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kareylou

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Reply with quote  #1 
Hello all,
     I am currently taking tamoxifen and effexor (for depression, not hot flashes). I take the tamoxifen in the morning and the effexor at night. I think I have it backwards, as the tamoxifen makes me a little tired, and the effexor keeps me awake. My doc says it's okay to take them both together, which makes me nervous for some reason, or to switch, and I should "experiment" and see what works for me.
     Thought I would consult the experts before beginning my experiment. When do you take your tamoxifen? Anyone on tamoxifen and effexor? Thanks!

nosurrender

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Reply with quote  #2 
Hi Karey,
I judt checked our drug interaction list and I couldn't find anything that would prohibit you from doing it- here is the link in case I missed something!
DRUG INTERACTION LIST


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Karen1956

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Reply with quote  #3 

I don't take Tamoxifen, but Aromasin and I take it at the same time that I take most of my other meds including Lamictal and Wellbutrin.  My onc has never told me not to take it with any certain drugs. 

LizM

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Reply with quote  #4 

I understand exactly how you feel.  I took Tamoxifen first and at night before bed and did not take any other meds with it.  I now take Femara and also take it one hour before bed and do not take any other meds with it.  However, I just started taking melatonin (due to Edge's CAM regimen) and take it an hour after Femara right before I go to sleep.  I have always been worried about taking other meds with my hormone therapy so it gives me peace of mind to take everything else in the morning.  

zschweeb

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Reply with quote  #5 

welcome kareylou....


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Bren

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Reply with quote  #6 
Hi Kareylou!!

You can also take Tamoxifen 10 mg a.m. and 10 mg p.m.  That's how my doctor prescribed it when I took it.  I took it with breakfast and dinner.  I take my antidepressant in the morning (not Effexor).

Welcome aboard .. we're glad to have you!
Bren
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Reply with quote  #7 
Hi Kareylou,

My doc told me to take Tamoxafin just before I went to bed at night. I have a 20mg dose and don't have any other meds to take at that time. I've heard of lots others doing it the way BREN describes when they felt they couldn't handle the 20mg dose all at once.

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kareylou

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Reply with quote  #8 
Hello all,
     Thanks for your input. Just thought I would update. I guess I'm one of those people who can't tolerate Effexor. Every time I took one, it was like being back on chemo for about four hours, only without anti-nausea medications. I stuck it out for a while because the doctor told me it would get better but finally threw in the towel (so to speak). So now I am just on Tamoxifen, taking it at night, no side effects to speak of. I am looking into Mindfulness-Based Cognitive Therapy for depression, as I don't seem to be able to tolerate the antidepressants that don't interfere with Tamox. Mindfulness meditation helped me greatly during treatment. Anyone interested in how it goes?

nosurrender

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Reply with quote  #9 
Karey Lou, yes, what is that?

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kareylou

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Reply with quote  #10 
Hello,
     I hate to speak for an entire discipline, and let me insert the caveat that I am a pianist--not any sort of therapist or counselor. But the idea so far seems to be a sort of awareness meditation--being mindful of what is going on in the present moment and gently bringing your thoughts back to what is going on presently. So much of my fear and sadness is rooted in the past and the future.
     The cognitive part is more being aware of what I tell myself about my emotions and fears. In other words, the depression is not ultimately caused by being sad or lonely--those are part of the human condition. It is caused by what I tell myself about those emotions--for example, I will always be alone, or if I feel sad I must be getting really depressed again and since I can't take the antidepressant with Tamoxifen it's hopeless.
     The meditations are based on the works of Thich Nhat Hahn, a Vietnamese Buddhist monk. I am lucky to live very close to the Mindfulness Practice Center of Fairfax, in Virginia,  and have been going to a meditation group there. The two books I have been working from in therapy are Mindfulness-Based Cognitive Therapy for Depression--Segal, Williams, Teasdale; and The Mindful Way Through Depression by the above authors and Jon Kabat-Zinn.
     Having been raised on a farm in Ohio, I have always been distrustful of what my parents would call "California woo-woo" but this program seems true and compassionate and reality-based. So far it has been difficult in ways, forcing me to feel and face things I had been avoiding, but I have enjoyed it immensely. I probably wouldn't recommend it for a major bout of clinical depression, just saying that it's helped me.

nosurrender

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Reply with quote  #11 
This is fascinating. Thank you for describing it.
I must practice a form of it because it touched a familiar chord in me.
I went to Quaker schools and it had a profound effect on me.
Learning to listen to the still, quiet voice within, finding peace in the smallest part of nature, understanding that there is that of God in everyone and one does not have to go to a cathedral to find Him.

In the almost 7 years since my diagnosis, when I get myself upset or in a fearful state, or even if I dwell on what is negative, I go outside and find myself again. I can be calmed by the sound of wind through a tree or watching the sea birds on the beach here. Last winter I found hundreds of swans in a lake near here in the dead of winter.  I posted pictures for everyone then... that sight alone lifted my spirits for a long time.

Sometimes, when I am having a particularly beautiful or enjoyable day, like when my family and I were moored off  beach where we grew up,  and the weather was perfect, we were jumping off the side of the boat and eating delicious sandwiches and just floating, I took a moment to store it away in my memory. I put days like that in a special place. Then, if I have to get an MRI or other ungodly test done, I go there in my mind.
I never considered it meditation, but now, after reading what you wrote, I guess I have been meditating all this time.

Thanks Kareylou for sharing,
g


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Calico

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Reply with quote  #12 
Gina,
what you describe keeps me running on a trail all alone....there is no comparison and I call it my 'mental washing' cycle

"and one does not have to go to a cathedral to find Him"....well said, thank you!


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