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Real members of MyBCTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
April 30
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A MyBCTeam Member

Also if medication isn’t scored, doesn’t have a dividing line all the medication may be in one half and the other half is just fillers.
I learned this in Nursing school many moons ago!
Definitely run it by your medical team.
Good Luck, Let us know what they recommend.
Sending you love and prayers for a reduction in the side effects you are experiencing. 💕

May 2
MyBCTeam

That's a really thoughtful question! Some people do experiment with the timing of their hormonal therapy to help manage side effects, though splitting doses is something to discuss with your care team first.

When it comes to tamoxifen specifically, some MyBCTeam members have found that simply switching *when* they take Show Full Answer

That's a really thoughtful question! Some people do experiment with the timing of their hormonal therapy to help manage side effects, though splitting doses is something to discuss with your care team first.

When it comes to tamoxifen specifically, some MyBCTeam members have found that simply switching *when* they take their dose (morning vs. night) can make a difference in how they feel.

Here's what some members have shared:

- One MyBCTeam member switched from morning to nighttime dosing to avoid nausea and appetite loss
- Another switched from night to morning and noticed fewer symptoms overall
- Some members report no difference at all between morning and evening dosing It's never a good idea to change how you take your medication — including splitting doses — without speaking to your care team first. They can help evaluate whether a different schedule or even an alternative medication might work better for managing side effects.

The good news is there are often options, so it's always worth having that conversation!

April 30
A MyBCTeam Member

I was told to take my Letrozole pills in the morning so it would be less likely to make my insomnia worse. My insomnia is still worse.

Before splitting any cancer or non cancer related pills in half you need to check with your doctor and your pharmacist to make sure it is safe. It's important to double check with the pharmacist because they know more about medications than doctors do. It's fairly common for doctors to prescribe medications to people without taking into account the effect a new medication will have on the existing medications that the patient is already taking. This has happened to me a bunch of times over the years.

Some pills shouldn't be broken or altered in any way because it will have a negative effect on how the medication is absorbed by your body and it can be harmful to your health. This is especially true for pills that are designed to be time released over an extended period of time/hours because you can poison/overdose yourself if your body receives too much of the medication at one time. For example my CDK inhibitor is Ibrance. The packaging says if the coating of the pill has been damaged or the pill has been broken that you shouldn't take that damaged pill. My oncologist said this is because the medication will be released into the body too quickly with Ibrance.

May 1

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Winter Haven, FL