Bonnie Annis is a breast cancer survivor, diagnosed in 2014 with stage 2b invasive ductal carcinoma with metastasis to the lymph nodes. She is an avid photographer, freelance writer/blogger, wife, mother and grandmother. The decision to walk away from taking aromatase inhibitors is a choice many women are now making. No longer do they blindly follow the advice of doctors to take medication for the next five to 10 years that may or may not prevent the recurrence of breast cancer. They’re doing their homework and learning more about the potential side effects of drugs like Tamoxifen, arimidex, aromasin and femara. Their health care responsibility has shifted from the shoulders of their medical team into their own capable hands as women are discovering they have a right to choose. Standard adjuvant therapies after a breast cancer diagnosis often include one or more of the following: chemotherapy, radiation treatments, surgery or long-term medications such as SERMS (selective estrogen receptor modulators). According to an article posted by Breastcancer.org, “Tamoxifen, the generic name of nolvadex, is the oldest and most-prescribed SERM.” It has been used in both women and men diagnosed with hormone receptor-positive breast cancers to reduce the possibility of recurrence. Our free Discount Rx savings card can help you and your family save money on your prescriptions. This card is accepted at all major chain pharmacies, nationwide. Enter your name and email address to receive your free savings card. Our free Discount Rx savings card can help you and your family save money on your prescriptions. This card is accepted at all major chain pharmacies, nationwide. Enter your name and email address to receive your free savings card. While they are both hormone therapies, these medications do not work in the same way. Buy clomid fertility pills online Should viagra be taken with or without food Dec 14, 2007. Dec. 14, 2007 San Antonio -- Even after treatment ends, Arimidex beats out tamoxifen in preventing breast cancer recurrence in women with. May 31, 2015. The first study to compare the efficacy and safety of tamoxifen versus anastrozole in women treated for ductal carcinoma in situ DCIS suggests. Compare Anastrozole vs Tamoxifen head-to-head for uses, ratings, cost, side effects, interactions and more. Anastrozole rated 5.7/10 vs Tamoxifen rated 6.2/10 in overall patient satisfaction. Anastrozole vs Tamoxifen Comparison - Given the similar efficacy of tamoxifen and anastrozole for women older than age 60 years, decisions about treatment should be informed by the risk for serious adverse health effects and the symptoms associated with each drug. the National Surgical Adjuvant Breast and Bowel Project (NSABP) B-35 trial, performed in women who had received lumpectomy plus whole-breast irradiation, anastrozole significantly improved the breast cancer–free interval, although the benefit was limited to patients aged the IBIS-II DCIS trial, performed in women who had undergone local excision with or without radiotherapy, anastrozole was noninferior to tamoxifen in preventing overall disease recurrence. Margolese, MD, of Jewish General Hospital, Mc Gill University, is the corresponding author of the NSABP B-35 article in . (For more coverage on these two trials from the 2015 San Antonio Breast Cancer Symposium, see pages 24 and 25.) NSABP B-35 Trial In this double-blind trial, 3,104 patients from 333 sites in the United States, Canada, and Mexico were randomized between January 2003 and June 2006 to receive daily anastrozole at 1 mg (n = 1,552) or tamoxifen at 20 mg (n = 1,552) for 5 years. Reduced Recurrence With Anastrozole Median follow-up was 9.0 years, with a total of 212 breast cancer–free interval events observed. Events occurred in 90 patients in the anastrozole group vs 122 in the tamoxifen group (hazard ratio [HR] = 0.73, = .78). Five-year breast cancer–free interval rates were 96.3% in both groups, and estimated 10-year rates were 93.1% vs 89.1%. Among all events, invasive disease occurred in 43 vs 69 patients (HR = 0.62, Adverse Events Second primary cancers occurred in 107 patients in the anastrozole group vs 102 in the tamoxifen group (risk ratio [RR] = 1.04, 95% confidence interval [CI] = 0.78–1.37), with a nonsignificantly greater incidence of uterine cancer in the tamoxifen group (8 vs 17 cases, RR = 0.47, 95% CI = 0.18–1.15). Fracture was nonsignificantly more common with anastrozole (69 vs 50 patients, RR = 1.38, 95% CI = 0.95–2.03). With this kind of information on patient-reported outcomes in women with ductal carcinoma in situ, patients and their physicians can now make personalized decisions on which of these two effective agents [anastrozole vs tamoxifen] to select. Ductal carcinoma in situ is a relatively benign form of breast cancer (stage 0), yet up to 10% of women with ductal carcinoma in situ will have a recurrence within 10 years. At present, there is no way to identify which women will recur, so standard treatment is lumpectomy plus radiation therapy. Hormonal therapy is offered to women with estrogen receptor–positive ductal carcinoma in situ to prevent recurrence. Two studies presented at the 2015 San Antonio Breast Cancer Symposium shed some light on how women with ductal carcinoma in situ who choose to take a hormonal agent can make the decision, in consultation with their oncologists, between an aromatase inhibitor, anastrozole, and tamoxifen. The bottom line is that the choice depends on patient preferences, side-effect profiles, and other risk factors. The first study presented final results of the large, placebo-controlled IBIS-II DCIS trial that compared tamoxifen vs anastrozole in 2,980 postmenopausal women with ductal carcinoma in situ. Tamoxifen vs anastrozole Tamoxifen or Anastrozole for Ductal Carcinoma in Situ?, Anastrozole Shows Preventive Advantages Over Tamoxifen After DCIS Amoxicillin to treat bronchitisPrednisone side effects in women Arimidex vs. tamoxifen. i was on arimidex and felt awful most of the time so was switched to tamoxifen. i now have blood clots in my legs and was immediately taken. Tamoxifen vs. arimidex Cancer Survivors Network. Anastrozole vs Tamoxifen Comparison -. What are the Side Effects of Aromatase Inhibitors Susan G. Komen®. Aug 31, 2017. They're doing their homework and learning more about the potential side effects of drugs like Tamoxifen, arimidex, aromasin and femara. Compare Arimidex vs Tamoxifen head-to-head for uses, ratings, cost, side effects, interactions and more. Arimidex rated 6.4/10 vs Tamoxifen rated 6.2/10 in overall patient satisfaction. Feb 10, 2016. There is no clear difference between these agents anastrozole vs tamoxifen in efficacy, but there were significant differences in toxicity profiles.