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Nolvadex (tamoxifen citrate) is a nonsteroidal antiestrogen used to treat breast cancer that has spread to other parts of the body (metastatic breast cancer), to treat breast cancer in certain patients after surgery and radiation therapy, and to reduce the chances of breast cancer in high-risk patients.
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How is Nolvadex best taken?
Use Nolvadex (tamoxifen tablets) as ordered by your doctor. Read all information given to you. Follow all instructions closely.
- Take with or without food.
- Swallow whole with some water or other drink.
- Keep taking Nolvadex (tamoxifen tablets) as you have been told by your doctor or other health care provider, even if you feel well.
- If you are able to get pregnant, start taking Nolvadex (tamoxifen tablets) during your period (menstrual) cycle. If you are not sure when to start taking this drug, talk with your doctor.
What do I do if I miss a dose?
- Take a missed dose as soon as you think about it.
- If it is close to the time for your next dose, skip the missed dose and go back to your normal time.
- Do not take 2 doses at the same time or extra doses.
- If you are not sure what to do if you miss a dose, call your doctor.
Side effects of Nolvadex
WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect:
- Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
- Signs of high calcium levels like weakness, confusion, feeling tired, headache, upset stomach and throwing up, constipation, or bone pain.
- Signs of a urinary tract infection (UTI) like blood in the urine, burning or pain when passing urine, feeling the need to pass urine often or right away, fever, lower stomach pain, or pelvic pain.
- Weakness on 1 side of the body, trouble speaking or thinking, change in balance, drooping on one side of the face, or blurred eyesight.
- Change in eyesight.
- A lump in the breast or breast soreness.
- Low mood (depression).
- Swelling in the arms or legs.
- Any skin change.
- Very bad headache.
- A burning, numbness, or tingling feeling that is not normal.
- Rarely, liver problems have happened with Nolvadex (tamoxifen tablets). This includes some cases of liver cancer. Sometimes, liver problems have been deadly. Call your doctor right away if you have signs of liver problems like dark urine, feeling tired, not hungry, upset stomach or stomach pain, light-colored stools, throwing up, or yellow skin or eyes.
- If you are a woman, call your doctor right away if you have pain when passing urine, pelvic pain or pressure, period (menstrual) changes like no period, vaginal bleeding that is not normal, or vaginal discharge.
- Some men have had sexual problems when taking Nolvadex (tamoxifen tablets). These include lowered interest in sex and not able to get an erection. Call your doctor right away if you have sexual problems when taking Nolvadex (tamoxifen tablets).
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