Generic Nolvadex is also prescribed to reduce the risk of invasive breast cancer following surgery and radiation therapy for ductal carcinoma in situ. Tamoxifen can also be used to reduce the odds of breast cancer in women at high risk of developing the disease. It does not completely eliminate your chances, but in a five-year study of over 1,500 high-risk women, it slashed the number of cases by 44 percent.

If you miss a Generic Nolvadex dose
Do not try to make it up. Go back to your regular schedule with the next dose.

Adults

Breast Cancer Treatment
The daily dosage of Generic Nolvadex ranges from 20 to 40 milligrams. If you are taking more than 20 milligrams a day, your doctor will have you divide the total into 2 smaller doses taken in the morning and evening. Generic Nolvadex comes in 10- and 20-milligram tablets.

Ductal Carcinoma in Situ
The recommended dose of Generic Nolvadex is 20 milligrams once daily for 5 years.

Breast Cancer Prevention
The recommended dose of Generic Nolvadex is 20 milligrams once a day for up to 5 years.

Children
Safety and efficacy of Generic Nolvadex in children have not been established.

Generic Nolvadex Overdose
Generic Nolvadex taken in excess can have serious consequences. If you suspect an overdose of Generic Nolvadex, seek medical attention immediately.

Symptoms of Generic Nolvadex overdose may include:
Dizziness, overactive reflexes, tremor, unsteady gait.

Generic Nolvadex Storage instructions
Generic Nolvadex may be stored at room temperature.

If Generic Nolvadex is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Generic Nolvadex with the following:

• Aminoglutethimide (Cytadren)
• Blood-thinning drugs such as Coumadin
• Bromocriptine (Parlodel)
• Cancer drugs such as Cytoxan
• Letrozole (Femara)
• Phenobarbital
• Rifampin (Rifadin)

Special information if you are pregnant or breastfeeding
It is important to avoid pregnancy while taking Generic Nolvadex, because the drug could harm the unborn child. Since Generic Nolvadex is an anti-estrogen drug, you will need to use a non-hormonal form of contraception, such as a condom and/or diaphragm, and not birth control pills. If you accidentally become pregnant while taking Generic Nolvadex, or within 2 months after you have stopped taking it, discuss this with your doctor immediately.

Because Generic Nolvadex might cause serious harm to a nursing infant, you should not breastfeed your baby while taking this drug. If Generic Nolvadex is essential to your health, your doctor may advise you to discontinue breastfeeding until your treatment is finished.

Special warnings about Generic Nolvadex
In addition to increasing the risk of uterine cancer, Generic Nolvadex also raises the odds of developing endometriosis (the spread of endometrial tissue outside the uterus), uterine fibroids, uterine polyps, and ovarian cysts.

Women who take Generic Nolvadex also face a greater risk of stroke and of blood clots lodging in their lungs. The risk increases further when Generic Nolvadex is combined with toxic cancer drugs. Generic Nolvadex can also cause liver damage, and should be used with caution if you already have liver problems.

If you experience visual problems while taking Generic Nolvadex, notify your doctor immediately.
In a few women Generic Nolvadex may raise the level of cholesterol and other fats in the blood. Your doctor may periodically do blood tests to check your cholesterol and triglyceride levels.

Generic Nolvadex may produce an abnormally high level of calcium in the blood. Symptoms include muscle pain and weakness, loss of appetite, and, if severe, kidney failure. If you experience any of these symptoms, notify your doctor as soon as possible.

If tests show that your blood contains too few white blood cells or platelets while you are taking Generic Nolvadex, your doctor should monitor you with special care. These problems have sometimes been found in women taking Generic Nolvadex; whether the drug caused the blood-cell abnormalities is uncertain.

Why Generic Nolvadex should not be prescribed?
Do not take Generic Nolvadex if you are sensitive to it or have ever had an allergic reaction to it.

If you are taking the blood-thinning drug Coumadin or have had problems with clots in your veins or your lungs, you should not take Generic Nolvadex to reduce the risk of breast cancer, and when taking it to treat an actual case of the disease, you should use it with caution.

More common side effects of Generic Nolvadex may include:
Hot flashes, nausea, vomiting.

Less common side effects of Generic Nolvadex may include:
Bone pain, diarrhea, menstrual irregularities, skin rash, tumor pain, vaginal bleeding, vaginal discharge.

Rare side effects of Generic Nolvadex may include:
Blood clots, depression, distaste for food, dizziness, hair thinning or partial loss, headache, light-headedness, liver disorders, swelling of arms or legs, vaginal itching or dryness, visual problems