Does citalopram affect tamoxifen?
Other SSRI medications, such as citalopram (Celexa), escitalopram (Lexapro), venlafaxine (Effexor) and sertraline (Zoloft) are considered to be less potent inhibitors of CYP2D6. If taken with tamoxifen, these CYP2D6 inhibitors could possibly decrease the available amount of the active metabolite (endoxifen).
Which antidepressant is best with tamoxifen?
Caution should be used when it is taken along with antidepressant medications, as some of them interfere with the way tamoxifen works at decreasing the risk of breast cancer recurrence. Antidepressants such as Paxil or Prozac should be avoided, while others, such as Celexa or Lexapro, may be a safer option.
Do antidepressants reduce the effectiveness of tamoxifen?
A recent study published in the British Medical Journal provides evidence that antidepressants which are potent inhibitors of CYP2D6 enzymes may decrease the effectiveness of tamoxifen and may result in worse outcomes.
Is it OK to take tamoxifen and levothyroxine at the same time?
Interactions between your drugs No interactions were found between Synthroid and tamoxifen. This does not necessarily mean no interactions exist. Always consult your healthcare provider.
Why should I not take citalopram?
have an eye condition called glaucoma – citalopram can increase the pressure in your eye. have epilepsy or are having electroconvulsive treatment – citalopram may increase your risk of having a seizure.
Is there a better drug than tamoxifen?
Earlier ATAC results found that Arimidex was more effective than tamoxifen in reducing the risk of recurrence of early-stage, hormone-receptor-positive breast cancer in postmenopausal women. Other studies comparing tamoxifen to the other two aromatase inhibitors (Aromasin and Femara) have shown similar results.
Are aromatase inhibitors better than tamoxifen?
5 years of an aromatase inhibitor reduces 10-year breast cancer mortality rates by about 15% compared with 5 years of tamoxifen, hence by about 40% (proportionately) compared with no endocrine treatment.
Can tamoxifen increase anxiety?
While studies have shown tamoxifen significantly improves survival rates for women with breast cancer by blocking the effects of estrogen, clinical evidence suggests the drug increases rates of anxiety and the incidence of hot flashes, both of which may result from reduced action of estrogen.
Does taking tamoxifen cause anxiety?
Can I drink coffee while taking tamoxifen?
There’s no harm in women being treated with tamoxifen for breast cancer drinking coffee in moderation. However, drinking excessive amounts can cause irritability, insomnia and indigestion.
Is it better to take tamoxifen in the morning or at night?
Tamoxifen may be taken at any time of the day but should be taken at the same time each day. it is within 12 hours of the missed dose.
What are the side effects of double dose of citalopram?
(I am seeing a counsellor, which helps a bit.) So, on the doctor’s advice, I doubled the dose from 10mg to 20mg and yes, I am going through the same side effects again – feeling worse, not sleeping, crying more, full of negative thoughts. Has anyone else had a similar experience when increasing their dose of Citalopram.
How effective is tamoxifen 10 mg every other day?
He also mentioned that tamoxifen currently is only available in 10-mg tablets, but prior studies have shown that 10 mg every other day is as effective as 5 mg per day at reducing the risk of invasive disease.
How long do you have to take tamoxifen for DCIS?
For people diagnosed with DCIS, ADH, or LCIS, the treatment is most commonly 5 years of tamoxifen, at a dose of 20 mg per day, after surgery to remove the abnormal cells. Still, like most cancer medicines, both tamoxifen and aromatase inhibitors can cause side effects.
What are the side effects of tamoxifen and aromatase inhibitors?
Tamoxifen may cause hot flashes and increase the risk of blood clots and stroke. Aromatase inhibitors may cause muscle and joint aches and pains. Less common but more severe side effects of aromatase inhibitors are heart problems, osteoporosis, and broken bones.