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Breast Cancer (Expert Forum)
Cimicifuga racemosa (Black Cohosh) and Tamoxifen
Questions posted in the Breast Cancer Forum are answered by medical professionals from The Cleveland Clinic. Topics include Breast Biopsy, Chemotherapy, Hormone Therapy, Lumps, Lumpectomy, Lymph node dissection, Lymphedema, Mammograms, Mastectomy, Radiation Therapy, Reconstruction, Self Breast Exam, and Surgery.
Cimicifuga racemosa (Black Cohosh) and Tamoxifen
by samu, Jan 29, 2002 12:00AM
I am 59 yaers old postmenoposal stage 2 Breast Cancer patient.
(ER +, PR +)
I had lumpectomy + Axillar Node Dissection + 4 AC + RT.in 2001.
I am now on Tamoxifen 10 mg. 2 x 1 tablet for five years.
I have some hot flushing like climacterial sypmptoms. Is cimicifuga racemosa tablets for these sypmtoms a good choice with tamoxifen ?
If it is not, what you usually recommend ?
Thank you.
(ER +, PR +)
I had lumpectomy + Axillar Node Dissection + 4 AC + RT.in 2001.
I am now on Tamoxifen 10 mg. 2 x 1 tablet for five years.
I have some hot flushing like climacterial sypmptoms. Is cimicifuga racemosa tablets for these sypmtoms a good choice with tamoxifen ?
If it is not, what you usually recommend ?
Thank you.
Doctor's Answer
by CCF-RN,MSN-JS, Jan 29, 2002 12:00AM
Dear Samu, Black cohosh has been used but because of some of its estrogen-like properties it’s use in patients with breast cancer is controversial. Hot flashes may be precipitated by: psychological stress, hot weather, caffeine, spicy foods, or alcohol. There are a number of nonhormonal medications available for the treatment of hot flashes. Their goal is not to eliminate hot flashes altogether but to diminish their intensity and frequency. Vitamin E 800IU daily, Vitamin B6 200mg daily or Peridin-C 2 tablets 3 times a day, are over the counter agents that may be of help.
There has been some research with the use of the medications; venlafaxine (effexor) an anti-depressant, bellergal and clonidine, for treatment of hot flashes, these would need to be prescribed by your physician.
It is important to talk to your physician before you take any medications or supplements, to be sure there is no contraindication of any of these treatments in your individual situation.
There has been some research with the use of the medications; venlafaxine (effexor) an anti-depressant, bellergal and clonidine, for treatment of hot flashes, these would need to be prescribed by your physician.
It is important to talk to your physician before you take any medications or supplements, to be sure there is no contraindication of any of these treatments in your individual situation.
