Drug Uses
Nolvadex is used for treatment of breast cancer that has spread to other sites in the body. It is also used along with other medicines to treat other types of breast cancer. It is used in women who are at high risk for breast cancer and in women with DCIS (after surgery and radiation) to decrease the risk of developing breast cancer. It may also be used for other conditions as determined by your doctor.

How Taken
Take Nolvadex with a glass of water as directed by your doctor. Take Nolvadex with or without a meal. Swallow this medication whole. Do not break, crush, or chew before swallowing. Continue to take Nolvadex even if you feel well. Do not miss any doses. Taking Nolvadex at the same time each day will help you to remember to take it.

Missed Dose
If you miss a dose take it as soon as you remember. However if it is almost time for the next dose, skip the Missed Dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.

More Information
Nolvadex may cause dizziness. These effects may worsen if Nolvadex is taken with alcohol or certain other medications. Use Nolvadex with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to this drug. If your symptoms do not improve or if they worsen, contact your doctor. Nolvadex should be used only by the patient for whom it has been prescribed. Do not take less or more or take it more often than prescribed by your doctor.

Storage
Store Nolvadex at 68 – 77 °F (20 – 25 °C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Nolvadex out of the reach of children.

Warnings/Precautions
Before taking Nolvadex, tell your doctor or pharmacist if you have any medical conditions, especially if you have allergies to medicines, foods, or other substances, if you are allergic to any ingredient in Nolvadex, if you have a history of blood clots in the legs or lungs, have high levels of calcium in your blood, a weakened immune system, or low levels of white blood cells or platelets in your blood, if you have high cholesterol or lipid levels, have cataracts or other vision problems, if you are using cytotoxic cancer medicines or you are confined to a bed or chair, if you are pregnant, planning to become pregnant or are breast–feeding. Nolvadex may cause harm to the fetus. Do not become pregnant while you are using it and for 2 months after you stop using it. If you think you may be pregnant, contact your doctor. You will need to discuss the benefits and risks of using Nolvadex while you are pregnant. It is not known if Nolvadex is found in breast milk. Do not breast–feed while taking Nolvadex. Some medicines may interact with Nolvadex. Therefore tell your doctor of all prescription or nonprescription medicine, herbal preparation, or dietary supplement that you are taking. Do not take Nolvadex if you are using Nolvadex to reduce your risk of breast cancer and you have a history of blood clots in the lung or leg or you also take certain anticoagulants (eg, warfarin) or if you are taking anastrozole. Nolvadex may reduce the number of clot–forming cells (platelets) in your blood. Avoid activities that may cause bruising or injury. Tell your doctor if you have unusual bruising or bleeding. Tell your doctor if you have dark, tarry, or bloody stools. Nolvadex may lower the ability of your body to fight infection. Avoid contact with people who have colds or infections. Tell your doctor if you notice signs of infection like fever, sore throat, rash, or chills. New tumors have occurred in body sites other than the uterus in patients taking Nolvadex. It is unknown if Nolvadex may be the cause. Women who take Nolvadex to reduce the risk of breast cancer should have a breast exam, mammogram, and gynecological exam before starting and during treatment with Nolvadex. Women who may become pregnant should begin taking Nolvadex during a menstrual period. Women who have irregular menstrual periods should have a pregnancy test immediately before starting Nolvadex. Talk to your doctor if you have any questions about how to begin taking Nolvadex. Women who may become pregnant must use effective nonhormonal birth control (eg, condoms, diaphragm) during sexual intercourse while they are taking Nolvadex and for 2 months after they stop taking it. Do not use hormonal birth control (eg, birth control pills), it may not work as well while you are taking Nolvadex. Discuss any questions about effective nonhormonal birth control with your doctor. Nolvadex will not prevent you from becoming pregnant. Nolvadex should be used with extreme caution in children. Safety and effectiveness in children have not been confirmed.

Disclaimer
This is only general information, it does not cover all directions, drug integrations or precautions. You should not rely on it for any purpose, it does not contain any specific instructions for a particular patient. We disclaim all responsibility for the accuracy and reliability of this information. We`re not responsible for any damage.

Possible Side Effects
Some of the Possible Side Effects are- Bone pain, constipation, coughing, hot flashes, muscle pain, nausea, tiredness, vaginal discharge, weight loss. Contact your doctor if any of these or other side effects occur. If you experience any of the following serious side effects, you should seek medical attention immediately- allergic reactions (rash, hives, itching, difficulty breathing, tightness in the chest, swelling of the mouth, face, lips, or tongue, unexplained hoarseness), abnormal menstrual periods, abnormal vaginal bleeding or bloody discharge, chest pain, coughing up blood, dark urine, decreased sexual desire or ability, depression, fever, chills, or persistent sore throat, groin or pelvic pain or pressure, loss of appetite, loss of balance or coordination, missed menstrual period, new or increased breast tumor or pain, new or unusual lumps, one–sided weakness, pain or swelling in one or both legs, red, swollen, blistered, or peeling skin, severe or persistent tiredness or weakness, shortness of breath, skin changes, stomach pain, sudden severe headache, swelling of the arms or the legs, unusual bleeding or bruising, vision or speech problems, yellowing of the eyes or skin.