Package: 100 tabs (20mg/tab)

Active Substance: Tamoxifen Citrate

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Nolvadex, known as Tamoxifen Citrate, is an oral medication widely used for its estrogen-blocking properties. This guide provides a comprehensive overview of Nolvadex, covering its indications, contraindications, administration, medical action, precautions, side effects, overdosage, and conclusion. Special attention is given to its use in Post Cycle Therapy (PCT), which is crucial for bodybuilders and athletes.


Nolvadex (Tamoxifen Citrate) is primarily indicated for:

  • Breast Cancer Treatment: It is used to treat estrogen receptor-positive breast cancer in both premenopausal and postmenopausal women.
  • Breast Cancer Prevention: Helps prevent breast cancer in women who are at high risk.
  • Gynecomastia: Used by men to treat and prevent the development of gynecomastia (enlargement of breast tissue).

In the context of bodybuilding, Nolvadex is highly valued for its role in Post Cycle Therapy (PCT):

  • Post Cycle Therapy: Used to restore natural testosterone production following a cycle of anabolic steroids, preventing estrogen-related side effects such as gynecomastia and retaining muscle gains.


Nolvadex is not suitable for everyone. Contraindications include:

  • Pregnancy and Breastfeeding: Nolvadex can cause harm to the fetus and should not be used during pregnancy. It is also contraindicated during breastfeeding.
  • History of Blood Clots: Individuals with a history of blood clots or deep vein thrombosis should avoid Nolvadex due to an increased risk of thromboembolic events.
  • Allergic Reactions: Those with known hypersensitivity to Tamoxifen or any of its ingredients should not use this medication.

Consulting a healthcare provider before starting Nolvadex is crucial to ensure it is appropriate based on individual health conditions and medical history.


Nolvadex is administered orally, typically in tablet form. The dosage and duration vary based on the condition being treated.

  • For Breast Cancer Treatment: The typical dosage is 20-40 mg per day, divided into one or two doses. Treatment may continue for several years to reduce the risk of cancer recurrence.
  • For Gynecomastia: Men may take 10-20 mg per day to treat or prevent gynecomastia.
  • For Post Cycle Therapy (PCT): Bodybuilders often use Nolvadex at 20-40 mg per day for 4-6 weeks following an anabolic steroid cycle. The exact dosage and duration depend on the length and intensity of the steroid cycle.

It is essential to follow the prescribed dosage and administration guidelines provided by a healthcare provider.

Medical Action

Nolvadex (Tamoxifen Citrate) is a selective estrogen receptor modulator (SERM). Its primary actions include:

  • Estrogen Blockade: Nolvadex competes with estrogen for binding to estrogen receptors in breast tissue, reducing the growth of estrogen-dependent cancer cells.
  • Stimulation of Testosterone Production: By blocking estrogen receptors in the hypothalamus, Nolvadex increases the release of gonadotropin-releasing hormone (GnRH), which in turn stimulates the pituitary gland to produce luteinizing hormone (LH) and follicle-stimulating hormone (FSH), leading to increased testosterone production.
  • Reduction of Gynecomastia: By blocking estrogen receptors, Nolvadex prevents estrogen from exerting its effects on breast tissue, reducing the risk of gynecomastia in men using anabolic steroids.


Before starting Nolvadex, it is crucial to undergo a thorough medical evaluation. This includes a complete medical history and physical examination to assess the risk of thromboembolic events and other potential complications. Regular monitoring is necessary to track progress and detect any adverse effects.

Patients should inform their healthcare provider of any pre-existing medical conditions, allergies, or medications they are taking to prevent potential drug interactions and complications.

Maintaining a healthy lifestyle, including a balanced diet and regular exercise, is crucial when using Nolvadex. Monitoring liver function is especially important, as long-term use can lead to liver toxicity.

Side Effects

Nolvadex can cause a range of side effects, some common and others more severe. Common side effects include:

  • Hot Flashes: Common in women undergoing breast cancer treatment.
  • Nausea: Can occur, especially when starting the medication.
  • Leg Cramps: Some users experience leg cramps or muscle pain.
  • Fatigue: Feeling tired or fatigued is a common side effect.
  • Mood Swings: Changes in mood or emotional well-being.

Less common but more serious side effects include:

  • Thromboembolic Events: Increased risk of blood clots, deep vein thrombosis, and pulmonary embolism.
  • Liver Toxicity: Long-term use can lead to liver damage or liver tumors.
  • Vision Changes: Rare cases of cataracts or other vision changes have been reported.

If any severe side effects occur, it is crucial to seek medical attention immediately. Adjusting the dosage or discontinuing the use of Nolvadex may be necessary to mitigate adverse effects.


An overdose of Nolvadex can lead to severe health complications. Symptoms of overdose may include extreme dizziness, tremors, seizures, or severe nausea and vomiting.

If an overdose is suspected, it is essential to seek emergency medical assistance. Treatment typically involves supportive care and monitoring of vital signs. In some cases, medications may be administered to counteract the effects of excess Tamoxifen.


Nolvadex, or Tamoxifen Citrate, from Dragon Pharma, is a powerful oral medication known for its estrogen-blocking properties and significant effects on hormone regulation. While it offers numerous benefits for treating and preventing breast cancer and gynecomastia, it also presents substantial risks, especially when used improperly or without medical supervision.

Its role in Post Cycle Therapy (PCT) is particularly valuable for bodybuilders and athletes looking to restore natural testosterone production and prevent estrogen-related side effects following an anabolic steroid cycle. However, the potential for severe side effects, including thromboembolic events and liver toxicity, necessitates careful monitoring and responsible use.

By understanding the indications, contraindications, administration, medical action, precautions, side effects, and potential for overdosage, users can make informed decisions about using Nolvadex. This comprehensive approach ensures that the benefits are maximized while minimizing the risks associated with this potent medication.

Whether used for breast cancer treatment, gynecomastia prevention, or Post Cycle Therapy, Nolvadex requires a disciplined approach and a commitment to regular health monitoring. With the right precautions and medical guidance, it can be an effective solution for various health and performance goals.


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