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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& letrozole (Femara)","id":"message:108138","revisionNum":1,"repliesCount":28,"author":{"__ref":"User:user:20290"},"depth":0,"hasGivenKudo":false,"board":{"__ref":"Forum:board:hormone-blocking-therapy"},"conversation":{"__ref":"Conversation:conversation:108138"},"readOnly":false,"editFrozen":false,"moderationData":{"__ref":"ModerationData:moderation_data:108138"},"body@stripHtml({\"truncateLength\":200})":" Hi there, I was diagnosed with early stage breast cancer July 2017. I have had a lumpectomy, chemotherapy & radiotherapy. I was given the all clear from breast cancer on 10th Aug 2018..... my 62nd bi...","body@stringLength":"1101","rawBody":"
Hi there, I was diagnosed with early stage breast cancer July 2017. I have had a lumpectomy, chemotherapy & radiotherapy. I was given the all clear from breast cancer on 10th Aug 2018..... my 62nd birthday. A great present to be sure.
As ongoing treatment I take letrozole daily (2.5 mgs) as my cancer was oestrogen receptor positive. I have just had a bone density scan & been told I have osteoporosis - the doctor feels it may have been exacerbated by the Letrozole reducing my oestrogen levels. We discussed different treatments - weekly/monthly tablets, yearly injections. He also suggested my surgeon might decide to change my meds. He mentioned Tamoxifen is gentler to bones. However when I read the side effects I was a tad worried. It mentioned blood clots, uterine cancer, nausea etc. I will have a follow up with my breast surgeon to discuss but wondered if anyone had advice on this area. I've coped well on Letrozole, but maybe some of you are doing fine on Tamoxifen.
Hi there, I was diagnosed with early stage breast cancer July 2017. I have had a lumpectomy, chemotherapy & radiotherapy. I was given the all clear from breast cancer on 10th Aug 2018..... my 62nd birthday. A great present to be sure.
As ongoing treatment I take letrozole daily (2.5 mgs) as my cancer was oestrogen receptor positive. I have just had a bone density scan & been told I have osteoporosis - the doctor feels it may have been exacerbated by the Letrozole reducing my oestrogen levels. We discussed different treatments - weekly/monthly tablets, yearly injections. He also suggested my surgeon might decide to change my meds. He mentioned Tamoxifen is gentler to bones. However when I read the side effects I was a tad worried. It mentioned blood clots, uterine cancer, nausea etc. I will have a follow up with my breast surgeon to discuss but wondered if anyone had advice on this area. I've coped well on Letrozole, but maybe some of you are doing fine on Tamoxifen.
Cheers, Sue
"},"Conversation:conversation:108138":{"__typename":"Conversation","id":"conversation:108138","solved":false,"topic":{"__ref":"ForumTopicMessage:message:108138"},"lastPostingActivityTime":"2018-09-26T20:31:18.000-07:00","lastPostTime":"2018-09-26T20:31:18.000-07:00","unreadReplyCount":28,"isSubscribed":false},"ModerationData:moderation_data:108138":{"__typename":"ModerationData","id":"moderation_data:108138","status":"APPROVED","rejectReason":null,"isReportedAbuse":false,"rejectUser":null,"rejectTime":null,"rejectActorType":null},"Revision:revision:108138_1":{"__typename":"Revision","id":"revision:108138_1","lastEditTime":"2018-09-24T00:25:33.000-07:00"},"ForumReplyMessage:message:108164":{"__typename":"ForumReplyMessage","id":"message:108164","conversation":{"__ref":"Conversation:conversation:108138"},"author":{"__ref":"User:user:20096"},"revisionNum":1,"uid":108164,"depth":1,"hasGivenKudo":false,"subscribed":false,"board":{"__ref":"Forum:board:hormone-blocking-therapy"},"subject":"Re: Osteoporosis & letrozole (Femara)","readOnly":false,"editFrozen":false,"moderationData":{"__ref":"ModerationData:moderation_data:108164"},"parent":{"__ref":"ForumTopicMessage:message:108138"},"body":"@kmakm re the quote I provided.
PBS ( Pharmaceutical Benefit Scheme) provides some medications at concessional rates provided criteria are met.eg 6 monthly Prolia injections for osteoporosis cost either $38 ( PBS price) or $275 ( non PBS price) . Using this example , to qualify for the PBS price you must be diagnosed as having osteoporosis AND either be over 70 or have had an osteoporotic fracture.
The quote from the College of GPs suggests PBS criteria needs modification in the light of international guidelines regarding the treatment of patients on Aromatase Inhibitors who have developed osteoporosis.
There are no implications for you if your bone density is fine. However should your bone density become osteoporotic having a chat to your onc won’t alter the COST of bone building medication as that is governed by PBS criteria but the selection of type of medication is a matter of mutual decision.
Sorry to have confused the issue - just pleased to see guidelines from the medical profession acknowledging the impact of AIs on bones and suggesting that change needs to be made in pricing medication for treatment of those whose bone density has been damaged.","body@stringLength":"1227","rawBody":"@kmakm re the quote I provided.
PBS ( Pharmaceutical Benefit Scheme) provides some medications at concessional rates provided criteria are met.eg 6 monthly Prolia injections for osteoporosis cost either $38 ( PBS price) or $275 ( non PBS price) . Using this example , to qualify for the PBS price you must be diagnosed as having osteoporosis AND either be over 70 or have had an osteoporotic fracture.
The quote from the College of GPs suggests PBS criteria needs modification in the light of international guidelines regarding the treatment of patients on Aromatase Inhibitors who have developed osteoporosis.
There are no implications for you if your bone density is fine. However should your bone density become osteoporotic having a chat to your onc won’t alter the COST of bone building medication as that is governed by PBS criteria but the selection of type of medication is a matter of mutual decision.
Sorry to have confused the issue - just pleased to see guidelines from the medical profession acknowledging the impact of AIs on bones and suggesting that change needs to be made in pricing medication for treatment of those whose bone density has been damaged.","kudosSumWeight":0,"repliesCount":0,"postTime":"2018-09-26T16:00:03.000-07:00","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":[]},"timeToRead":1,"currentRevision":{"__ref":"Revision:revision:108164_1"},"latestVersion":null,"metrics":{"__typename":"MessageMetrics","views":0},"visibilityScope":"PUBLIC","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":[]}}},"customFields":[],"replies":{"__typename":"MessageConnection","edges":[],"pageInfo":{"__typename":"PageInfo","hasNextPage":false,"endCursor":null,"hasPreviousPage":false,"startCursor":null}}},"CachedAsset:theme:customTheme1-1743643614981":{"__typename":"CachedAsset","id":"theme:customTheme1-1743643614981","value":{"id":"customTheme1","animation":{"fast":"150ms","normal":"250ms","slow":"500ms","slowest":"750ms","function":"cubic-bezier(0.07, 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I had seen on the news last weekend that some drugs had been reduced in their end price to us the patients. 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