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Gyraxen

Gyraxen

tamoxifen

Manufacturer:

Korea United Pharma

Distributor:

Qualimed
Concise Prescribing Info
Contents
Tamoxifen citrate
Indications/Uses
Treatment of advanced breast cancer in postmenopausal women.
Dosage/Direction for Use
Administration
May be taken with or without food.
Contraindications
Pre-menopausal patients must undergo a careful exam to exclude any possibility of pregnancy before treatment. Pregnancy.
Special Precautions
Suppressed menstruation in pre-menopausal patients. Reversible cystic ovarian swelling. Discontinue treatment if hypercalcemia occurs. Monitor patients taking coumarin-type anticoagulants. Increased incidence of endometrial changes including hyperplasia, polyps, cancer & uterine sarcoma (mostly malignant mixed Mullerian tumours). Patient receiving or having previously received Tamoxifen who report abnormal gynaecological symptoms, especially vag bleeding, or who presents w/ menstrual irregularities, vag discharge & symptoms eg, pelvic pain or pressure. Patients at risk of thromboembolism. Stop treatment 6 wk before surgery or long-term immobility. Avoid concomitant use w/ CYP2D6 inhibitors. Lactation.
Adverse Reactions
Hot flushes, vag bleeding, pruritus vulvae; GI upset, tumour pain, light headedness, dizziness, rashes, fluid retention; transient falls in platelet count; endometrial hyperplasia, polyps & carcinomas; visual disturbances, corneal changes, cataracts, retinopathy.
Drug Interactions
Increased effect of coumarin-type anticoagulants. Increased risk of thromboembolic events w/ cytotoxic agents. Reduced efficacy w/ SSRI antidepressants, CYP2D6 inhibitors (eg, paroxetine, fluoxetine, quinidine, cinacalcet, bupropion). Rifampicin.
MIMS Class
Cancer Hormone Therapy
ATC Classification
L02BA01 - tamoxifen ; Belongs to the class of anti-estrogens. Used in treatment of neoplastic diseases.
Presentation/Packing
Form
Gyraxen film-coated tab 20 mg
Packing/Price
100's
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