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- Take Nolvadex with water or another nonalcoholic liquid.
- Swallow this medication whole. Do not break, crush, or chew before swallowing.
- Continue to take Nolvadex even if you feel well. Do not miss any dose. Taking Nolvadex at the same time each day will help you to remember to take it.
- If you miss a dose of Nolvadex, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.
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- you are allergic to any ingredient in Nolvadex
- you are using Nolvadex to reduce your risk of breast cancer and you have a history of blood clots in the lung or leg
- you are using Nolvadex to reduce your risk of breast cancer and you also take certain anticoagulants (eg, warfarin)
- you are taking anastrozole.
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- if you are pregnant, planning to become pregnant, or are breast-feeding
- if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
- if you have allergies to medicines, foods, or other substances
- if you have a history of blood clots in the legs or lungs
- if you have high levels of calcium in your blood, a weakened immune system, or low levels of white blood cells or platelets in your blood
- if you have high cholesterol or lipid levels
- if you have cataracts or other vision problems
- if you are using cytotoxic cancer medicines
- if you are confined to a bed or chair.
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- Anticoagulants (eg, warfarin) because the risk of bleeding may be increased
- Cytotoxic cancer medicines (eg, cisplatin) because the risk of developing blood clots may be increased
- Rifampin because it may decrease Nolvadex’s effectiveness
- Fluorouracil or mitomycin C because they may increase the risk of Nolvadex’s side effects
- Aromatase inhibitors (eg, anastrozole, letrozole) because their effectiveness may be decreased by Nolvadex.
http://g-lab.ca/?p=497 This may not be a complete list of all interactions that may occur. Ask your health care provider if Nolvadex may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.
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