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Tamoxifen may be used as detailed below, although these situations are considered outside the scope of its licence Treatment of infertility contra-indicated if personal or family history of idiopathic venous thromboembolism or genetic predisposition to thromboembolism. Alopecia; anaemia; cataract; cerebral ischaemia; constipation; diarrhoea; dizziness; embolism and thrombosis; fatigue; fluid retention; headache; hepatic disorders; hot flush; hypersensitivity; hypertriglyceridaemia; muscle complaints; nausea; neoplasms; retinopathy; sensation abnormal; skin reactions; taste altered; uterine disorders; vaginal haemorrhage; vomiting; vulvovaginal disorders. Hypercalcaemia; interstitial pneumonitis; leucopenia; pancreatitis; thrombocytopenia; vision disorders. Tamoxifen can increase the risk of thromboembolism particularly during and immediately after major surgery or periods of immobility consider interrupting treatment and initiating anticoagulant measures.

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