Nolvadex D

= Prescription Required = Generic Equvalent
Nolvadex D
20mg Tablets
Tamoxifen (Tamoxifen Citrate)

Generic equivalents for Nolvadex D...

We also carry these generic equivalents of Nolvadex D to help save you money.

Tamoxifen (Tamoxifen Citrate)
10mg Tablets
Manufactured by Teva Pharmaceuticals
Tamoxifen (Tamoxifen Citrate)
20mg Tablets
Manufactured by Teva Pharmaceuticals
Tamoxifen (Tamoxifen Citrate)
40mg Tablets
Manufactured by Generics (UK) Ltd.

Nolvadex D Prescription Drug Information

Tamoxifen (By mouth)
Tamoxifen (ta-MOX-i-fen)

Treats advanced breast cancer in men and women, and early breast cancer in women. Also may prevent breast cancer in women who are at a high risk because of age, family history, or other factors.

Brand Name(s):Nolvadex
There may be other brand names for Nolvadex D.

When Nolvadex D Should Not Be Used:
You should not use Nolvadex D if you have had an allergic reaction to tamoxifen, or if you are pregnant. You should not use Nolvadex D if you are also using blood thinners (such as warfarin, Coumadin®), or if you have had a blood clot or blood clotting problems.

How to Use Nolvadex D:
Liquid, Tablet

  • Medicines used to treat cancer are very strong and can have many side effects. Before receiving Nolvadex D, make sure you understand all the risks and benefits. It is important for you to work closely with your doctor during your treatment.
  • Nolvadex D should come with a Medication Guide. Read and follow these instructions carefully. Ask your doctor or pharmacist if you have any questions. Ask your pharmacist for the Medication Guide if you do not have one. Your doctor might ask you to sign some forms to show that you understand this information.
  • Your doctor will tell you how much of Nolvadex D to use and how often. Do not use more medicine or use it more often than your doctor tells you to. You may need to take Nolvadex D for 5 years or longer.
  • Swallow the tablet whole. You may take Nolvadex D with or without food.
  • Measure the oral liquid medicine with a marked measuring spoon, oral syringe, or medicine cup.
  • Take Nolvadex D at the same time each day.

If a dose of Nolvadex D is missed:

  • If you miss a dose or forget to use your medicine, use it as soon as you can. If it is almost time for your next dose, wait until then to use the medicine and skip the missed dose. Do not use extra medicine to make up for a missed dose.

How to Store and Dispose of Nolvadex D:

  • Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Do not store in the refrigerator or freezer.
  • Ask your pharmacist, doctor, or health caregiver about the best way to dispose of any leftover medicine after you have finished your treatment. You will also need to throw away old medicine after the expiration date has passed.
  • Keep all medicine away from children and never share your medicine with anyone.

Drugs and Foods to Avoid While Taking Nolvadex D:
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.

  • Make sure your doctor knows if you are also using aminoglutethimide (Cytadren®), bromocriptine (Parlodel®), letrozole (Femara®), rifampin (Rifadin®, Rimactane®), or other cancer treatments.
  • Birth control pills, implants, or shots may not work while you are using tamoxifen. To keep from getting pregnant, use another form of birth control. Other forms include condoms, a diaphragm, or contraceptive foam or jelly.

Warnings While Using Nolvadex D:

  • Using Nolvadex D while you are pregnant can harm your unborn baby. Use an effective form of birth control to keep from getting pregnant. If you think you have become pregnant while using the medicine, tell your doctor right away. Keep using effective birth control for at least 2 months after you stop treatment.
  • To make sure you are not pregnant, you may start taking Nolvadex D while you are having your menstrual period. Also, you must have a negative pregnancy test before you will be allowed to take Nolvadex D.
  • Make sure your doctor knows if you have liver disease, cataracts, eye or vision problems, hypercalcemia (high calcium in the blood), or high cholesterol or triglycerides (fat) in the blood.
  • Do not breastfeed while you are using Nolvadex D.
  • Your doctor will need to check your progress at regular visits while you are using Nolvadex D. Be sure to keep all appointments. It is important for women to have regular gynecologic check-ups while taking tamoxifen.
  • Make sure any doctor or dentist who treats you knows that you are using Nolvadex D.
  • Nolvadex D may increase your risk of developing other rare but serious conditions, such as stroke, a blood clot in the lungs or veins, or cancer of the uterus. Talk with your doctor about these risks and your personal situation.
  • Nolvadex D may cause changes in your menstrual periods, which could be a sign of a serious problem. Tell your doctor about any unusual vaginal bleeding or discharge.
  • Some of the side effects of Nolvadex D may not appear for months or years, or after you have stopped using Nolvadex D. Tell your doctor if you have later side effects.
  • Liver problems may occur while you are using Nolvadex D. Stop using Nolvadex D and check with your doctor right away if you are having more than one of these symptoms: abdominal pain or tenderness; clay-colored stools; dark urine; decreased appetite; fever; headache; itching; loss of appetite; nausea and vomiting; skin rash; swelling of the feet or lower legs; unusual tiredness or weakness; or yellow eyes or skin.

Possible Side Effects While Using Nolvadex D:
Call your doctor right away if you notice any of these side effects:

  • Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing.
  • Chest pain, shortness of breath, or coughing up blood.
  • Dark-colored urine or pale stools.
  • Fever, chills, cough, sore throat, and body aches.
  • Heavy or abnormal vaginal bleeding, pelvic pain or pressure.
  • Nausea, vomiting, loss of appetite, or pain in your upper stomach.
  • New breast lumps.
  • Numbness or weakness in your arm or leg, or on one side of your body.
  • Pain in your lower leg (calf).
  • Sudden or severe headache, or problems with vision, speech, or walking.
  • Swelling in your hands, ankles, or feet.
  • Unusual bleeding, bruising, or weakness.
  • Yellowing of your skin or the whites of your eyes.

If you notice these less serious side effects while taking Nolvadex D, talk with your doctor:

  • Back or joint pain.
  • Blurred vision, change in color vision.
  • Constipation, diarrhea, or stomach pain or upset.
  • Headache.
  • Hot flashes, vaginal discharge.
  • Increased tumor pain or bone pain.
  • Loss of interest in sex or trouble having sex (in men).
  • Rash.
  • Trouble with sleeping.

If you notice other side effects that you think are caused by Nolvadex D, tell your doctor.
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088

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