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Doctor insights on: Doctor Avoid Tamoxifen

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Who should avoid taking tamoxifen?

Who should avoid taking tamoxifen?

Blood clots: Pts with a history of blood clots and/or a history of abnormal pap smears should not take tamoxifen. If there is a family history of clotting disorders or uterine cancer, tamoxifen should not be used. ...Read more

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Dr. Sean Canale
639 doctors shared insights

Tamoxifen (Definition)

This medication is used to: treat breast cancer that has spread to other parts of the body in men and women. Treat early breast cancer in women who have already been treated with surgery, radiation, and/or chemotherapy. Reduce the risk of developing a more serious type of breast cancer in women who have had ductal carcinoma in situ (dcis; a type of breast cancer ...Read more


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Who should avoid taking herceptin (trastuzumab)?

Who should avoid taking herceptin (trastuzumab)?

History heart failur: There are many considerations, but you should not take Herceptin (trastuzumab) if you have a history of congestive heart failure. Visit with your doctor to see if Herceptin (trastuzumab) is right for you. ...Read more

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Who should avoid taking taxol (paclitaxel)?

Who should avoid taking taxol (paclitaxel)?

Discontinued: Taxol (paclitaxel) has been discontinued in the us. There was originally concern because of the environmental impact of its original sourcing, no longer used, from the pacific yew. In addition, the assignment of rights, and even the name itself, to bristol-myers squibb were the subject of public debate and congressional hearings. ...Read more

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Why would my doctor tell me to avoid tamoxifen?

Why would my doctor tell me to avoid tamoxifen?

Risks vs. benefits: Tamoxifen is a very effective drug for the prevention and treatment of hormone-sensitive breast cancer. However, like all medications, there are small risks associated with tamoxifen, including a risk of blood clots, stroke, uterine cancer, and cataracts. I would suspect that your dr. Felt that the risks outweighed the benefits in your case or that your cancer was not sensitive to tamoxifen. ...Read more

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Doctor recommended calcium to take to avoid constipation?

Doctor recommended calcium to take to avoid constipation?

Different types: Food sources are best: low fat dairy, tofu, dark green leafy veg, canned sardines and salmon with bones. Fortified on, soy milk etc are ok. Any ca supplement can cause constipation. Citrate less than carbonate. Taking magnesium with calcium doesn't increase absorption, but is a laxative and can counteract ca induced constipation. Drink lots of fluids, take ca in split doses. ...Read more

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Can my regular doctor prescribe tamoxifen?

Can my regular doctor prescribe tamoxifen?

Yes, but...: I would recommend you see a medical oncologist regarding this medication. These types of physicians prescribe tamoxifen frequently and are most familiar with its use and side effects. So if you encounter a side effect, they will know what to do. ...Read more

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If i'm on aspirin therapy daily, what should I avoid in diet to minimize bleeding risk?

If i'm on aspirin therapy daily, what should I avoid in diet to minimize bleeding risk?

Aspirin therapy: Any foods or supplements that interfere with clotting process may increase risk of bleeding: ginko, garlic, ginger, ginseng, (real) licorice, red chili peppers, oil of wintergreen, vitamin e (high dose), fish oil, chondroitin, glucosamine. Foods high in vitamin k, however, will decrease bleeding but can increase risk of clots http://www.Healthaliciousness.Com/articles/food-sources-of-vitamin-k.Php. ...Read more

Dr. Liawaty Ho Dr. Ho
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What should a person with breast cancer IV take after tamoxifen and aromasin. Arimidex femara or faslodex (fulvestrant)?

Dr. Liawaty Ho Dr. Ho
1 doctor agreed:
What should a person with breast cancer IV take after tamoxifen and aromasin. Arimidex femara or faslodex (fulvestrant)?

Treatment options: For stage IV breast cancer- if the cancer progressed after tamoxifen and aromasin- depending on several factors such as how much cancer burder, involvement to visceral organs, overall condition etc- the options would be- faslodex; combination of Aromasin (exemestane) and evorilimus ( based on recent randomized clinical trial) or chemotherapy. Discuss further with your oncologist- which one for your case. ...Read more

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If doctors were to stop prescribing sunglasses, would poor vision and cataracts increase?

If doctors were to stop prescribing sunglasses, would poor vision and cataracts increase?

Unlikely: Sunglasses are an individual choice and rarely prescribed by ophthalmologists. Patients are given a prescription so that if corrective sunglasses are desired, then the patient can get them but it is their choice. The overwhelming majority of sunglasses are obtained over the counter with prescription. Failure to use sunglasses is sometimes uncomfortable but will not cause pathology. ...Read more

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If I am concerned with estrogen levels after starting testosterone therapy, are doctors willing to prescribe an estrogen blocker?

If I am concerned with estrogen levels after starting testosterone therapy, are doctors willing to prescribe an estrogen blocker?

Why the concern?: Testosterone replacement is supposed to restore normal levels, not higher than normal. As such, with normal levels, estrogen production should not be excessive. If you have cirrhosis of the liver, you may have elevated estrogen. If you notice breast enlargement on therapy, have your physician check an Estradiol level, and if elevated, consider Letrozole or arimidex (anastrozole). ...Read more

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With previous p.E from tamoxifen, what's the safest anti estrogen to use after an anabolic steroid cycle? Will be using arimidex (anastrozole) throughout for gyno

With previous p.E from tamoxifen, what's the safest anti estrogen to use after an anabolic steroid cycle? Will be using arimidex (anastrozole) throughout for gyno

Possible: I do not now about the efficacy of anastrazole (arimidex) after anabolic steroid cycle ( I am not sure what exactly you are referring to). However, both drugs and others are used for breast cancer treatment and prevention ( for anastrazole, prevention study is ongoing). Unlike tamoxifen, the risk of blood clot with anastrazole is minimal. However, the risk of osteopenia and osteoporosis is higher. ...Read more

Dr. Liawaty Ho Dr. Ho
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Cancer. Would it benefit her to take Fosamax (alendronate) or serm's or even take estrogen?

Dr. Liawaty Ho Dr. Ho
2 doctors agreed:
Cancer. Would it benefit her to take Fosamax (alendronate) or serm's or even take estrogen?

Clarification?: What kind of cancer? Are you referring to cancer that has spread to the bone? Or to prevent it? There are a couple of medication used in metastatic cancer to the bone - zometa or xgeva (denosumab). Estrogen/serm/fosamax are not used in that setting. As for now- nothing is confirmed by radncomized study that we can use to prevent cancer from spreading to the bone (need more study on xgeva (denosumab)). ...Read more

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Iam brca1 + is estrogn ok to take to help with hormone issues?

Iam brca1 + is estrogn ok to take to help with hormone issues?

BRCA1 and HRT: If you do decide to take hrt, ask if you can take a lower-dose formula ... If you've been diagnosed with breast cancer or have tested positive for a hereditary gene ( brca1 or brca2) and so are at high risk, you shouldn't use hrt. ...Read more

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Would taking vitamin k2 help prevent blood clots that may occur whilst taking raloxifene for osteoporosis?

Would taking vitamin k2 help prevent blood clots that may occur whilst taking raloxifene for osteoporosis?

No: Vitamin k is a coenzyme in the liver that is involved in production of clotting factors ii, vii, ix and x as well as protein c and s. These are all involved in pro-coagulatory processes except for protein c and s. ...Read more

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Tamoxifen is given to breast cancer patients to suppress estrogen or both estrogen & progesterone?

Tamoxifen is given to breast cancer patients to suppress estrogen or both estrogen & progesterone?

Estrogen: Tamoxifen is given to individuals with specific breast cancers that are driven to grow by the presence of estrogen receptors. Tamoxifen interferes with the activity of estrogen in the breast, preventing cancer growth. The role of Progesterone receptors is unclear, though Progesterone receptors in breast cancer are generally associated with estrogen receptors, making tamoxifen an effective therapy. ...Read more

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Why would a doctor prescribe antidepressants during pregnancy despite the risk?

Why would a doctor prescribe antidepressants during pregnancy despite the risk?

Deperesion/pregnancy: There are risks to having untreated depression during pregnancy. The possible risks of using medication are low, and may be less than the risks of not using medication. ...Read more

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Thiazolidinediones might might raise bladder cancer risk. Please advise.?

Thiazolidinediones might might raise bladder cancer risk.  Please advise.?

Answer still unclear: Thiazolidinediones (tzd), used in the treatment of diabetes, have complex effects on the proliferation of cells. Early reports showed that tzds caused bladder cancer to occur in rats. Other studies showed that no cancers occurred in tzd treated mice. In humans, and in cell culture, it may be that tzd actually helps to eliminate bladder cancer and is being investigated as a potential treatment. ...Read more

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Would someone who has finished treatments for breast cancer be okay if they stopped taking arimidex (anastrozole) anestrozol?

Would someone who has finished treatments for breast cancer be okay if they stopped taking arimidex (anastrozole) anestrozol?

Still treatment: Please recognize that Arimidex (anastrozole) is a part of your treatment regimen.It is as important as your other treatments in that it can decrease the chance of the cancer returning. Speak with you oncologist if you are having unbearable side effects, they can switch you to another medication. ...Read more

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