Apo-Tamox; Mylan-Tamoxifen; Nolvadex-D; PMS-Tamoxifen; Teva-Tamoxifen
- It is used to treat breast cancer.
- It is used to lower the chance of breast cancer in women with a higher chance of getting it. It may lower the chance of getting cancer in the other breast after one has cancer.
- It may be given to you for other reasons. Talk with the doctor.
- If you have an allergy to tamoxifen or any other part of this drug.
- If you are allergic to any drugs like this one, any other drugs, foods, or other substances. Tell your doctor about the allergy and what signs you had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
- If you have blood clots or have had blood clots in the past.
- If you are taking any of these drugs: Anastrozole or warfarin.
- Tell dentists, surgeons, and other doctors that you use this drug.
- Have blood work checked as you have been told by the doctor. Talk with the doctor.
- Be sure to have regular breast exams and gynecology check-ups. Your doctor will tell you how often to have these. You will also need to do breast self-exams as your doctor has told you. Talk with your doctor.
- Anemia, low white blood cell count, and low platelet count may rarely happen.
- This drug may raise the chance of getting cataracts or the need to have cataract surgery. Talk with the doctor.
- This drug may stop you from having a period (menstrual bleeding) for some time. This is not a method of birth control.
- Use birth control that does not have hormones in it like a condom. Do this for as long as you take this drug and for 2 months after you stop taking it.
- This drug may cause harm to the unborn baby if you take it while you are pregnant. If you get pregnant while taking this drug, call your doctor right away.
- Tell your doctor if you are breast-feeding. You will need to talk about any risks to your baby.
- Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
- Signs of high calcium levels like weakness, confusion, feeling tired, headache, upset stomach and throwing up, hard stools (constipation), or bone pain.
- Chest pain or pressure.
- Coughing up blood.
- Shortness of breath.
- Swelling, warmth, numbness, change of color, or pain in a leg or arm.
- Pelvic pain or pressure.
- Period (menstrual) changes.
- Vaginal bleeding that is not normal.
- Vaginal discharge.
- Change in strength on 1 side is greater than the other, trouble speaking or thinking, change in balance, or blurred eyesight.
- Change in eyesight.
- Any bruising or bleeding.
- A lump in the breast or breast soreness.
- Change in sex ability.
- Lowered interest in sex.
- Low mood (depression).
- Feeling very tired or weak.
- Fever or chills.
- Sore throat.
- Any skin change.
- Very bad headache.
- Pain when passing urine.
- For females, no period.
- Very bad and sometimes deadly liver problems have happened with this drug. Call your doctor right away if you have signs of liver problems like dark urine, feeling tired, not hungry, upset stomach or stomach pain, light-colored stools, throwing up, or yellow skin or eyes.
- A very bad skin reaction (Stevens-Johnson syndrome/toxic epidermal necrolysis) may happen. It can cause very bad health problems that may not go away, and sometimes death. Get medical help right away if you have signs like red, swollen, blistered, or peeling skin (with or without fever); red or irritated eyes; or sores in your mouth, throat, nose, or eyes.
- Hot flashes.
- Upset stomach or throwing up.
- Weight loss.
- Feeling tired or weak.
- Back pain.
- Bone pain.
- Muscle or joint pain.
- Take as you have been told, even if you feel well.
- To gain the most benefit, do not miss doses.
- Take with or without food.
- Be sure you know when to start taking this drug. You may need to have a pregnancy test before starting this drug.
- Swallow whole with some water or other drink.
- Only use the measuring device that comes with this liquid drug.
- Take a missed dose as soon as you think about it.
- If it is close to the time for your next dose, skip the missed dose and go back to your normal time.
- Do not take 2 doses at the same time or extra doses.
- Store at room temperature.
- Protect from heat.
- Store at room temperature. Do not refrigerate or freeze.
- Store in original container.
- Throw away any part not used after 3 months.
- Protect from light.
- Store in a dry place. Do not store in a bathroom.
- Keep all drugs out of the reach of children and pets.
- Check with your pharmacist about how to throw out unused drugs.
- If your symptoms or health problems do not get better or if they become worse, call your doctor.
- Do not share your drugs with others and do not take anyone else’s drugs.
- Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
- Talk with the doctor before starting any new drug, including prescription or OTC, natural products, or vitamins.
- Some drugs may have another patient information leaflet. If you have any questions about this drug, please talk with your doctor, pharmacist, or other health care provider.
- This drug comes with an extra patient fact sheet called a Medication Guide. Read it with care. Read it again each time this drug is refilled.
- If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.
If you have any questions or concerns, talk with a member of your healthcare team. You can reach them Monday through Friday from 9:00 am to 5:00 pm at ____________________. After 5:00 pm, during the weekend, and on holidays, please call____________________. If there’s no number listed, or you’re not sure, call 212-639-2000.