NOLVADEX D Film-coated tablet Ref.[51030] Active ingredients: Tamoxifen

Source: Health Products Regulatory Authority (IE)  Revision Year: 2022  Publisher: AstraZeneca AB, SE-151 85 Sodertalje, Sweden

4.1. Therapeutic indications

‘Nolvadex’ is indicated in the treatment of breast cancer.

4.2. Posology and method of administration

Posology

Breast Cancer

Adults (including the elderly)

The dosage range is 20 to 40 mg daily, given either in divided doses twice daily or as a single dose once daily. In early disease, it is currently recommended that treatment is given for not less than 5 years. The optimal duration of Nolvadex therapy remains to be determined.

Paediatric population

The use of Nolvadex is not recommended in children, as safety and efficacy have not been established (see sections 5.1 and 5.2).

Method of administration

For administration by the oral route.

4.9. Overdose

On theoretical grounds, overdosage would be expected to cause enhancement of the anti-oestrogenic side effects mentioned above. Observations in animals show that extreme overdosage (100 – 200 times recommended daily dose) may produce oestrogenic effects.

There have been reports in the literature that ‘Nolvadex’ given at several times the standard dose may be associated with prolongation of the QT interval of the ECG.

There is no specific antidote to overdosage and treatment must be symptomatic.

6.3. Shelf life

5 years.

6.4. Special precautions for storage

Store in the original container in order to protect from light.

Do not store above 30°C.

6.5. Nature and contents of container

Aluminium blister pack (30).

6.6. Special precautions for disposal and other handling

No special requirements.

Any unused medicinal product or waste material should be disposed of in accordance with local requirements.

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