@Mags44 I don’t think it gets easier but I think you have to just learn to live with the side effects and find the best way to manage them. I have been on tamoxifen now for about 20 months and it has been hard work coping mentally and physically. The hot flushes are so draining especially now heading into summer, I now have a packet of wet wipes, a small hand towel and little fan that go with me everywhere. I choose cotton clothing and sleepwear whenever I can as well. Another tip was to get good regular exercise - think it helps my mind more than body. My oncologist has started me on a low does anti-depressant to see if that helps but all it has done is help me sleep better which is a bonus. I work in an office and have managed the flushes ok - you just have to take control of the air con haha, the guys tend to disappear when you get hot and flustered and the women get you a water and have sympathy. I thought 5 years was just going to be hell but I’m nearly 2 down so can’t complain. Good luck with your return to work and staying well🙂