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Tamoxifen can interact with other drugsFor exampleit can increase the effect of a blood-thinning drug called warfarinLet your doctor know straight away if you are taking warfarin or any other drugsSome other drugs may make tamoxifen less effective.

If you are taking tamoxifen to reduce your risk of breast canceryou may need to take your first dose during your menstrual periodYou may also need to have a pregnancy test before you start taking tamoxifento make sure you are not pregnantFollow your doctor’s instructions.

Try to cut down on nicotinealcohol and hot drinks containing caffeinesuch as tea and coffeeDress in layersso you can remove clothes as neededWear clothes made from natural fabricssuch as cotton.

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soy use is controversial but some antidepressants can help but be careful as some also inhibit tamoxifen metabolism.

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