Hi Jane, I can certainly feel for you...I am also taking Tamoxifen and the hot flushes are a nightmare! they can be severe, very distressing and downright embarrassing. I did a lot of research around how to reduce them, and unfortunately the best remedies appear to be hormone-based, which you cant take if you've had hormone receptive BC! The good news though (for me anyway) is that the hot flushes did reduce in severity and frequency after the first 12 months. I read that this is often the case (the first 12 months is the worst) with Tamoxifen. I still get hot flushes now, in my 2nd year of Tamoxifen, but they are nowhere near the intensity like they were in the first 12 months!! I take daily doses of vitamin e which also helps, however I was told to be a bit careful with some natural herbal remedies that can produce estrogen-like substances in the body which is very risky. I do all the usual 'lifestyle' things that they recommend like dressing in layers so I can strip off if i need to, and i have installed decent airconditioning in my home for the summer now (as the hot weather makes the hot flushes a whole lot worse). I also have fans all through the house! LOL! I too was also taking sleeping tablets (Temazepam) now and then just to get a good night sleep. I found that I had to half the tablets because the next day I felt like I was hit by a truck! I tolerated the lower dose much better. Antihistaminae tablets also make me sleepy so sometimes I'd take them instead when I had hayfever/sinus trouble and they helped me sleep too.
Another thing is that apparently a low dose antidepressant called Effexor, is commonly prescribed to BC patients purely for reducing hot flushes (obvioulsy it can help with low mood too which is an added bonus). (I take a low dose antidepressant called Celexa, and this does the same thing). Here's a statement I found on the web about it:
"Effexor (venlafaxine) can reduce hot flashes by about 50% in nearly 60% of women with breast cancer according to a study done by Dr. Charles Loprinzi at the Mayo Clinic. Improvement happened relatively quickly: 80% of the eventual decrease in hot flashes occurred within the first week of taking the medication. Side effects, when they were noted, were mild. The dose used was 12.5 milligrams taken twice daily."
Maybe this may be something you could ask about....? Anything is worth a try when the quality of your life is so affected by those nasty hot flushes!
Hope this helps Jane! Please let us know how you get on with the acupuncture! Good luck, Celeste x?