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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Menopause, Taking Tamoxifen For Breast Cancer, Lupus, Heat Within Body, Nothing Helps. Advice?

I feel like I have a fever all of the time but when my temperature is taken it does not show that I have a fever. I am in menopause because of the Tamoxifen I am taking for Breast Cancer and I have been diagnosed with Lupus but I can t seem to get cool. I get cold and then I can t get warm. When I get warm I can t get cold again. I was wondering if my conditions or the medicines I am taking can be messing with my body temperature and what can I do to cool it down. I have tried drinking soda or water with Ice Cubes, using Ice Packs on my body, stripping down to nothing but nothing helps.
Thu, 5 Sep 2013
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Oncologist,  's  Response
Your heat within the body is called hot flashes.It is a side effect of hormonal therapy tamoxifen which u are taking.
Pharmacologic drugs include selective serotonin reuptake inhibitor (ssri) antidepressants, megestrol acetate, and gabapentin. Antihypertensives such as clonidine have shown modest benefit in tamoxifen induced hot flashes.
U can try the following non pharmacologic measures to reduce hot flashes.They are dressing in layers, use of cotton clothing and bedding, strategic placement of electric fans, and the carrying of cold drinks. Reusable cooling bandanas containing polymer crystals may be helpful. They can be soaked in cold water for 10–30 minutes and tied around the neck for a long-lasting cooling effect. Results from these changes are usually seen within the first 1 to 2 weeks of use.
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Menopause, Taking Tamoxifen For Breast Cancer, Lupus, Heat Within Body, Nothing Helps. Advice?

Your heat within the body is called hot flashes.It is a side effect of hormonal therapy tamoxifen which u are taking. Pharmacologic drugs include selective serotonin reuptake inhibitor (ssri) antidepressants, megestrol acetate, and gabapentin. Antihypertensives such as clonidine have shown modest benefit in tamoxifen induced hot flashes. U can try the following non pharmacologic measures to reduce hot flashes.They are dressing in layers, use of cotton clothing and bedding, strategic placement of electric fans, and the carrying of cold drinks. Reusable cooling bandanas containing polymer crystals may be helpful. They can be soaked in cold water for 10–30 minutes and tied around the neck for a long-lasting cooling effect. Results from these changes are usually seen within the first 1 to 2 weeks of use.