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    Tamoxifen walmart


    Courtesy of an article in The Tennessean, we just learned that Wal Mart has expanded $4 discount generic drug program to offer some of those same drugs for $10 for a 90-day supply. A list of the prescription drugs covered by the program can be found here. In addition, Walmart will offer certain prescription drugs for women for $9 for a 30-day supply, such as the osteoporosis drug Fosamax and the breast cancer drug Tamoxifen. The $4 program also covers certain Over-the-Counter drugs. Wal Mart isn't the only chain store offering discount prescriptions on generics. Other stores with low-cost ($4, $5, etc) generic programs include (click the link on each store's name to go to their discount program's page): One thing to keep in mind about all of these programs is that the numbers of generic drugs supposedly covered can seem much higher than it really is - for instance, one drug at different dosages might be listed 4 or 5 times -- one for the, say, 10 mg pill, and another for the 20 mg, 30 mg, 40 mg etc. That would be counted as 4 drugs when it's really one. purchase ciprofloxacin canada Tamoxifen is a pioneering medicine for the treatment and prevention of breast cancer. It is the first drug targeted therapy in cancer to be successful. The therapy is known to have saved the lives of millions of women over the past 40 years. Craig Jordan - known as the “father of tamoxifen” - and his Tamoxifen Team at the Georgetown University Washington DC, illustrates the journey of this milestone in medicine. Craig Jordan about his four decades of discovery in breast cancer research and treatment. Craig Jordan was there for the birth of tamoxifen as he is credited for reinventing a “failed morning after contraceptive” to become the “gold standard” for the treatment of breast cancer. He contributed to every aspect of tamoxifen application in therapeutics and all aspects of tamoxifen’s pharmacology. He discovered the selective estrogen receptor modulators (SERMs) and explored the new biology of estrogen-induced apoptosis. Tamoxifen is a pioneering medicine for the treatment and prevention of breast cancer. It is the first drug targeted therapy in cancer to be successful. The therapy is known to have saved the lives of millions of women over the past 40 years.

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    Novembre 29th, 2008, 4 Comments La settimana scorsa ho visto un bel documentario sulla tragedia del Vajont, su History channel. Tremendo, con immagini tratte dall’archivio dei Vigili del fuoco e numerose testimonianze degli scampati. Una decina di giorni dopo il disastro, un rappresentante delle istituzioni andò sul posto, ove i superstiti di Longarone e degli altri paesi cancellati dall’acqua gli […] novembre 23rd, 2008, 4 Comments Sì, dal Sudamerica, è tornato? Innocentemente lontano dalle miserie della politica italica. Vorrei invece ritornare sulla bella figura del senatore Latorre (efficacemente sottolineata anche da Zoro, nel suo ultimo video). Sì, perché il senatore Latorre non ha solo fatto una leggerezza. Il senatore […] novembre 20th, 2008, 4 Comments Anzi, come lo scudo crociato (per i giovani: l’edera era il simbolo del Partito Repubblicano). L’ineffabile senatore Villari ha dichiarato che non intende dimettersi dalla poltrona di presidente della Vigilanza Rai, neanche ora che c’è un accordo tra PD e Pd L per eleggere Sergio Zavoli. Finalmente ha avuto una poltrona, il senatore Villari, e non […] novembre 19th, 2008, 3 Comments Oltre ai gruppi di simmetrie (vedi post precedente), si possono naturalmente definire molti altri criteri che individuano sottoinsiemi dell’alfabeto i cui elementi abbiano particolari proprietà. Anni fa proposi un giochino consistente nello scrivere frasi come Troppi errori per typo oppure Lassù a Salò la fòlla ha Gadda. For women who have estrogen receptor-positive breast cancers, hormonal therapy is usually recommended after primary treatment with surgery and possibly chemotherapy and/or radiation therapy. Choices include tamoxifen or aromatase inhibitors such as Arimidex, Femora, or Aromasin. How does the cost and effectiveness of these medications compare, and what do you need to know? What happens if you have difficulty paying for these drugs? We know that even after primary treatment for breast cancer there is a risk of recurrence. And late recurrences several years or even decades after treatment are more common with estrogen receptor-positive tumors. Hormone therapies have been shown to reduce the risk of recurrence and improve survival rates.

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    Prophylaxis 80 mg/day PO divided q6-8hr initially; may be increased by 20-40 mg/day every 3-4 weeks; not to exceed 160-240 mg/day divided q6-8hr Inderal LA: 80 mg/day PO; maintenance: 160-240 mg/day Withdraw therapy if satisfactory response not seen after 6 weeks Hemangeol: Indicated for treatment of proliferating hemangioma requiring systemic therapy Initiate treatment at aged 5 weeks to 5 months Starting dose: 0.6 mg/kg (0.15 m L/kg) PO BID for 1 week, THEN increase dose to 1.1 mg/kg (0.3 m L/kg) BID; after 2 more weeks, increase to maintenance dose of 1.7 mg/kg (0.4 m L/kg) BID PO: 0.5-1 mg/kg/day divided q6-8hr; may be increased every 3-7 days; usual range: 2-6 mg/kg/day; not to exceed 16 mg/kg/day or 60 mg/day IV: 0.01-0.1 mg/kg over 10 minutes; repeat q6-8hr PRN; not to exceed 1 mg for infants or 3 mg for children PO: 1 mg/kg/day divided q6hr; after 1 week, may be increased by 1 mg/kg/day to maximum of 10-15 mg/kg/day if patient refractory; allow 24 hours between dosing changes IV: 0.01-0.2 mg/kg over 10 minutes; not to exceed 5 mg Immediate-release: 40 mg PO q12hr initially, increased every 3-7 days; maintenance: 80-240 mg PO q8-12hr; not to exceed 640 mg/day Inderal LA: 80 mg/day PO initially; maintenance: 120-160 mg/day; not to exceed 640 mg/day Inno Pran XL: 80 mg/day PO initially; may be increased every 2-3 weeks until response achieved; maintenance: not to exceed 120 mg/day PO Consider lower initial dose PO: 10 mg q6-8hr; may be increased every 3-7 days IV: 1-3 mg at 1 mg/min initially; repeat q2-5min to total of 5 mg Once response or maximum dose achieved, do not give additional dose for at least 4 hours Aggravated congestive heart failure Bradycardia Hypotension Arthropathy Raynaud phenomenon Hyper/hypoglycemia Depression Fatigue Insomnia Paresthesia Psychotic disorder Pruritus Nausea Vomiting Hyperlipidemia Hyperkalemia Cramping Bronchospasm Dyspnea Pulmonary edema Respiratory distress Wheezing Allergic: Hypersensitivity reactions, including anaphylactic/anaphylactoid; agranulocytosis, erythematous rash, fever with sore throat Skin: Stevens-Johnson syndrome, toxic epidermal necrolysis, exfoliative dermatitis, erythema multiforme, urticaria Musculoskeletal: Myopathy, myotonia May exacerbate ischemic heart disease after abrupt withdrawal Hypersensitivity to catecholamines has been observed during withdrawal Exacerbation of angina and, in some cases, myocardial infarction occurrence after abrupt discontinuance When discontinuing long-term administration of beta blockers (particularly with ischemic heart disease), gradually reduce dose over 1-2 weeks and carefully monitor If angina markedly worsens or acute coronary insufficiency develops, reinstate beta-blocker administration promptly, at least temporarily (in addition to other measures appropriate for unstable angina) Warn patients against interruption or discontinuance of beta-blocker therapy without physician advice Because coronary artery disease is common and may be unrecognized, slowly discontinue beta-blocker therapy, even in patients treated only for hypertension Asthma, COPD Severe sinus bradycardia or 2°/3° heart block (except in patients with functioning artificial pacemaker) Cardiogenic shock Uncompensated congestive heart failure Hypersensitivity Overt heart failure Sick sinus syndrome without permanent pacemaker Do not use Inno Pran XL in pediatric patients Long-term beta blocker therapy should not be routinely discontinued before major surgery; however, the impaired ability of the heart to respond to reflex adrenergic stimuli may augment the risks of general anesthesia and surgical procedures Use caution in bronchospastic disease, cerebrovascular insufficiency, congestive heart failure, diabetes mellitus, hyperthyroidism/thyrotoxicosis, liver disease, renal impairment, peripheral vascular disease, myasthenic conditions Sudden discontinuance can exacerbate angina and lead to myocardial infarction Use in pheochromocytoma Increased risk of stroke after surgery Hypersensitivity reactions, including anaphylactic and anaphylactoid reactions, have been reported Cutaneous reactions, including Stevens-Johnson syndrome, toxic epidermal necrolysis, exfoliative dermatitis, erythema multiforme, and urticaria, have been reported Exacerbation of myopathy and myotonia has been reported Less effective than thiazide diuretics in black and geriatric patients May worsen bradycardia or hypotension; monitor HR and BP Avoid beta blockers without alpha1-adrenergic receptor blocking activity in patients with prinzmetal variant angina; unopposed alpha-1 adrenergic receptors may worsen anginal symptoms May induce or exacerbate psoriasis; cause and effect not established Prevents the response of endogenous catecholamines to correct hypoglycemia and masks the adrenergic warning signs of hypoglycemia, particularly tachycardia, palpitations, and sweating May cause or worsen bradycardia or hypotension Pregnancy category: C; intrauterine growth retardation, small placentas, and congenital abnormalities reported, but no adequate and well-controlled studies conducted Lactation: Use is controversial; an insignificant amount is excreted in breast milk Nonselective beta adrenergic receptor blocker; competitive beta1 and beta2 receptor inhibition results in decreases in heart rate, myocardial contractility, myocardial oxygen demand, and blood pressure Class 2 antidysrhythmic Bioavailability: 30-70% (food increases bioavailability) Onset: Hypertension, 2-3 wk; beta blockade, 2-10 min (IV) or 1-2 hr (PO) Duration: 6-12 hr (immediate release); 24-27 hr (extended release) Peak plasma time: 1-4 hr (immediate release); 6-14 hr (extended release) Solution: Most common solvents Additive: Dobutamine, verapamil Syringe: Inamrinone, milrinone Y-site: Alteplase, fenoldopam, gatifloxacin, heparin, hydrocortisone, sodium succinate, inamrinone, linezolid, meperidine, milrinone, morphine, potassium chloride, propofol, tacrolimus, tirofiban, vitamins B and C IV administration rate should not exceed 1 mg/min IV dose is much smaller than oral dose Give by direct injection into large vessel or into tubing of free-flowing compatible IV solution Continuous IV infusion generally is not recommended The above information is provided for general informational and educational purposes only. 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