This medicine is an anti-estrogen used to treat or prevent breast cancer. It may also be used to treat other conditions as determined by your doctor.

Follow the directions for using this medicine provided by your doctor. This medicine may come with a patient information leaflet. Ask your doctor, nurse, or pharmacist any questions that you may have about this medicine. THIS MEDICINE MAY BE TAKEN on an empty stomach or with food.

SIDE EFFECTS, that may go away during treatment, include hot flashes, vaginal discharge, irregular or lighter menstrual cycles, weight loss, or diarrhea. If they continue or are bothersome, check with your doctor. CHECK WITH YOUR DOCTOR AS SOON AS POSSIBLE if you experience vaginal bleeding, unexplained sore throat or fever, or unusual bleeding or bruising. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.

Drug interactions can result in unwanted side effects or prevent a medicine from doing its job. Use our drug interaction checker to find out if your medicines interact with each other.

If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include shakiness, dizziness, and irregular heartbeat.

A BARRIER OR NON-HORMONAL FORM OF BIRTH CONTROL is recommended for pre-menopausal women while taking this medicine. KEEP ALL DOCTOR AND LABORATORY APPOINTMENTS (e.g., yearly pelvic/gynecology exams) while you are using this medicine. THIS MEDICINE HAS BEEN SHOWN TO CAUSE HARM to the human fetus. IF YOU PLAN ON BECOMING PREGNANT, discuss with your doctor the benefits and risks of using this medicine during pregnancy. IT IS UNKNOWN IF THIS DRUG IS EXCRETED in breast milk. DO NOT BREAST-FEED while taking this medicine.

IF YOU MISS A DOSE OF THIS MEDICINE, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule.

STORE THIS MEDICINE at room temperature in a tightly-closed container, away from heat and light. Do not take 2 doses at once.