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Q: 

I was diagnosed with DCIS of my left breast, had a lumpectomy in 2014. I was told that I had to take tamoxifen for 5yrs. I started taking it in March of 1015 because my breast surgeon recommended it to me since I was at "high risk" of getting it again

By Anonymous August 27, 2017 - 9:56pm
 
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I didn't have to have chemo or radiation, just the tamoxifen for 5yrs. Well my oncologist took me off of it last week because I'm taking Paxil and he said that I have nothing to worry about. What do I do about this? Do I continue with the tamoxifen OR follow the oncologist orders?

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HERWriter Guide

Hello Anon

Thank you for writing.

The reason these medications are not to be taken together because Paxil may lessen the effect of Tamoxifen.

There are other anti-depressants that do not cause this interaction. Unless you cannot take anything other than Paxil, I'm not sure why you doctor would make this decision.
Please revisit with your doctor to discuss this decision and get detailed information about the benefits of Paxil versus the risks of stopping Tamoxifen. He must have his reasons but we can't tell you what they are.
Best,
Susan

August 28, 2017 - 5:47am
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