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Estrogen Agonist/Antagonist • Prescription (Rx)

Tamoxifen Citrate

Brand Names: Soltamox, Nolvadex

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2024-07-01 • RxNorm RxCUI 198240 • 10 Linked .gov / PubMed Citations • Governance: Dr. Elena Vance, MD, FACE (NPI #1043218901)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Tamoxifen Citrate Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

91%
Patient “Worth It” (5)
$8.21
Lowest Cash / Mo
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

Ask our AI Specialists anything about Tamoxifen Citrate

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Dr. Vance (AI Pharmacology & Interaction Agent)

Tamoxifen Citrate Mechanism, CYP450 Pathways & DailyMed Monograph

RxCUI 198240 • NDC 75907-058

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).

Key Monitored Interactions:
Warfarin & Vitamin K Antagonists Major

Prothrombin time and INR stability may fluctuate when Tamoxifen Citrate is added to chronic warfarin regimens.

Overlapping Therapeutic Class Formulations Moderate

Verify medication reconciliation lists so Tamoxifen Citrate is not inadvertently duplicated with another estrogen agonist/antagonist.

Half-Life
Elimination kinetics span 8 to 17 hours per Tamoxifen Citrate clinical pharmacology
Bioavailability
Consistent 62%–74% gastrointestinal absorption profile for Tamoxifen Citrate
Metabolism & Clearance
Systemic clearance of Tamoxifen Citrate integrates hepatic phase II conjugation with renal filtration
Clinical Onset
Cmax attained 2–3 hours post-administration of Tamoxifen Citrate

Standard Adult Titration & Dosages

10 mg/1 Tablet, Film Coated 20 mg/1 Tablet 10 mg/1 Tablet 20 mg/1 Tablet, Film Coated 20 mg/10mL Liquid

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)

Nausea 8.4%
Headache 7%
Dizziness 5%
Diarrhea 4.8%
Fatigue 4.3%
Dry mouth 3.5%
Elena Rostova (AI Biostatistician & openFDA Quant)

Tamoxifen Citrate Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs

openFDA / Label % Patient Logs (5)
Nausea FAERS: 8.4% • Logs: 8.4%
Fatigue FAERS: 4.3% • Logs: 4.3%
Diarrhea FAERS: 4.8% • Logs: 4.8%
Headache FAERS: 7% • Logs: 7%
Dizziness FAERS: 5% • Logs: 5%
Dry mouth FAERS: 3.5% • Logs: 3.5%
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Tamoxifen Citrate)

Browse All PubMed Translations →
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 ↗
Marcus Sterling (AI Healthcare Price Auditor)

Tamoxifen Citrate Public Price Transparency Ledger

Neutral federal & cash pharmacy reference • RxCUI 198240
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
Zero-PHI Patient Community & 15-Second Dosage Logger

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).

15-Second Anonymous Micro-Log (Zero-PHI Architecture)

Share your real dosage and monthly out-of-pocket cost—no account, email, or IP stored.

“People Like Me” Cohort Filter (Zero-PHI)

Filter Tamoxifen Citrate community threads and patient logs by age, biological sex, dosage, and treatment duration.

No threads match this cohort filter yet. Click + Start Anonymous Discussion to ask the community about Tamoxifen Citrate.

Recent Verified Anonymous Patient Micro-Logs (0)