Nolvadex is an anti-cancer medication that is used for the treatment and prevention of breast cancer in many different stages. For example, it may be used in women who are at high risk of breast cancer and also in women with DCIS to decrease the risk of breast cancer.

Nolvadex

Tamoxifen

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Nolvadex 20 mg (Normal Dosage)
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Nolvadex 10 mg (Low Dosage)
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Nolvadex helps by restricting the effect of estrogen on some types of tumor. This helps arrest the spread of cancer cells that rely on estrogen to spread in the body.


Usage

& Dosage

Please ask for precise dosage instructions to your healthcare provider.

Nolvadex is usually taken with a meal.

You should monitor your blood sugar level constantly while using Nolvadex.

Some doctors recommend taking Vitamin B12 supplements while using Nolvadex.

Try to take the medication at the same time everyday to avoid missing a dose. If you have missed a dose and it is almost time for the next dose, then skip the missed one and continue with the regular dosage. Alternatively, if you remember immediately, then you may take the missed dose. Never double up to compensate for a missed dose.


Storage

Store Nolvadex at room temperature in a cool and dark place. Keep away from children and pets.

Safety Information/ Warning Precautions
Speak about your medical history to your healthcare provider.
Mention complete and accurate details about existing medical conditions, known allergies to food or drugs, dietary supplements, vitamins, minerals, herbal supplements or OTC medications that you may be using.
Do not use Nolvadex if:
You are allergic to Nolvadex
You are using it as a prevention for breast cancer but you have a history of blood clots in the lung or leg
You also take certain anticoagulants (eg, warfarin)
You are taking anastrozole
Maintain caution while using Nolvadex if:
You have a history of blood clots developing in the legs or lungs
You have high levels of calcium in your blood
Your immune system is weak or you have low levels of white blood cells or platelets in your blood
You have high cholesterol or lipid levels
You have vision problems like cataracts
You are confined to a bed or chair
Mention to your doctor if you are using the following drugs:
Anticoagulants (eg, warfarin)
Cytotoxic cancer medicines (eg, cisplatin)
Bupropion, cinacalcet, clobazam, duloxetine, fluoxetine, paroxetine, perphenazine, pimozide, quinidine, rifampin, sertraline, terbinafine, thioridazine, or ticlopidine
Fluorouracil or mitomycin C
Aromatase inhibitors (eg, anastrozole, letrozole)
Please be informed:
Nolvadex may weaken your immune system. Avoid coming into contact with people who have contagious infections like cold, cough or chicken pox.
Nolvadex may reduce the ability of your body to form blood clots. This increases the risk of bleeding. Avoid any activity that may cause you to bleed. If you notice dark or tarry stools, then mention to your doctor immediately.
Some patients have developed new tumors in other parts of the body. It is not known if this is due to Nolvadex.
Women should use a non hormonal birth control method while using Nolvadex. Hormonal birth control pills may not work as effectively.

Side Effects
Mild side effects are commonly experienced while using Nolvadex. They do not need medical treatment and usually subside on their own. Some examples are bone pain; cough; dizziness; hot flashes; muscle pain; nausea; tiredness; vaginal discharge; weight loss.
If these side effects become bothersome or do not fade away after a while, then seek medical assistance.
Serious side effects that need immediate medical assistance are rare.
Some of them are severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue; unusual hoarseness); abnormal menstrual periods; calf or leg pain, swelling, redness, or tenderness; chest pain; confusion; coughing up blood; dark urine; decreased sexual desire or ability; depression; fever, chills, or persistent sore throat; groin or pelvic pain or pressure; increased or painful urination; loss of balance or coordination; missed menstrual period; new or unusual breast lumps or pain; one-sided weakness; red, swollen, blistered, or peeling skin; severe or persistent loss of appetite, nausea, or stomach pain; severe or persistent tiredness or weakness; shortness of breath; skin changes; slurred speech; sudden severe headache; swelling of the arms or the legs; symptoms of high blood calcium levels (eg, change in the amount of urine produced; increased thirst; irregular heartbeat; mental or mood changes; muscle aches or weakness; severe or persistent constipation or vomiting); unusual bleeding or bruising; unusual vaginal bleeding or bloody discharge; vision problems; yellowing of the eyes or skin.
Please contact your doctor immediately if you notice any serious side effects.