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Doctor insights on: Why Should I Not Combine Sage Tablets With Tamoxifen

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Why should I not combine sage tablets with tamoxifen?

Why should I not combine sage tablets with tamoxifen?

Unclear: There is very little hard data about sage extract. The online advertisers say that sage is a mild estrogen type extract that helps menopausal symptoms. I am not sure if that claim has been validated. Tamoxifen works by blocking the body's estrogen and "starving" the tumor. If sage actually does work, then it would get in the way of tamoxifen's intended effect. ...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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Took my first tamoxifen pill yesterday. I am having headaches today could I take aspirin, Advil or tylenol (acetaminophen)? Are headaches one of the side effects?

Took my first tamoxifen pill yesterday. I am having headaches today could I take aspirin, Advil or tylenol (acetaminophen)? Are headaches one of the side effects?

Can be: Treat symptoms as you normally would. However, if they continue contact your doctor. Tamoxifen increases risk of blood clot and stroke. Benefit greatly outweighs this risk. ...Read more

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Does tamoxifen affect fertility?

Does tamoxifen affect fertility?

Yes: Tamoxifen is most commonly prescribed for the treatment of hormone (+) breast cancer. While tamoxifen may cause birth defects during pregnancy, it actually can increase ovulation, thus increasing fertility. Accordingly, premenopausal women taking tamoxifen for breast cancer treatment must use (nonhormonal forms of) birth control. ...Read more

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Is letrozole different from tamoxifen?

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?

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 safe to take tamoxifen every other day?

Is it safe to take tamoxifen every other day?

Speak to your doctor: This is not the usual regimen for tamoxifen. It is usually recommended for daily use and intake for the best effect. Was this recommended by your doctor? If so, you need to find out why this deviates from the standard recommendation.
If you are making up your own regimen, please do not proceed until you speak with your physician. ...Read more

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What are the common side effects of tamoxifen?

Menopausal symptoms: The most common side effects of tamoxifen include hot flashes, changes in menstrual period, vaginal dryness, headaches, fatigue, and GI upset. Less common but more serious side effects include blood clots, strokes, uterine cancer, and cataracts. ...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 side effects are associated with tamoxifen?

Side effects: Tamoxifen is often used after treatment for breast cancer to help reduce recurrence. It is very helpful and should be taken if needed and recommended. However it is not w/o side effects which can include increased risk of blood clots, hot flashes, thinning of the bones (osteoporosis) and endometrial hyperplasia/cancer so if you are concerned d/w dr the risk and benefits as pertains to you. ...Read more

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How can I minimize the side effects of tamoxifen?

Talk with your doc: There are means for dealing with menopausal symptoms/hot flashes. Soy use is controversial but some antidepressants can help but be careful as some also inhibit tamoxifen metabolism. Effexor/venlefaxine is the most studied and does not do this. There are some patients who have achieved great relief with alternative therapies such as accupuncture. ...Read more

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Anyone know any sites to buy nolvadex (tamoxifen)?

Nolvadex (tamoxifen): Sorry, only by prescription, assuming u care about the quality of the medication. ...Read more

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Do pre-menopausal women usually gain weight on tamoxifen?

Do pre-menopausal women usually gain weight on tamoxifen?

No: There have been many studies that have compared tamoxifen to placebo, demonstrating it's effectiveness treating breast cancer; none of these studies, to my knowledge, ever showed any difference between tamoxifen and placebo regarding weight gain. Nevertheless, as many as 10% of women on tamoxifen do report weight gain. This may be due to post-chemotherapy effects or menopause, as well. ...Read more

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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 definition or description of: nolvadex (tamoxifen)?

What is the definition or description of: nolvadex (tamoxifen)?

An anti-estrogen.: Nolvadex or tamoxifen is a serm (selective estrogen receptor modulator) that works as an anti-estrogenic drug and is most commonly used as first line treatment for breast cancer in females and males (1% of breast cancer occurs in males). It is related to the steroid drugs, but absolutely should not be used for body building. ...Read more

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How long does it take before you feel the side effects of tamoxifen?

You may not have: Tamoxifen is well tolerated by most, in estrogen receptor + tive breast cancers will prevent recurrences, immediate reaction can occur but rare, most of the other side effects like hot flashes, thrombo-venous problems, neurological problems may occur slowly but manageable. ...Read more

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I'm having hot flashes when taking tamoxifen. Is there anything I can do?

I'm having hot flashes when taking tamoxifen. Is there anything I can do?

Yes: Tamoxifen interferes with estrogen action causing hot flashes. Taking estrogen to control hot flashes would defeat the primary reason to take tamoxifen so that is not an option. Some women with hot flashes are helped by taking some antidepressants (ssri). Another option is to try clonidine, a blood pressure medication. Non of these are 100% effective, but some women definitely benefit from them. ...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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I've missed about a week of my tamoxifen. (restarting today). Should I worry?

Not of serious cons: When used for long term use, some degree of missed dosing is common and it is difficult to say if it make any difference, particularly with drug like tamoxifen which stays in the body for several days after the last dose taken. That said you need to avoid frequent interruptions which can be detrimental. ...Read more

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Using tamoxifen for slight gyno but was wanting to know about male fertiltiy isues?

No worries: Tamoxifen is a selective estrogen receptor modulator (serm). It sits on estrogen receptor but doesn't activate it. Thus your man boobs should go away w/time. Serms are actually banned & on illegal list in many athletic contests since they can increase pituitary production of lh & fsh, thus stimulating testes to produce more testosterone & sperm. Aromatase inhibitors can also incr t & sperm. ...Read more

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I'm supposed to take tamoxifen daily for 5 years. What happen if I missed a day, a week or more?

Aim for better adher: An occasional missed dose is not a big deal and would not compromise the efficacy of tamoxifen. But better adherence should be executed. One way to do this is to make it a habit to take your medicine same time everyday: it could be timed as the first thing or the last thing you do daily. Then it will become a habit. ...Read more

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Side effects of tamoxifen?

Several possible: Http://www. Cancer. Gov/cancertopics/factsheet/therapy/tamoxifen
the known, serious side effects of tamoxifen are blood clots, strokes, uterine cancer, and cataracts. Other side effects include menopause-like symptoms such as hot flashes, vaginal dryness, joint pain, and leg cramps. But, the benefits of tamoxifen as a treatment for breast cancer are firmly established and far outweigh the risks. ...Read more

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Are tamoxifen and cipralex ever taken together?

Consult oncologist: You should see your oncologist who prescribed the tamoxifen. I would assume that he/she and your pharmacist have checked the cross reactions. It is always a good idea to double check. ...Read more

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Is taking Tamoxifen bad for the kidneys? She has bad kidney thank you

Is taking Tamoxifen bad for the kidneys? She has bad kidney thank you

No: Without any hx or who she is this answer is a little limited. However, TAMOXIFEN IS NOT KNOWN TO BE TOXIC TO THE KIDNEYS & SHOULD NOT CAUSE RENAL PROBLMES in someone who needs it. There are rare side effects of any medication & Tamoxifen can increase calcium so someone with kidney stones should be monitored. It can also increase blood clotting so someone w a hx of a renal infarct should be careful ...Read more

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What are the similarities and differences between tamoxifen and femara (letrozole)?

What are the similarities and differences between tamoxifen and femara (letrozole)?

Different action: Tamoxifen blocks the estrogen receptor, while Femara (letrozole) blocks the formation of estrogen. Estrogen levels are not lowered by tamoxifen, but they are lowered by femara (letrozole). Both cause hot flashes, bone loss, depression, memory problems and decreased libido. Tamoxifen increases blood clot and uterine cancer risk and causes vaginal discharge, while Femara (letrozole) causes more joint pain and vaginal dryness. ...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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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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What is USP tamoxifen citrate commonly used for?

Endocrine therapy.: Tamoxifen is most commonly prescribed for the treatment of estrogen receptor-positive breast cancer, typically in women diagnosed prior to menopause. It may also be used to prevent breast cancer in high-risk patients. Following menopause, a class of drugs very similar to tamoxifen, called aromatase inhibitors, are preferentially used for breast cancer treatment rather than tamoxifen. ...Read more

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What are the ocular side effects of the tamoxifen?

What are the ocular side effects of the tamoxifen?

Cataracts: Cataracts are the most known but any visual changes should be brought to your physician's attention and seek a professional eye evaluation if necessary. ...Read more

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If your gynemostia is idiopathic would taking tamoxifen or raloxifene be harmful?

Most prefer surgery: Whatever your age, most men with gynecomastia prefer surgery, which is effective, definitive and easy. I'll trust this is not pseudogynecomastia and that your thyroid and liver are in good working order. Tamoxifen is acceptable if for some reason surgery isn't right foryou. ...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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Does tamoxifen drain your brain?

No: I don't really know what you mean by draining your brain. If you mean it alters your brain function, the answer is no. However one of the rare side effects of tamoxifen is causing stroke which can affect the brain function if it happens. If you are on tamoxifen I suggest discussing its side effects with your prescribing provider. ...Read more

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Can tamoxifen cause polyps and fibroids?

Can tamoxifen cause polyps and fibroids?

Hyperplasia: Tamoxifen may stimulate the endometrium to the point of inducing an overgrowth of the lining called hyperplasia. Hyperplasia may lead to endometrial cancer. Tamoxifen is not responsible or cause fibroids or polyps. ...Read more