Tamoxifen

• Nausea may occur initially
  If nausea occurs, take Tamoxifen right after food.
• Hot flushes
  If this affects you, try taking your tablets at bedtime.
• Changes in menstrual period

Inform your doctor if any of the following occurs:

• Signs of blood clot e.g. warmth, pain or redness with swelling on arm or leg
• Sudden onset of cough, chest pain or shortness of breath
• Changes in eye sight
• For women: unexpected bleeding or discharge from the vagina

• Use effective birth control during treatment and for 2 months after stopping Tamoxifen. Inform your doctor if you suspect pregnancy.
• Inform your doctor or pharmacist if you are taking any long-term medication or supplements.

Grapefruit and its juice.