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Nolvadex is recommended for patients who’s breast cancer has spread to diverse body sites. The combination of Nolvadex with other medications is used to treat other kinds of breast cancer. The medication can be used as a preventative measure to eliminate possible risks.

Availability: 39 packsActive Ingredient: tamoxifen

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Nolvadex is the brand name of the medication Tamoxifen.  This is the primary medication used to treat breast cancer that has spread to other parts of the body.  This may occur during the period of remission, after surgery or after radiation therapy.

How Does Nolvadex Work?

Nolvadex primarily disrupts the action of estrogen.  It regulates estrogen production so that it will not trigger the negative effects that it may cause in the body. Nolvadex, however, retains some estrogen that will be used for protein synthesis and some metabolic function in the body.

How to Take Nolvadex

It is important to take the medication exactly how the physician prescribed it.  This is an oral medication and should be taken by mouth only.  Food intake doesn’t affect the absorption of this medication so you can take it on a full or empty stomach.  The dosage is usually once or twice a day for a duration of 5 days.

How Much Nolvadex Should I Take?

The recommended dose for women with breast cancer is 20-40 mg.  If the dosage is more than 20 mg per day, it is usually divided between morning and evening doses.

For patients with ductal carcinoma in situ: 20 mg Nolvdex to be given daily is the recommended dose.

To reduce the incidence of breast cancer in high risk women, it is recommended to take 20 mg for 5 years.  After 5 years, it needs to be re-evaluated by the physician to determine the next steps.

What If I Am Pregnant or Plan to Become Pregnant?

Nolvadex has been classified as pregnancy drug category D.  This means there is evidence of possible toxicity to the fetus. The different studies show that there are risks of low birth weight and occurrence of vaginal bleeding.  This means that Nolvadex should only be prescribed if necessary, or if the benefits outweigh the risks.

If you are breastfeeding, it is not recommended that you take the medication since the adverse reactions were documented among infants of mothers taking Nolvadex.

What Are the Side Effects of Nolvadex?

Nolvadex is prescribed to be taken every day for 5 years.  There are various minor side effects that can occur when taking the medication, such as:

  • Vaginal hemorrhage
  • Nausea
  • Weight loss
  • Hot flashes
  • Fluid retention
  • Constipation

There are severe side effects that have been documented.  If you experience any of the following, make sure that you report it to your physician immediately:

  • Blurred vision
  • Anxiety
  • Fast heartbeat
  • Pain or swelling in the legs
  • Yellow skin or eyes

Things to Take Note of Before taking Nolvadex?

It is important to inform your doctor if you have any allergies.  There are other ingredients in the formulation of the medication that may cause other side effects that are not expected.

Some of the different conditions that needs to be provided to your physician are the following:

  • History of blood clots, deep vein thrombosis or pulmonary embolism. Taking Nolvadex may increase the chance of developing clots, especially in the lungs and the legs which can be life threatening.
  • On blood thinner
  • History of stroke
  • History of high cholesterol or triglycerides
  • History of smoking
  • History of cataracts- The drug may increase or worsen existing cataracts. Vision changes may be experienced. It is important to inform your doctor of this immediately.
  • History of liver disease

What Are the Drug Interactions of Nolvadex?

There are different drugs that bring about different outcomes if they’re taken with Nolvadex, such as:

  • Amiodarone- if taken together with Nolvadex, it may increase the risk of irregular heart rhythm.
  • Celecoxib- taking this may decrease the effectiveness of Nolvadex

Once you are prescribed the medication, do not stop taking the medication unless advised by the physician.  It is important not to give the medication to someone else.  There may be reasons why they are not prescribed the medication even though you are in the same situation.

Where do I Buy Nolvadex?

There are various ways to get Nolvadex.  One is to go to the nearest pharmacy with the prescription that your physician provided.  Another is by purchasing it online.  All you need to do is hit the order button and the product will be delivered to your doorstep.

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