Doctor insights on:
Should A Surgeon Prescribe Tamoxifen
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
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
Diagnosis of +ER, PR-, HER2-, prob luminal B of two masses in left breast. Do you agree with treatment of radical mastectomy, chemo and tamoxifen? Is tamoxifen taken for 5 or 10 years? Should patient get PET scan? Surgeon said no need for PET scan an
Let PMD decide: Let your PMD decide. Net- med will be too inappropriate for this. ...Read more
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
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
Is there a reason a surgeon may prescribe beta blockers after surgery? Or as a preventative measure
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
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?
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
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
Nothing: Simply resume your regular dosing and tell your doctor who prescribed it. ...Read more
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
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
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
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
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
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
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
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