Generic name: Tamoxifen citrate.

Nolvadex is an anti-estrogenic antineoplastic. It prevents the growth of rapidly dividing cells such as cancer cells.

Quick Facts About Nolvadex


Used to treat breast cancer in women, is most effective in stopping the type of breast cancer that thrives on estrogen. Also used to treat cancer that has spread to other parts of the body.

Nolvadex Dosage

Take exactly as prescribed. Do not discontinue use unless directed by your doctor. May need to take Nolvadex for several years. Birth control methods other than the Pill are recommended during Nolvadex therapy.

  • Usual adult dose: 1 or 2 10-milligram tablets in the morning and evening.
  • Usual child dose: not generally prescribed for children.
  • Missed dose: do not try to make up missed dose. Go back to regular schedule.

Nolvadex Side Effects

Overdose symptoms:

dizziness, overactive reflexes, tremor, unsteady gait. If you suspect an overdose, immediately seek medical attention.

More common side effects: hot flashes, nausea, vomiting.

Less common or rare Nolvadex side effects: bone pain, diarrhea, menstrual irregularities, skin rash, tumor pain, vaginal bleeding, vaginal discharge. Rare side effects: depression, distaste for food, dizziness, hair thinning or partial loss, headache, light-headedness, liver disorders, swelling of arms or legs, vaginal itching, visual problems.


Inform your doctor before combining Nolvadex with:

blood thinners such as Coumadin; bromocriptine (Parlodel); phenobarbital.

No known food/other substance interactions.

Special Cautions

Important to avoid pregnancy during Nolvadex therapy; can harm fetus. If you become pregnant, immediately inform your doctor. Appears in breast milk; can cause serious harm to a nursing infant.

No special precautions apply to seniors.

Not generally prescribed for children.

  • Do not take if sensitive to or allergic to this medication.
  • Doctor should perform routine gynecological exams. Immediately report any abnormal vaginal bleeding. Immediately inform your doctor if you experience visual problems.
  • May be a link between Nolvadex therapy and blood cell abnormalities such as too few white blood cells or platelets.
  • Doctor should monitor cholesterol levels; may raise cholesterol and triglyceride levels.
  • May cause abnormally high level of calcium in the blood.

Note: provides accurate and independent information prescription pills, over-the-counter medicines and natural products. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. If you have questions about  dosage, or Nolvadex side effects, please contact your healthcare provider