General Info: Uses and Effects
Nolvadex Generic (Tamoxifen) is usually recommended for the treatment of breast cancer that has metastized that is, spread over other parts of the body. It is also used for the treatment of breast cancer in specific patients after an undergoing radiation therapy and surgery. The drug helps to reduce the chances of breast cancer in other high risk patients. Tamoxifen can also block the growth of breast cancer. It functions by hindering the effects of estrogen in breast tissue.
Contraindication: Important to Know
Before you commence your treatment on Nolvadex, you should inform your physician of any allergies you have. There may be some active ingredients in this medication that can cause allergic reactions. You should discuss this in details with your physicians. You should also inform your doctor if you have a history of blood clots such as pulmonary embolism, deep vein thrombosis, and stroke. If you also have a condition that needs treatment with blood thinning medication like Warfarin, you should inform your doctor about it. Patients with history of stroke or blood clots, or if you have breast cancer, you might and might not be able to take the medication. It is crucial to discuss the benefits and risks of the medication with your physician before you start the treatment.
Instructions on Taking
It is crucial to read the medication information offered by your doctor or pharmacist before you commence your Tamoxifen treatment. In case you are not very clear about any area of the instruction, you should talk to your health care provider about it. Nolvadex is recommended to be taken by mouth with or without food. It is usually taken once or twice everyday for a period of five years or as prescribed by your physician. Daily dose that is more than 20mg should be divided into half and taken twice per day; one half in the morning and the remaining half in the evening. In case you are using the liquid form of the medication, ensure you measure the right dosage carefully with the measuring spoon or device provided by your physician. Do not use the regular household spoon for your measurement because you might not get the accurate measurement with it. To get the best out of the drug, you need to take it on regular basis and as directed by your physician.
It is recommended that you take the drug at the same time every day so that you can remember to take it. If your breast cancer has spread to some other parts of your body, you may experience cancer or bone pain when you start your treatment with Tamoxifen. This can sometimes be a sign of positive response to the drug. Some symptoms you can experience when you start using the drug include increased tumor size, bone pain, or new tumors development. These symptoms will usually disappear shortly after starting your treatment. It is important that you inform your doctor of any symptoms you experience while taking the medication.
In case you miss a dose, you should take it immediately you remember except it is close to the time of your next dosage. If it is close to your next dosage, skip your missed dose and resume the regular one as scheduled. You should never double your dosage to make up for a missed dose. Store the medication at room temperature and keep away from moisture and light. Do not freeze or refrigerate the drug.
There are many side effects that you can experience while taking Nolvadex Tamoxifen and some are more common than others. It is important to mention that some patients do not experience severe adverse effects while using the medication. In addition to this, you should know that your doctor has prescribed the drug for you because they believe that the benefits greatly outweigh the risks of using the drug. Some common side effects of taking Tamoxifen include nausea, hot flashes, muscle aches, leg cramps, hair thinning, numb/tingling skin, and headache. Some men may also experience loss of sexual desire or ability while taking the medication. In case these side effects persist, you should speak with your doctor immediately.
Other serious side effects of using the medication include vision changes, easy bleeding/bruising, eye pain, mood/mental changes, unusual tiredness, and swelling of feet/ankle. Inform your doctor immediately if you experience any of these side effects. There are other rare but severe adverse effects that you can experience during the course of taking this medication. Some of these effects include abdominal pain, dark urine, vomiting/nausea, yellowing skin/eyes, persistent sore throat, fever, and other signs of infection.
You should call for urgent medical attention if you have any allergic reaction while using the medication, such as rash, severe dizziness, swelling/itching, and trouble breathing. Nolvadex seldom cause very severe blood clots in the legs or lungs, strokes, or cancer of the uterus. In case you are taking the medication to minimize the risk of breast cancer, it is important that you discuss the risks and benefits of taking this medicine with your physician. You should call for urgent medical attention if you experience symptoms of blood clots in the legs/lungs, stroke, or weakness on one part of your body. You should also call for medical help if you develop sudden vision changes, shortness of breath, slurred speech, chest pain, confusion, or calf swelling/pain.
Interaction with Other Drugs
There are some medications that interact with Nolvadex Tamoxifen. By interfering, this means the drugs can affect the effectiveness of Taximofen. Some of the drugs that can interact with Nolvadex include Bupropion (Wellbutrin), Fluoxetine (Prozac), Quinidine (Cardioquin), Paroxetine (Paxil), Pimozide (Orap), Thioridazine (Mellaril), Perphenazine (Trilafon), Cinacalcet (Sensipar), Clomipramine (Anafranil), and Terbinafine (Kanusuk).
It is crucial to mention that the list of drugs listed above is not exhaustive. There are some other medicines that can interact with Nolvadex. You should therefore inform your doctor about all other medications (prescription, non-prescription, herbal supplements, or vitamins) you are using before you start your Tamoxifen treatment.