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4RX Store > Medication List > Cancer drugs > Order Nolvadex online

Cancer Medication (Nolvadex)

Generic name:
Brand name:
Nolvadex is one of the names for an antitumor and antiestrogen medicinal substance with an unpatented name Tamoxifen. The medication is primarily prescribed for the therapy of hormone-dependent breast cancer after the use of the major treatment methods such as surgery and chemotherapy. Tamoxifen causes ovulation so it is also used in infertility caused by lack of ovulation and some kinds of male infertility. The medication is available in a form of solution for injections and infusions but at this web page we offer you Nolvadex pills that can be taken at home. Find out how the medication is used, what are the contraindications for its use, and other useful information from our guide.
Estrogen-dependent breast cancer, Endometrial cancer, Anovulatory infertility, Some types of male infertility
The medication effectively stops growth of estrogen-depended tumors of breasts
Cipla - Caring for life
Cipla - Caring for life

Biochem Pharmaceuticals
Biochem Pharmaceuticals
Cytotam, Citofen, Istubol, Kessar, Noltam, Nourytam, Oncomox, Retaxim, Tamoxen, Valodex, Zemide
Nolvadex (Generic Tamoxifen)
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Order Generic Tamoxifen Buy Nolvadex 10mg


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  40 pills
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Order Generic Tamoxifen Buy Nolvadex 20mg


Quantity (max. 2)   Package   Price, USD   You save








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$41.79 ($42.11)








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  Generic Medication guide:

What is Nolvadex?

Nolvadex is a brand owned by AstraZeneca. It is based on the active substance Tamoxifen which is an antitumor and antiestrogen. The medication can be found at a lower price if you buy generic Nolvadex instead of the branded medication. It has the same composition but is cheaper due to the fact that it is made by another company. For instance, at our med store, you can get the pills made by the known generic making company Cipla.
The medication competitively binds to estrogen receptors in target organs, like estrogen translocates along with the receptor into the nucleus of a tumor cell and thus blocks the action of estrogen.

Short drug info
Trade names Nolvadex, Genox, Tamifen, others
Pregnancy category AU: B3
US: D (Evidence of risk)
Routes of administration By mouth
Drug class Selective estrogen receptor modulator
Pharmacokinetic data
Protein binding 99%
Metabolism Hepatic (CYP3A4, 2C9 and 2D6)
Elimination half-life 5-7 days
Excretion Feces: 65%
Urine: 9%

The indications for the medication use are:
- Estrogen-dependent breast cancer with metastases in lymph nodes in women;
- Treatment of breast cancer in men and women;
- Endometrial cancer;
- Anovulatory infertility;
- Some types of male infertility.

Adverse Reactions
NOLVADEX (Tamoxifen citrate)
All Effects % of Women n=104
All Effects % of Women n =100
Altered Menses
Bone Pain
Older than 70
Menstrual Disorder
Muscoloskeletal Pain
Ovarian Cyst(s)
Abdominal Cramps

Contraindications for Nolvadex use

You mustn’t buy Nolvadex and use it in:
- Hypersensitivity to the drug.
- Pregnancy, breastfeeding.
- Severe thrombocytopenia, leukopenia;
- Hypercalcemia.

The use of the medication is possible under a doctor’s approval in:
- Deep vein thrombosis and pulmonary thromboembolism in a history of treatment with coumarin-based indirect anticoagulants;
- Hyperlipidemia;
- Cataracts or visual impairment.

Adverse effects Nolvadex can cause

- On the part of the nervous system and sensory organs: headache, dizziness, fatigue, depression, confusion, visual disturbances, changes in the cornea, cataracts, and retinopathy.
- On the part of the cardiovascular system and blood formation system: thrombophlebitis, thromboembolism, transient leukopenia, and thrombocytopenia.
- On the part of the digestive tract organs: abdominal pain, nausea, vomiting, loss of appetite, constipation, increased liver enzymes, severe liver dysfunction (cholestasis, hepatitis).
- On the part of the genitourinary system: bleeding or vaginal discharge, amenorrhea or irregular onset of menstruation in patients in the premenopausal period, the occurrence of a reversible ovarian cystic tumor, fluid retention, itching in the genital area.
- Allergic reactions: skin rash.
- Other: alopecia, pain in the area of the lesion and/or in the bones, hypercalcemia, hot flashes, fever; in prolonged use, there are cases of changes in the endometrium, including hyperplasia, polyps, intrauterine fibroids and, in isolated cases, endometrial cancer.

Nolvadex dosages

The dosage of the medication should be chosen by a doctor. The pills are swallowed with enough water without chewing.
In breast cancer, the recommended daily dose for adults is 20 mg. In the case of metastases, the doses can be increased to 30-40 mg per day.
The maximum daily dose is 40 mg. Objective response to therapy is usually noted after 4–10 weeks of treatment, but in the case of bone metastases, the effect can be observed only after several months of treatment.
In the case of the appointment of two or more tablets per day, they can be taken in one or two intakes. The duration of treatment is determined by the severity and course of the disease. Usually, treatment is long and continues until remission is achieved.

Overdose of Nolvadex

There are no recorded cases of the medication overdose.

Interactions of Nolvadex with other substances

Before you buy Tamoxifen and start using the pills, you need to check with your healthcare provider that you are not taking any medications that can interfere with its action:
- When the medication is combined with hormonal medications that contain estrogenic steroids, the effectiveness of both drugs can be reduced.
- When the medication is combined with anticoagulants of the coumarin group, the enhancement of the anticoagulant effect and bleeding is possible.
- When the formulation is combined with cytotoxic agents, the incidence of thromboembolic events increases.
- Bromocriptine may cause an increase in the concentration of Tamoxifen and its active metabolite in plasma.

Special recommendations for Nolvadex use

- Before treatment, women should undergo a thorough gynecological examination. Tamoxifen causes ovulation, which increases the risk of pregnancy, so women of reproductive age need to use reliable methods of contraception (non-hormonal) during the treatment and for 3 months after the end of treatment.
- The medication use should be discontinued I the occurrence of bloody discharge from the vagina or vaginal bleeding, signs of thrombosis of the lower extremities (pain or swelling in the legs), thromboembolism of the branches of the pulmonary artery (shortness of breath).
- In the course of treatment, monitoring of blood coagulation parameters, blood picture (leukocytes, platelets), and liver function indicators are necessary. Ophthalmologic examination is recommended before and periodically during treatment.
- In patients with bone metastases, periodically during the initial period of treatment, calcium concentration in serum should be determined (in case of severe hypercalcemia, Tamoxifen should be temporarily stopped).
- In patients with hyperlipidemia in the course of treatment, it is necessary to control the concentration of cholesterol and TG in the serum.
- The formulation is less effective in the presence of metastases, especially in the liver.

Free prescription
Our doctor prescribes online for free, and there is no doctor’s consultation fee.

Discrete packaging
All orders arrive in discrete unmarked parcels. We leave the shipment description blank.

For more answers see the FAQ section


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