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  • Generic Name: (tamoxifen citrate)
    Other Brands: N/A
  • Last Revised: 08/2014
    • What is this medication and its most common uses?

      Tamoxifen is a medicine used to treat breast cancer that has spread to other parts of the body in men and women. Tamoxifen is used to lower the chance of getting breast cancer in women with a higher than normal chance of getting breast cancer. Tamoxifen is also used to lower the chance of getting invasive (spreading) cancer in women who had surgery and radiation for ductal carcinoma in situ (DCIS) (cancer of the milk ducts). In addition, tamoxifen is also used to treat breast cancer in women after they have finished surgery, radiation, and chemotherapy.

    • What should I know when beginning and continuing on this medication?

      How does this medication work?

      Tamoxifen works by blocking the effects of estrogen (a female hormone).

      What are the beneficial effects of this medication and when should I begin to have results?

      What: By blocking the effects of estrogen, tamoxifen may block the growth of breast cancers that need estrogen to grow.

      When: Everyone responds differently to treatment, so try to be patient and follow your healthcare provider’s directions. It is important that you take tamoxifen exactly as your healthcare provider has prescribed.

      How do I know it is working?

      Your healthcare provider may order tests regularly to check how well this medication is working.

    • What are the possible side effects of this medication?

      The following is not a full list of side effects. Side effects cannot be anticipated. If any develop or change in intensity, tell your healthcare provider as soon as possible. Only your healthcare provider can determine if it is safe for you to continue taking this medication.

      In women with DCIS and women at high risk for breast cancer, tamoxifen can increase your risk of developing a life-threatening stroke or uterine cancer. Your healthcare provider will discuss the potential benefits and risks before you start treatment with tamoxifen.

      More common side effects may include: hot flashes, vaginal discharge.

      Less common side effects may include:

      Changes in the lining or body of your uterus with symptoms such as vaginal bleeding, bloody discharge, changes in your monthly bleeding, pain or pressure in your pelvis.

      Blood clots in your veins or lungs with symptoms such as sudden chest pain; shortness of breath; coughing up blood; or pain, tenderness, or swelling in one or both of your legs.

      Increased risk of developing a stroke with symptoms such as sudden weakness, tingling, or numbness in your face, arm, or leg, especially on one side of your body; sudden confusion, trouble speaking or understanding; sudden trouble seeing in one or both eyes; sudden trouble walking, dizziness, loss of balance or coordination; or sudden severe headache with no known cause.

      Cataracts (clouding of the lens of the eye) or increased chance of needing cataract surgery with symptoms such as blurred vision.

      Liver problems with symptoms such as loss of appetite or yellowing of your skin or the whites of your eyes.

      Harm to your unborn baby if taken during pregnancy. Tell your healthcare provider immediately if you are pregnant, plan to become pregnant, or are breastfeeding.

    • Who should not take this medication?

      Do not take tamoxifen if you are allergic to it or any of its ingredients.

      Do not take tamoxifen if you have DCIS and are taking blood thinners (such as warfarin) or have a history of blood clots.

    • What should I tell my healthcare provider before I take the first dose of this medication?


      Tell your healthcare provider about all prescription, over-the-counter, and herbal medications you are taking before beginning treatment with tamoxifen. Also, talk to your healthcare provider about your complete medical history, especially if you have heart or liver problems, cataracts, have or have had a blood clot, or if you are pregnant, plan to become pregnant, or are breastfeeding.

    • What is the usual dosage?

      The information below is based on the dosage guidelines your healthcare provider uses. Depending on your condition and medical history, your healthcare provider may prescribe a different regimen. Do not change the dosage or stop taking your medication without your healthcare provider's approval.

      Breast Cancer

      Adults: The recommended dose is 20-40 milligrams (mg) per day.

      Women with DCIS and Reduction in Breast Cancer Incidence in High Risk Women

      Adults: The recommended dose is 20 mg once a day for 5 years.

    • How should I take this medication?

      Take tamoxifen exactly as prescribed by your healthcare provider. Do not change you dose or stop taking tamoxifen without first to your healthcare provider.

      Swallow tamoxifen tablets whole with water or another non-alcoholic liquid. You may take tamoxifen with or without food at around the same time each day.

      It is important to have regular gynecology check-ups, breast exams, and mammograms during your treatment with tamoxifen.

    • What should I avoid while taking this medication?

      Do not become pregnant during your treatment with tamoxifen or for 2 months after your last dose of tamoxifen. Use non-hormonal birth control (such as condoms, diaphragms with spermicide, or intrauterine devices).

      Do not breastfeed while you are taking tamoxifen.

    • What are the possible food and drug interactions associated with this medication?

      If tamoxifen is taken with certain other drugs, the effects of either could be increased, decreased, or altered.

    • May I receive this medication if I am pregnant or breastfeeding?

      Tamoxifen may harm your unborn baby if taken during pregnancy. Do not take tamoxifen during pregnancy or breastfeeding. Tell your healthcare provider immediately if you are pregnant, plan to become pregnant, or are breastfeeding.

    • What should I do if I miss a dose of this medication?

      If you miss a dose of tamoxifen, take it as soon as you remember. However, if it is almost time for your next dose, skip the one you missed and return to your regular dosing schedule. Do not take two doses at once.

    • How should I store this medication?

      Store at room temperature.

    • Who should I contact in case of emergency or overdose?
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      In the event of a medical emergency call your doctor or 9-1-1 immediately. In the event of overdose, call your doctor or poison control for further instructions.
      National Poison Control#: Call 1-800-222-1222

      This PDR+ drug information has been developed by the Physicians’ Desk Reference Network (PDRN), a source of medication information trusted by doctors for over 65 years.

      This monograph summarizes the most important information about your medication and does not cover all the information you may need. If you have any questions or concerns or want to learn more about your medication, ask your healthcare provider; he/she will be able to provide answers to your questions. This medication should only be used by the patient for whom it was prescribed and should not be shared with other people.
    • Additional patient resources.
      back to top Use your PDR® Pharmacy Discount Card when you or a family member fills a prescription and ask for your PDR® Discount every
      time!
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    This discount plan is NOT insurance or a Medicare prescription drug plan. The plan is not intended as a substitute for insurance and does not meet creditable coverage requirements under state or federal law. The plan provides discounts at participating pharmacies on certain pharmaceutical supplies, prescription drugs, or medical equipment and supplies. The range of discounts will vary depending on the products received. Members are obligated to pay the pharmacy the entire amount of the discounted rate for such products at the point of sale. The plan does not pay pharmacies for products provided to members. No enrollment or periodic fees apply. The pharmacy may pay the plan a fee from amounts the pharmacy collects from the member. The discount plan organization is ProCare Pharmacy Benefit Manager, Inc.,1267 Professional Parkway, ProCare Office Park, Gainesville, GA 30507, 1-888-299-5383. Customer service is provided by PDR, LLC., 5 Paragon Drive, Montvale, NJ, 07645, 1-800-232-7379, www.pdr.net/DiscountCard, customerservice@pdr.net.