Cytotam is nonsteroidal anti-estrogen tablet containing Tamoxifen Citrate, which basically functions as an anti-cancer drug. Tamoxifen Citrate blocks the biological effects of the female estrogen hormone on the development of breast cancer.

Cytotam is prescribed as oral therapy in women as well as men who have developed breast tumors which are dependent on estrogen for their growth and survival in the body. Cytotam is also recommended as treatment in women who have a higher risk of developing breast cancer to effectively lower the possibility of contracting breast cancer.

Cytotam is suggested as anti-cancer treatment after the completion of surgery, radiation, and chemotherapy to prevent the metastasis of the cancer cells to the other parts of the body and also to lower the chances of the recurrence of tumors. 

You should use Cytotam exactly as recommended by your doctor. Your doctor may suggest a dosage of Cytotam depending whether Cytotam is used for the treatment or prevention of breast cancer, the stage of cancer, body weight, other medical conditions, and current medications.

Tamoxifen Citrate should be taken once or twice a day with a glass of water, after a meal to avoid indigestion problems. Try to maintain a regular schedule for the medication such that you take Nolvadex tablets at the same time every day, to get the maximum benefit of the medication. Doctors usually recommend a dosage of a single Cytotam once daily after a meal.

If you miss your regular dose of Cytotam, take it as soon as you remember. You can continue your regular schedule the next day. If you remember the missed Cytotam the next day, take your regular dose and skip the missed dose. Do not take a double dose to compensate the missed dose of Cytotam.

The following side effects have been reported during the course of treatment with Cytotam: Cardiovascular System: - chest pain, rapid breathing, fast heart rate, stroke. Central Nervous System: - headache, mental/mood changes, confusion. Eye and ENT: - vision changes (e.g., blurred vision), eye pain, and cataract. Gastrointestinal System: - nausea, stomach/abdominal pain, persistent vomiting, constipation, pulmonary embolism. Genitourinary System: - dark urine, unusual vaginal bleeding or discharge, irregular menstrual periods, pain or pressure in your pelvic area, new breast lump, vaginal itching or dryness, irregular periods, decrease in the amount of urine, ovarian cyst. Musculoskeletal System: - leg cramps, muscle aches, numb/tingling skin, swelling of ankles/feet. Hypersensitivity: - rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. General: - hot flashes, hair thinning, easy bruising/bleeding, unusual tiredness, yellowing eyes/skin, signs of infection (e.g., fever, persistent sore throat), sudden cough, wheezing, loss of appetite, increased thirst, weight gain, weight loss.

Inform your doctor immediately if you experience any of these side effects. This is not a comprehensive list of all the possible side effects of Cytotam. If you develop any other medical conditions during the course of treatment with Tamoxifen Citrate, please consult your doctor immediately.