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Generic Nolvadex - Tamoxifine blocks the effects of estrogen hormone in the body. The way in which Generic Nolvadex - Tamoxifine works is quite complicated and not yet fully understood, but its main function is as an anti-oestrogen drug. Most breast cancers need supplies of the female hormone oestrogen to grow. Cancer cells have proteins called receptors on their surface that the sex hormones attach to. Cancers with oestrogen-receptors on the surface of their cells are called “oestrogen-receptor-positive” (ER-positive) and Generic Nolvadex - Tamoxifine is most effective against these cancers. Under normal circumstances, when oestrogen comes into contact with the receptors, it fits into them and activates the cancer cells to divide so that the tumour grows. Generic Nolvadex - Tamoxifine imitates the action of oestrogen and fits into the receptor but does not activate the cells to divide. The Generic Nolvadex - Tamoxifine stays in place and stops oestrogen from reaching the cancer cells so that they either grow more slowly or stop growing altogether. Generic Nolvadex - Tamoxifine can greatly reduce the chance of oestrogen-receptor-positive cancers coming back after surgery. It can also be used to shrink large tumours down before surgery so that they can be removed.
Active Ingredients: Generic Nolvadex - Tamoxifine citrate
Other Ingredients: lactose, cornstarch, gelatin, crosscarmelose, sodium, magnesium stearate, methylhydroxy, macrogol 300 and titanium dioxide.

Generic Nolvadex - Tamoxifine is used for the treatment of invasive breast cancer, the most common type of breast cancer, following surgery and/or radiation and for preventing invasive breast cancer in women at high risk for developing it. Generic Nolvadex - Tamoxifine also is used for the treatment of women following surgery and radiation for a less common type of breast cancer called ductal carcinoma in situ (DCIS or intraductal carcinoma). Women who have had ductal carcinoma in situ are at high risk for developing invasive breast cancer at a later date, and Generic Nolvadex - Tamoxifine prevents development of the invasive cancer in almost half of the women during the first five years of treatment. Occasionally, Generic Nolvadex - Tamoxifine is used to stimulate ovulation.

Generic Nolvadex - Tamoxifine is usually prescribed as a single daily dose and this should be taken at the same time each day: the actual time does not matter. Some women prefer to take the tablet with food as it may make you feel sick and can leave a metallic taste in your mouth. It is best to find a convenient time and stick to it. Trials are under way to determine how long Generic Nolvadex - Tamoxifine should be taken for after surgery for breast cancer. It is commonly prescribed for five years, although some doctors prescribe it for two years and others indefinitely. Currently it is thought that five years of treatment is probably best.

STORAGE
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Protect from light. Keep container tightly closed. Do not store in the bathroom, near the kitchen sink, or in other damp places. Heat or moisture may cause the medicine to break down. Always keep the Generic Nolvadex-Tamoxifine in the same container it came in. Throw away any unused medicine after the expiration date.

Like most drugs, Generic Nolvadex - Tamoxifine should not be taken during pregnancy. Even though it can affect a woman’s periods, Generic Nolvadex - Tamoxifine is not a contraceptive, so reliable contraception must be used.
Generic Nolvadex - Tamoxifine can increase the effect of the drug warfarin, which is used to thin the blood in people prone to blood clots. If you are taking warfarin let your doctor know straight away.
If you have a history of blood clots or deep vein thrombosis (DVT) let your doctor know, as Generic Nolvadex - Tamoxifine may not be suitable for you.

If you miss a dose of this medicine, do not take the missed dose at all and do not double the next one. Instead, go back to your regular dosing schedule and check with your doctor.

An overdose of Generic Nolvadex - Tamoxifine is unlikely to threaten life. Call an emergency room or a poison control center for advice if you suspect an overdose. Symptoms of a Generic Nolvadex - Tamoxifine overdose are unknown, but nausea, vomiting, seizures, tremor, or dizziness may be expected.

Each person’s reaction to any medication is different. As people react to drugs in different ways, it is impossible to predict who is going to have side effects. Many women who take Generic Nolvadex - Tamoxifine have no side effects, while others will experience them.
Side effects from Generic Nolvadex - Tamoxifine are usually mild and rarely require the drug to be stopped. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Generic Nolvadex – Tamoxifine.

More common side effects may include:
• Hot flashes
• nausea
• vomiting

Less common side effects may include:
• Bone pain
• diarrhea
• menstrual irregularities
• skin rash
• tumor pain
• vaginal bleeding
• vaginal discharge

Rare side effects may include: blood clots, depression, distaste for food, dizziness, hair thinning or partial loss, headache, light-headedness, liver disorders, swelling of arms or legs, vaginal itching or dryness, visual problems. .

Before taking Generic Nolvadex - Tamoxifine , tell your doctor if you are taking:
• an estrogen such as Premarin, Ogen, Estratest, Estraderm, Vivelle, Climara, and others;
• a birth control pill that contains estrogen;
• warfarin (Coumadin) or another blood thinner; or
• bromocriptine (Parlodel).

You may not be able to take Generic Nolvadex - Tamoxifine or you may require special monitoring or a dosage adjustment if you are taking any of the medicines listed above.
Drugs other than those listed here may also interact with Generic Nolvadex - Tamoxifine. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including herbal products.

There are no restrictions on food, beverages, or activity during treatment with Generic Nolvadex - Tamoxifine unless otherwise directed by your doctor. Your doctor may want you to have breast exams (or to perform self breast exams), mammograms, blood tests, or other medical evaluations during treatment with Generic Nolvadex - Tamoxifine to monitor progress and side effects.