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Nolvadex (tamoxifen citrate) can be prescribed for patients diagnosed with breast cancer and can cure the condition even when cancer has spread to other parts of the body. Nolvadex can affect the health of a nursing baby. However, if taking Nolvadex is critical in your case you may be required to stop breastfeeding instead of stopping to take this medicine. The following drugs have been reported to interfere with Nolvadex reducing its efficiency or altering the effects it has on your body: blood thinners (increase the risk of bleeding), rifampin (can make Nolvadex less efficient), fluorouracil (can cause side effects of worsen the ones you have), aromatase inhibitors (as they may become less efficient when combined with Nolvadex), or cytotoxic cancer drugs (increase the risk of blood clotting). Use this medicine in accordance with your doctor's recommendations, without taking more or less than prescribed. Since your dosage is based on a number of factors, including your health condition, it can be revised by your health care provider if he considers it necessary.

Do not take Nolvadex with fluids that contain any amounts of alcohol. You must not crush or break a tablet as this will result in the medicine being released to soon, which will decrease the effects Nolvadex is supposed to have on your body. Unless you are aware of your personal reaction to this medicine do not get engaged into any hazardous activities as Nolvadex has been reported to cause dizziness in some people. Nolvadex can be taken once or twice a day, depending on why you are taking it. It's important to take it at the same time, without skipping doses or taking more than prescribed. If you miss a dose but need to take another one soon skip the dose you missed and continue the treatment.

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