How to Take Medicine

This medicine should be taken orally, with water, with or without food. Your medicine should be taken at the same time every day, and should never be taken differently to the way you have been told. You should also not stop taking the medicine until you have come to a decision with your doctor.

If you feel you may have taken one too many then contact your emergency room. Furthermore, if somebody else has swallowed one of your tablets than you should seek advice, because you should never share your medicine with anybody.

Missing a Dose

If you miss a dose, then do not worry, just continue to take it again as normal. However, never take two tablets in one day to make up for missing one.

If I Want To Take This Tablet What Should I Tell My Doctor?

You need to inform your doctor of any problem with:

• Blood disease
  
  
• Endometriosis
  
  
• High cholesterol
  
  
• Liver disease
  
  
• Uterine fibroids
  
  
• If you are pregnant or trying
  
  
• Breast feeding
  
  
• Allergies
  
  
• Strokes
  
  
• Strange menstrual cycles
  
  
• High levels of calcium
  
  
• Impaired eyesight
  
  
• Blood clots

Drug Interactions

If you are taking any of the following then please tell your doctor:

• Bromocriptine
  
  
• Aminoglutethimide
  
  
• Hormone replacement drugs
  
  
• Chemotherapy drugs
  
  
• Warfarin
  
  
• Phenobarbital
  
  
• Medroxyprogesterone
  
  
• Rifampin
  
  
• Letrozole

Precautions

On this medication, you should regularly be visiting a doctor for various tests; therefore, you can talk about how you are finding the medication, what changes you have realised and anything else.

Do not take Tamoxifen if you are trying to conceive. You should not conceive while on the medication or after coming off the medication for a period of two months, because Tamoxifen may harm your unborn baby. If you are worried that you may be pregnant while on the medication then speak to your doctor as soon as possible. If you are worried that you may fall pregnant while on Tamoxifen then take to your medical official.

Never breast feed while taking the medicine.

Side Effects

If you experience any of these side effects then contact your doctors:

• Blurred vision
  
  
• Finding it hard to breath
  
  
• Additional breast lumps
  
  
• Pelvic pain
  
  
• Skin rash
  
  
• Swelling
  
  
• Unusual bleeding or bruising
  
  
• Weakness
  
  
• Changes to your menstrual cycle
  
  
• Hard time walking or talking
  
  
• Numbness
  
  
• Redness or blistering of the skin
  
  
• Chest pains
  
  
• Tenderness
  
  
• Yellowing of the whites of the eyes/skin
  
  
• Unusual vaginal discharge

You may also experience:

• Slight fatigue
  
  
• Hot flashes
  
  
• Vomiting, nausea
  
  
• Impotence (in men)
  
  
• Headaches
  
  
• Hair loss (mild)

If this is the case then it is up to you if you contact your medical official or not. You will be made aware what you can expect from a medication like Tamoxifen, therefore, you should know what is wrong and what is right.

*List may not include all possible side effects.

Storage

As with all medications, keep it out of the reach of children and at room temperature. If you still have some tablets left over then please dispose of carefully or hand over to your doctor who will dispose them for you.