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Doctor insights on: Should A Surgeon Prescribe Tamoxifen

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Having a TLH/BSO but on tamoxifen. I know I stop the tamoxifen prior to surgery, how soon? Surgeon says ask onc onc says ask surgeon. Do I stop Lipitor (atorvastatin)?

Having a TLH/BSO but on tamoxifen. I know I stop the tamoxifen prior to surgery, how soon? Surgeon says ask onc onc says ask surgeon. Do I stop Lipitor (atorvastatin)?

Stop both 1wk preop: I assume that the rationale for tamoxifen and the hyst BSO are for metastatic breast Ca. If the oophorectomy controls the disease the tamoxifen should not be used in order to evaluate the effect of castration on disease. Lipitor (atorvastatin) can ne restarted when post op diet is resumed. Hormone ablation best used for ER+ disease and not triple neg problems. ...Read more

Dr. Sean Canale
638 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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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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Which kind of doctor administers or prescribes tamoxifen?

Which kind of doctor administers or prescribes tamoxifen?

It Depends: It depends on what the tamoxifen is being used to treat. If used to treat breast cancer, it is mostly prescribed by an oncologist. However, tamoxifen can also be used as treatment for severe breast pain/fibrocystic disease, or for breast cancer prevention. In those cases a primary care physician, general surgeon, or gynecologist may prescribe it. ...Read more

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Can an oral surgeon prescribe a cpap?

Can an oral surgeon prescribe a cpap?

Depends: Depends on state licensure. Also probably credentials. Some oral surgeons are both physicians and dentists. Other oral surgeons have only a dental degree. ...Read more

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My vit d is 16.9ng/ml the orthopedic surgeon prescribe vit d 10000ui/day for 1month is that a lot?

My vit d is 16.9ng/ml the orthopedic surgeon prescribe vit d 10000ui/day for 1month is that a lot?

It is but it is okay: Yes it is a lot but it is okay. You often need high doses for a period of time to build back up the vitamin D levels. ...Read more

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Is there a reason a surgeon may prescribe beta blockers after surgery? Or as a preventative measure

Is there a reason a surgeon may prescribe beta blockers after surgery? Or as a preventative measure

Beta blockers: Beta blockers are sometimes in peri operative setting for prevention but usually recommend this starting a week or two before surgery. If used after it is usually in response to treating arrythmia or bp. ...Read more

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My doc has prescribed tamoxifen and iui. Why?

My doc has prescribed tamoxifen and iui. Why?

Increases fertility: Tamoxifen will increase your fsh and lh wihich will increase your fertility. That increases the chances that your IUI will be successful. Be aware that if you are a woman, you will likely get some pretty nasty menopausal symptoms while you are taking taxmoxifen. Once you get pregnant, you need to stop taking it. Discuss all of this with your doctor! ...Read more

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Switched frm tamoxifen to arimadex dr ordered 1000 mg of ca what is difference between ca citrate n iron shell ca both have D3 ; citrate also has k?

Switched frm tamoxifen to arimadex dr ordered 1000 mg of ca what is difference between ca citrate n iron shell ca both have D3 ; citrate also has k?

Robin,: Calcium citrate does not have potassium; calcium carbonate doesn't either. Some people tolerate one better than the other, they are equivalent in my view. ...Read more

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How does tamoxifen actually work?

How does tamoxifen actually work?

Blocks estrogen: Some breast cancer cells have receptors on them that bind to estrogen in order to grow. Tamoxifen acts as an "antagonist" and blocks estrogen from binding to these receptors on the cancer cells by binding to them first. With tamoxifen sitting in estrogen's place, the cancer cell can no longer grow. ...Read more

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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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Which side affects does tamoxifen have?

Which side affects does tamoxifen have?

Minimal: Hot flashes most common. Risk of blood clots (like birth control pills). Also, risk of uterine cancer is higher, but still very low. This risk is only seen in post menopausal women. ...Read more

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What are possible reactions to drug tamoxifen?

3 main ones: 1-blood clots/ strokes
2-endometrial carcinoma
3-cataracts
hot flashes/ dryness. ...Read more

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What is the definition or description of: tamoxifen?

Google it: 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 that does not spread. ...Read more

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Is it possible for me to just stop taking tamoxifen?

Of course: But is it advised by yoiur doctor or not? Please check if it is time to stop or not. If you have received the maximum possible benefit, then you can stop it and you will not have ill effects due to tamoxifen. ...Read more

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What happens if you stop taking tamoxifen for a week?

Nothing: Simply resume your regular dosing and tell your doctor who prescribed it. ...Read more

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Is letrozole different from tamoxifen?

Yes: Same general effect - decreases effects of estrogen and improves outcome in er + breast cancer. Mechanism of action (how it works) is different. Letrozole cannot be used in premenopausal women. ...Read more

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What are the side effects of tamoxifen?

Tons: The common ones are bone pain; constipation; coughing; hot flashes; muscle pain; nausea; tiredness; vaginal discharge; weight loss.
Severe ones are even a more comprehensive list - allergic reactions, vaginal bleeding, chest pain, coughing up blood, dark urine, decreased libido and so. ... On. ...Read more

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Is it harmful to stay on tamoxifen for 10 years?

Maybe: Most clinical data has shown benefit of tamoxifen (tam) increasing up to five years. After 5 years it seems to level or possibly even worsen. There may be some cancer cells that not only become resistant but to which tam begins to act as an agonist. That being said there are still the ongoing atlas and atom trials that are trying to get more definite. Another option is ais after 5yrs of tam. ...Read more

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What is the difference in novedex xt and nolvadex (tamoxifen)?

What is the difference in novedex xt and nolvadex (tamoxifen)?

Novedex vs Nolvadex (tamoxifen): Novedex xt is a product used to increase testosterone & muscle mass; it blocks the conversion of testosterone to estrogen, but apparently does not increase muscle mass. Nolvadex (tamoxifen) is used to treat breast cancer, but it reportedly is used by bodybuilders who use Anabolic steroids to prevent gynecomastia (enlarged breasts due to breast tissue rather than muscle. See following comment. ...Read more

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What is the difference in nolvadex (tamoxifen) and nolvadex (tamoxifen) d?

Check ingredients: As far as I know there is only one Nolvadex (tamoxifen). The chemical ingredient in it is called Tamoxifen which is an anti-estrogen commonly used to treat breast Cancer. ...Read more

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Could tamoxifen and cipralex be taken together?

Risk: This could increase your risk of an abnormal heart rhythm. Please see:
http://www. Drugs. Com/interactions-check. Php? Drug_list=2145-0, 1013-565 ...Read more

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What is tamoxifen and why is it used in cancer research?

What is tamoxifen and why is it used in cancer research?

Estrogen blocker: Hi. Tamoxifen is an estrogen receptor antagonist. Certain cancers (most notably estrogen receptor-positive breast cancer) are stimulated to proliferate in response to estrogen, and blocking estrogen action at its receptor or blocking estrogen production by blocking the aromatase enzyme have been shown to be very therapeutic. Tamoxifen is not useful in cancer research that does nor involve estrogen ...Read more

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What is tamoxifen and why is it used in cancer research?

What is tamoxifen and why is it used in cancer research?

Estrogen blocker: Tamoxifen is a drug which blocks estrogen receptor. Cancers which express high levels of estrogen receptor, such as some breast cancers, may respond well (shrink) to tamoxifen. It has been in clinical use for decades. ...Read more

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Does tamoxifen cause weight gain?

Does tamoxifen cause weight gain?

Yes: Tamoxifine is a first generation of designer estrogen (i.e., estrogen analogue). All estrogenic compounds may potentially increase weight, but not much. Tamixifene may increase weight of the user by approximately 1 to 2 lbs. Similar effects may also exist with the second generation estrogen agonist/antagonists analogues, such as raloxifine. Weight-gains are lesser than with estrogen compounds. ...Read more

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Does tamoxifen treat gynecomastia?

Does tamoxifen treat gynecomastia?

Probably Not...: Much will depend on your specific situation and on your own physician's thoughts after physical examination. I have found that gynecomastia, if persistent, is often best treated with partial excision of the prominent glandular tissue as well as liposuction surgery of the peripheral chest area. ...Read more

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Does taking tamoxifen really benefit dcis?

Does taking tamoxifen really benefit dcis?

Yes, for ER+ DCIS: The addition of tamoxifen to surgery and radiation therapy for dcis significantly reduced the risk of invasive cancer on the same beast by 40 % and risk for in situ breast cancer on the other breast by 60 percent. ...Read more

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What's the cost of tamoxifen or raloxifene?

What's the cost of tamoxifen or raloxifene?

I know tamoxifen is: Very cheap; I do not know raloxifene's cost, but it is less likley to cause bony demineralization, but is not as "tested" as tamoxifen as an anti-estrogen. ...Read more

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Is tamoxifen the same as aromatase inhibitor?

Is tamoxifen the same as aromatase inhibitor?

No: Tamoxifen belongs to a class of drugs called selective estrogen receptor modulators (serms). It works by blocking the binding of estrogen to estrogen receptors, thus disabling hormone-sensitive breast cancer cells. Aromatase inhibitors block the conversion of androgens to estrogens, effectively removing estrogen from the body (in postmenopausal women). ...Read more