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Follow the directions on the prescription label. Swallow the tablets with a drink of water. You may take tamoxifen with or without food. Take your doses at regular intervals. Do not stop taking except on your prescriber's advice.<br /> <br /> Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed.<br /> <h3><u>What if I miss a dose?</u></h3><br /> If you miss a dose, take it as soon as you remember, and then take the next dose as usual. Do not take double or extra doses. If you vomit after taking a dose call your prescriber or health care professional for advice.<br /> <h3><u>What drug(s) may interact with tamoxifen?</u></h3><br /> • aminogluthemide<br /> • bosentan<br /> • bromocriptine<br /> • chemotherapy drugs<br /> • cyclosporine<br /> • delavirdine<br /> • dietary supplements like black cohosh, chasteberry, melatonin, or soy isoflavones<br /> • efavirenz<br /> • estrogen hormones, including some birth control products<br /> • nevirapine<br /> • protease inhibitors<br /> • rifampin<br /> • warfarin<br /> <br /> Tell your prescriber or health care professional about all other medicines you are taking, including nonprescription medicines, nutritional supplements, or herbal products. Also, tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.<br /> <h3><u>What side effects may I notice from taking tamoxifen?</u></h3><br /> Some side effects will only apply to women.<br /> <p><h4> Side effects that you should report to your prescriber or health care professional as soon as possible:</h4></p> • changes in your menstrual cycle<br /> • changes in vaginal discharge<br /> • changes in vision<br /> • confusion<br /> • difficulty walking or talking<br /> • difficulty breathing<br /> • excessive thirst<br /> • new breast lumps<br /> • numbness<br /> • pelvic pain or pressure<br /> • redness, blistering, peeling or loosening of the skin, including inside the mouth<br /> • shortness of breath<br /> • skin rash<br /> • swelling, pain or tenderness in your calf or leg<br /> • swelling of lips, face, or tongue<br /> • sudden chest pain<br /> • unusual bruising or bleeding<br /> • weakness<br /> • vaginal bleeding<br /> • yellowing of the whites of the eyes or skin<br /> <br /> <p><h4> Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):</h4></p> • bone pain<br /> • fatigue<br /> • headache<br /> • hair loss, although uncommon and is usually mild<br /> • hot flashes<br /> • impotence (in men)<br /> • nausea, vomiting<br /> • pain at tumor site<br /> • weight loss<br /> <h3><u>What should I watch for while taking tamoxifen?</u></h3><br /> Visit your prescriber or health care professional for regular checks on your progress. 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Talk with your health care provider for birth control advice. Because tamoxifen may cause women to ovulate, it may increase the risk of getting pregnant if appropriate birth control is not used. <br /> <br /> Women who take tamoxifen are at increased risk for developing blood clots. Some women may develop more than one clot, even if tamoxifen is stopped. If you experience pain or swelling in your calves, sudden chest pain, shortness of breath, or coughing up blood, call your prescriber or health care professional right away. Tamoxifen may increase the chance of having a stroke. If you experience symptoms of a stroke such as weakness, difficulty walking or talking, or numbness, contact your prescriber immediately.<br /> <br /> Tamoxifen may cause cataracts or changes to parts of the eye known as the cornea or retina. 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