> http://ilenarose.blogspot.com
> Health Lover
[quoted text clipped - 8 lines]
> October 9, 2007
> NewsWithViews.com
...
> Tamoxifen, like estrogen, binds to the estrogen receptor. In its early
> days, it was thought that this would prevent excess estrogen binding
> and therefore halt cancer. It was unleashed to the public as an
> anti-cancer drug.
...
> The American Academy of Family Physicians attempted to warn physicians
> by announcing, “Incidence of endometrial cancer (cancer of the womb
> lining) almost doubled for those taking the drug [Tamoxifen] for one
> to two years. Taking it over a five year period: Cases quadrupled.”
Please don't let this article put off any breast cancer survivors from
taking Tamoxifen.
Yes Tamoxifen roughly quadruples the risk of endometrial cancer which is
typically 0.05%, raising it to about 0.2%, and which is nearly always
curable. However it also roughly halves the risk of recurrent breast
cancer which can be between 5% and over 50% depending on stage, and is
usually fatal.
So for most cancer survivors the benefits *dramatically* outweigh the risks.
Of course it would be a good thing to eliminate this side effect, but
for those who have had breast cancer, taking Tamoxifen is a hell of a
lot better than not taking Tamoxifen, it is one of the biggest
contributors to the improvement in survival rates seen over the last
decades.
What the pharmaceutical companies gain from the research discussed in
this article is not so much a better pill for cancer patients - the
improvement would be marginal and commercially they'd do better
combating the hot flushes - it is the potential huge market for a
prophylactic breast cancer drug that can be given to women say over 40
who have NOT had cancer, to lower their risk. Tamoxifen is fine for
cancer patients who already face a high risk of recurrence, but giving
it to perfectly healthy women as a mass medication would do more harm
than good.
Tim Jackson
Bea Oo - 20 Oct 2007 14:15 GMT
>Please don't let this article put off any breast
> cancer survivors from taking Tamoxifen.
>Tim Jackson
Tim, thank you SO much for your reply to I-Scarry's latest post. It
seems to be her mission to keep us terrified while we are doing our best
to survive. Unless we are completely STUPID most of us KNOW the dangers
of practically ALL the drugs we put in our bodies but like you said, we
must weigh the good against the bad. I am on Arimidex so I guess it
has the same dangerous side effects. After reading her post I wanted to
throw them all down the toilet. BUT at least Arimidex gives me HOPE!
I will continue to take it and be sure my Oncologist is aware of the
side effects so that I can be watched for other problems.
Unless we are completely braindead, most of us know life does not come
without problems and it is the same for medications. I can't even take
an ASPIRIN without servere stomach problems yet it protects thousands
from heart problems. Does that mean aspirin should be banned?
"I-Scarry" needs to take a break from her mission to "save the world" so
that people like myself can eat breakfast without indigestion from her
posts!
Bea
'NO FORWARDS OR SPAM, PLEASE"
R. Fizek - 20 Oct 2007 18:12 GMT
Bea,
Couldn't have said it better myself.
Tammy
> >Please don't let this article put off any breast
>> cancer survivors from taking Tamoxifen.
[quoted text clipped - 23 lines]
>
> 'NO FORWARDS OR SPAM, PLEASE"
ed@math.uchicago.edu - 27 Oct 2007 02:46 GMT
> Tim, thank you SO much for your reply to I-Scarry's latest post. It
> seems to be her mission to keep us terrified while we are doing our best
[quoted text clipped - 5 lines]
> I will continue to take it and be sure my Oncologist is aware of the
> side effects so that I can be watched for other problems.
Arimidex acts in a totally different manner than tamoxifen. Arimidex
blocks the enzyme aromatase, which converts testosterone into
estradiol (E2). HIgh aromatase activity is almost
always present in breast cancer (in post-menopausal women, the
concentration of E2 may be as high as 20 times as much at the tumor
site as it is the blood), and may well be the initial step for most
breast cancer cases. High local levels of E2 upregulate (upregulate
is a fancy way of saying indirectly causes the increase of) telomerase
activity, and upregulate the protein bcl-2 (which protects the cancer
cells) if enough estrogen receptor (ER)-alpha and membrane-ER is
present. So arimidex is protective both because it shuts down
telomerase and it usually ends up decreasing bcl-2.
Tamoxifen on the other hand, acts benificially only because it blocks
ER-alpha. This will result in a decrease in bcl-2 if enough ER-alpha
is present. However, tamoxifen seems to bind to the ER-alpha
homodimers and turns on telomerase activity just as E2 does, at least
for breast cancer and prostate cancer (and possible other tissues, but
I haven't seen any studies that prove this yet). However, breast
cancer already has high local E2 activity, since telomerase doesn't
prevent E2 like arimidex does, so there is no increased growth rate of
the breast
cancer cells, but they usually die sooner because of the lower levels
of bcl-2.
I realize that this is fairly technical, but if you want to learn more
about the molecular biology of breast cancer or if you want to check
the references for the statements I made above,
then you should check out: http://www.tbiomed.com/content/4/1/28
The bottom line is if you take arimidex, don't be concerned about side
effects reported with tamoxifen.
Ed Friedman
Tim Jackson - 27 Oct 2007 11:57 GMT
> The bottom line is if you take arimidex, don't be concerned about side
> effects reported with tamoxifen.
True.
Many of the side effects are common to both, such as an
increased risk of osteoporosis, but the increase in risk of endometrial
cancer is specific to Tamoxifen.
Tim