I took Tamoxifen for about a year, had hot flushes, hip pain, fatigue. Switched to Arimidex and spent 4 1/2 months on it before I had to go off it. Side effects included, wanting to kill myself, joint and bone pain all over, foot pain, carpal tunnel syndrome in both hands, debilitating fatigue, severe fluid retention in the lower limbs, weakness, and not hot flushes but a feeling that every day was 43 Degrees Celcius (over 100 degrees farenheit). I had more than 20 different side effects and have now gone back on to Tamoxifen. At least the se's on that are manageable. I found out about a joint formula available in the US (I live in Australia and buy it on eBay) called Shiff Move Free, it is excellent for the joint pain. I started taking it while still on Arimidex - pain reduced by about 60%. On Tamoxifen I get no joint pain at all now. My naturopath has me taking Indole 3 Carbinole, which is good for estrogen balance. I will continue to take this when my 5 years is up. Studies have shown it could be just as effective as Tamoxifen, for ER+ breast cancers. Magnesium is very important too, helps with cramps, and helps to keep bones strong.