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Manufactured by: Astra Zeneca UK Ltd, Macclesfield, Cheshire, SK10 2NA, UK Procured from within the EU and repackaged by the Product Licence holder: POM B&S Healthcare, Unit 4, Bradfield Road, Ruislip, Middlesex, HA4 0NU PL No: 18799/1898 ECMA: R/1274 Batch No: Exp: Label Size: 10cm x 4cm BRAILLE TEXT READS: nolvadex-d 20mg tablets nolvadex-d #20 mg tablets Label Size: 8cm x 4cm BLISTER LABEL NOLVADEX-D 20MG TABLETS (tamoxifen citrate) B&S Healthcare, Ruislip, Middlesex Batch No: Exp: Label Size: 3.5cm x 1.3cm END OF PACK LABEL NOLVADEX-D 20MG TABLETS (tamoxifen citrate) 30 TABLETS Label Size: 3.9cm x 1.3cm OUTER PACK LABEL TAMOXIFEN 20MG TABLETS (tamoxifen citrate) 30 Tablets Each film-coated tablet contains 20mg of tamoxifen (as the citrate). To be swallowed with water, as directed by your doctor. Please read the enclosed leaflet carefully before use. 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CNS: confusion, depression, headache, weakness, fatigue, light-headedness CV: chest pain, deep-vein thrombosis EENT: blurred vision, ocular lesion, retinopathy, corneal opacity GI: nausea, vomiting, abdominal cramps, anorexia GU: vaginal bleeding, discharge, or dryness; irregular menses; amenorrhea; oligomenorrhea; ovarian cyst; pruritus vulvae; endometrial or uterine cancer Hematologic: leukopenia, thrombocytopenia Metabolic: hypercalcemia, fluid retention Musculoskeletal: bone pain Respiratory: cough, pulmonary embolism Skin: skin changes, hair thinning or partial hair loss Other: altered taste, weight loss, tumor flare, tumor pain, hot flashes, edema Drug-drug. Adjunctive treatment of breast cancer Adults: 20 to 40 mg P. Aminoglutethimide, estrogens: decreased tamoxifen effects Antineoplastics: increased risk of thromboembolic events Bromocriptine: increased tamoxifen blood level Warfarin: increased anticoagulant effect Drug-diagnostic tests. 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