but we need to be our own advocates too. ","body@stringLength":"847","rawBody":"I know it doesn’t help but the generalising of treatment (‘it helps in most cases’) is a phase in any developing understanding of a complex disease. It applies to almost anyone with cancer, and doubtless to rare diseases. As has been said many times, breast cancer treatment has improved a lot in the last 30 years. No, it’s not perfect and not yet fine tuned to individuals. My choice is to support research and make my decisions on the best advice I can find and trust. I am lucky to have medical advisers prepared to say “ we don’t know yet”. “Yet” probably will come, too late for me in all likelihood (30 more years may be past my use by date!) but it will come and benefit countless others. In the meantime, yes let’s support advocacy groups, let’s speak out about the impact of treatment but we need to be our own advocates too. 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