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Nolvadex (tamoxifen) is prescribed to people with cancer that has spread to other parts of the body. Another use of Nolvadex is to reduce the risk of developing breast cancer in people with different risk factors. Nolvadex is commonly taken for a long period of time – usually 5 years. It is very important to take the exact dose prescribed by your doctor at the same time every day so that you could remember it better. Unless otherwise recommended by your health care provider, take Nolvadex twice a day with some food or without. Measure the liquid form with a special spoon to make sure you do not take too much. If you happened to miss a dose and have to take another one in a couple of hours, you can skip the dose you missed and carry on with the usual dosing schedule.

At the beginning of the treatment some unpleasant symptoms are likely to occur, including increased tumor size, bone pain, or even appearance of new tumors. However, this means the drug is working well for you, so you should continue taking it as directed. Do not start taking any other medicines (for example, aminoglutethimide, bromocriptine, blood-thinners, cancer drugs, letrozole, phenobarbital, rifampin) before previously discussing it with your doctor to prevent interaction.