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If you have breast cancer that has spread to other parts of the bodyyou may experience increased bone/cancer pain and/or disease flare-up as you start taking tamoxifenIn some casesthis may be a sign of a good response to the medicationSymptoms include increased bone painincreased tumor sizeor even new tumorsThese symptoms usually disappear quicklyIn any casereport these symptoms right away to your doctor.

Tell all of your health care providers that you take Nolvadextamoxifen tabletsThis includes your doctorsnursespharmacistsand dentistsHave blood work checked as you have been told by the doctorTalk with the doctorLow blood cell counts have happened with Nolvadextamoxifen tabletsIf blood cell counts get very lowthis can lead to bleeding problemsinfectionsor anemiaCall your doctor right away if you have signs of infection like feverchillsor sore throatany unexplained bruising or bleedingor if you feel very tired or weakCall your doctor right away if you have signs of a blood clot like chest pain or pressurecoughing up bloodshortness of breathswellingwarmthnumbnesschange of coloror pain in a leg or armor trouble speaking or swallowingThis medicine may raise the chance of getting cataracts or the need to have cataract surgeryTalk with the doctorBe sure to have regular breast examsYour doctor will tell you how often to have theseYou will also need to do breast self-exams as your doctor has told youTalk with your doctorWomen taking Nolvadextamoxifen tabletsneed to be sure to have regular gynecology check-upsYour doctor will tell you how often to have theseTalk with your doctorIf you are taking warfarintalk with your doctorYou may need to have your blood work checked more closely while you are taking it with Nolvadextamoxifen tabletsThis medicine may stop you from having a periodmenstrual bleedingfor some timeThis is not a method of birth controlThis medicine may cause harm to the unborn baby if you take it while you are pregnantUse birth control that does not have hormones in it like a condomDo this for as long as you take Nolvadextamoxifen tabletsand for 2 months after you stop taking itIf you get pregnant while taking Nolvadextamoxifen tabletsor within 2 months after your last dosecall your doctor right away.

If you think there has been an overdosecall your poison control center or get medical care right awayBe ready to tell or show what was takenhow muchand when it happened.

If your symptoms or health problems do not get better or if they become worsecall your doctorDo not share your drugs with others and do not take anyone else’s drugsKeep a list of all your drugsprescriptionnatural productsvitaminsOTCwith youGive this list to your doctorTalk with the doctor before starting any new drugincluding prescription or OTCnatural productsor vitaminsThis medicine comes with an extra patient fact sheet called a Medication GuideRead it with careRead it again each time Nolvadextamoxifen tabletsis refilledIf you have any questions about Nolvadextamoxifen tabletsplease talk with the doctorpharmacistor other health care providerIf you think there has been an overdosecall your poison control center or get medical care right awayBe ready to tell or show what was takenhow muchand when it happened.

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