Drugs and Foods to Avoid:
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products. - Make sure your doctor knows if you are also using tamoxifen (Nolvadex®).
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Warnings While Using This Medicine: - It is not safe to take this medicine during pregnancy. It could harm an unborn baby. Tell your doctor right away if you become pregnant.
- Make sure your doctor knows if you are breastfeeding, or if you have severe liver disease or cirrhosis, bone problems (such as osteoporosis), or high cholesterol in the blood.
- This medicine may decrease bone mineral density when used for a long time. A low bone mineral density can cause weak bones or osteoporosis. If you have any questions about this, talk to your doctor.
- This medicine may increase your cholesterol or fat in the blood. If this happens, your doctor may give you medicine to lower the cholesterol and fat.
- This medicine may make you dizzy or drowsy. Avoid driving, using machines, or doing anything else that could be dangerous if you are not alert.
- Your doctor will check your progress and the effects of this medicine at regular visits. Keep all appointments. Blood tests may be needed to check for unwanted effects.
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Possible Side Effects While Using This Medicine:
Call your doctor right away if you notice any of these side effects: - Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
- Changes in vision.
- Chest pain, shortness of breath, or coughing up blood.
- Fast, irregular, or pounding heartbeat.
- Fever, chills, cough, sore throat, and body aches.
- Increase in how much or how often you urinate, painful urination.
- Numbness or weakness in your arm or leg, or on one side of your body.
- Pain in your lower leg (calf).
- Severe bone, joint, or back pain.
- Sudden or severe headache, problems with vision, speech, or walking.
- Swelling in your ankles or feet.
- Unusual bleeding or bruising.
- Unusual tiredness or weakness.
- Vaginal discharge, bleeding, or dryness.
If you notice these less serious side effects, talk with your doctor: - Breast pain.
- Changes in appetite.
- Diarrhea, constipation, nausea, vomiting, or stomach pain.
- Dizziness.
- Hot flashes or increased sweating.
- Mild headache.
- Mild joint, back, or muscle pain.
- Skin rash.
- Trouble sleeping.
- Warmth or redness in your face, neck, arms, or upper chest.
- Weight gain or loss.
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