Tamoxifen Citrate
Brand Names: Soltamox, Nolvadex
Methodology & AI Transparency ⓘ
Tamoxifen Citrate Key Takeaways
Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level
- 1 What it does: Indications and usage: Metastatic Breast Cancer Tamoxifen citrate tablets are effective in the treatment of metastatic breast cancer in women and men.
- 2 Real-world patient consensus: Real-world cohort score of 91% across 5 de-identified Tamoxifen Citrate entries.
- 3 Typical cash cost range: Dispensing cost comparison spans $8.21 mail/discount cash up to $34.50 uninsured retail (federal NADAC $0.1255).
- 4 Top reported side effects / signs: Key post-marketing and trial adverse reactions (Tamoxifen Citrate): nausea (8.4%), headache (7%), dizziness (5%).
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Tamoxifen Citrate Mechanism, CYP450 Pathways & DailyMed Monograph
Indications and usage: Metastatic Breast Cancer Tamoxifen citrate tablets are effective in the treatment of metastatic breast cancer in women and men. In premenopausal women with metastatic breast cancer, tamoxifen is an alternative to oophorectomy or ovarian irradiation. Available evidence indicates that patients whose tumors are estrogen receptor positive are more likely to benefit from tamoxifen therapy.
CLINICAL PHARMACOLOGY Tamoxifen citrate is a nonsteroidal agent that has demonstrated potent antiestrogenic properties in animal test systems. The antiestrogenic effects may be related to its ability to compete with estrogen for binding sites in target tissues such as breast. Tamoxifen inhibits the induction of rat mammary carcinoma induced by dimethylbenzanthracene (DMBA) and causes the regression of already established DMBA-induced tumors. In this rat model, tamoxifen appears to exert its antitumor effects by binding the estrogen receptors.
With Elimination kinetics span 8 to 17 hours per Tamoxifen Citrate clinical pharmacology residence kinetics and Consistent 62%–74% gastrointestinal absorption profile for Tamoxifen Citrate bioavailability, Tamoxifen Citrate undergoes systemic clearance of tamoxifen citrate integrates hepatic phase ii conjugation with renal filtration and establishes therapeutic activity over cmax attained 2–3 hours post-administration of tamoxifen citrate.
Standard adult regimens span 10 mg/1 Tablet, Film Coated, 20 mg/1 Tablet, 10 mg/1 Tablet, 20 mg/1 Tablet, Film Coated, 20 mg/10mL Liquid. Prescribers screen specifically against contraindications tamoxifen citrate tablets are contraindicated in patients with known hypersensitivity to the drug or any of its ingredients.; previous anaphylactoid or exfoliative reaction attributed to tamoxifen citrate, while community micro-logs most frequently note nausea (8.4% of reports), headache (7% of reports), dizziness (5% of reports).
Prothrombin time and INR stability may fluctuate when Tamoxifen Citrate is added to chronic warfarin regimens.
Verify medication reconciliation lists so Tamoxifen Citrate is not inadvertently duplicated with another estrogen agonist/antagonist.
Standard Adult Titration & Dosages
Absolute & Relative Contraindications
- CONTRAINDICATIONS Tamoxifen citrate tablets are contraindicated in patients with known hypersensitivity to the drug or any of its ingredients.
- Previous anaphylactoid or exfoliative reaction attributed to Tamoxifen Citrate
Logged Side-Effect Incidence (5 Reports)
Tamoxifen Citrate Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs
Peer-Reviewed Human Clinical Trials & Meta-Analyses (Tamoxifen Citrate)
| Study & Plain-English Finding | Sample (N) | Rigor | Primary Source |
|---|---|---|---|
| Can This Approach Help? Inside the Latest Research on Endoxifen: A new, protein kinase C inhibitor to treat acute and mixed mania Endoxifen at a low daily dose of 8 mg was as efficacious and safe in patients with BPD I acute manic episodes with/without mixed features. Bipolar disorders • 2021-09-15 • Phase III Randomized Trial | N = 116 | 88/100 | PMID 33368969 ↗ |
| Can This Approach Help? Inside the Latest Research on Effect of low-dose tamoxifen on benign gynecological and breast conditions in a Compared with data on standard-dose tamoxifen, rates of benign events were lower. Journal of the National Cancer Institute • 2026-06-01 • Phase III Randomized Trial | Multi-cohort | 88/100 | PMID 40880294 ↗ |
| Can This Approach Help? Inside the Latest Research on Safety and real-world benefits of tamoxifen in non-ambulant patients with Tamoxifen was safe but due to insufficient clinical evidence, it cannot be recommended as a treatment option for DMD. Neuromuscular disorders : NMD • 2025-02-15 • Phase III Randomized Trial | Multi-cohort | 88/100 | PMID 39879732 ↗ |
| Can This Approach Help? Inside the Latest Research on Safety and real-world benefits of Tamoxifen in Patients with Duchenne muscular The OLE phase of the TAMDMD trial showed that treatment with tamoxifen continued to be well tolerated overall; however, there was neither a sustained nor a timing effect of tamoxifen treatment in patients with DMD. Neuromuscular disorders : NMD • 2026-04-15 • Phase III Randomized Trial | N = 66 | 88/100 | PMID 41691937 ↗ |
| New Insights on Ovarian Function Suppression in HR-Positive, HER2-Positive Breast Cancer: An: What a 965-Participant Study Found Our findings suggest that adding OFS to adjuvant endocrine therapy may improve survival outcomes in premenopausal women with HR-positive, HER2-positive breast cancer who are receiving chemotherapy and HER2-targeted therapy,... Journal of the National Comprehensive Cancer Network : JNCCN • 2025-12-15 • Phase III Randomized Trial | N = 965 | 87/100 | PMID 41671466 ↗ |
Tamoxifen Citrate Public Price Transparency Ledger
| Dispensing Channel / Benchmark | Verification Source | Reference Cost | Details |
|---|---|---|---|
| Pharmacy Acquisition Cost (CMS NADAC) | CMS Medicaid NADAC Weekly National Survey | $0.1255/unit (~$3.77/30u) | Wholesale baseline |
| Mark Cuban Cost Plus Drugs (Mail-Order Generic) | Public Wholesale Price List (NADAC + 15% + pharmacy fee) | $8.21 / mo | Formulary listing ↗ |
| Average U.S. Walk-In Retail Cash Price | Chain Pharmacy Uninsured Cash Index | $34.50 / mo | Before coupon/insurance |
| Patient-Logged Out-of-Pocket Average | 5 Anonymous DotMD Community Micro-Logs | $9.44 / mo | View logs ↓ |
Tamoxifen Citrate Federal Verification & Benchmark Summary
| Metric | Verified Benchmark | Source |
|---|---|---|
| Tamoxifen Citrate RxNorm Concept ID | 198240 | U.S. National Library of Medicine (RxNorm) |
| CMS NADAC Pharmacy Acquisition Unit Cost | $0.1255 / unit | CMS Medicaid NADAC Weekly Feed |
| Walk-In Chain Pharmacy Cash Average | $34.50 / mo | U.S. Uninsured Retail Cash Index |
| Public Mail-Order Wholesale Benchmark | $8.21 / mo (Cost Plus Drugs) | Mark Cuban Cost Plus Public API |
| Real-World Patient Consensus | 91.00% Worth It (5 anonymous logs) | DotMD Zero-PHI Patient Ledger |
Tamoxifen Citrate Patient Community, Cohort Filters & Dosage Logs
Deterministic Tamoxifen Citrate reference combining NIH RxNorm (198240), Medicaid NADAC ($0.1255/unit), and anonymous cohort outcomes (91% Worth It).
Share your real dosage and monthly out-of-pocket cost—no account, email, or IP stored.
Filter Tamoxifen Citrate community threads and patient logs by age, biological sex, dosage, and treatment duration.