Description
Classification
Product: 6 x ROHM Tamoxifen/Nolvadex 20mg x 60
Active ingredient: Tamoxifen, as stated by the product name
Product type: Selective oestrogen receptor modulator (SERM) / anti-oestrogen
Form: Oral tablets
Pack size: 6 × 60 tablets
Stated strength: 20mg per tablet
Total tablets: 360
Authorised UK tamoxifen 20mg tablets contain tamoxifen, commonly supplied as tamoxifen citrate, and are prescription medicines. Nolvadex is a branded tamoxifen medicine.
The exact formulation, excipients, manufacturer and regulatory status of the ROHM product should be confirmed from its original packaging and documentation.
What is 6 x ROHM Tamoxifen/Nolvadex 20mg x 60?
6 x ROHM Tamoxifen/Nolvadex 20mg x 60 is a bulk pack containing six packs of 60 tablets marketed as tamoxifen 20mg.
Tamoxifen belongs to a group of medicines called selective oestrogen receptor modulators (SERMs). It has anti-oestrogen effects in breast tissue and is used clinically for certain forms of breast cancer. UK product information also includes specific indications for anovulatory infertility and primary prevention of breast cancer in women at moderate or high risk.
Although tamoxifen is sometimes discussed in bodybuilding communities in relation to anabolic-steroid-associated hormonal effects, this is not the same as an authorised indication and should not be presented as one.
Dosage
For authorised tamoxifen products, the recommended adult dose for breast cancer is normally 20mg daily. Higher doses do not provide an established additional benefit for delayed recurrence or survival.
Other indications have different prescribing requirements. For example, tamoxifen used for primary prevention of breast cancer in women at moderate or high risk is normally prescribed at 20mg daily for five years following an appropriate medical risk assessment and shared-care pathway.
These authorised dosing recommendations should not automatically be applied to the ROHM product unless its identity and formulation have been verified.
How Does ROHM Tamoxifen/Nolvadex Work?
Tamoxifen acts primarily by interacting with oestrogen receptors.
In breast tissue, tamoxifen competes with oestrogen for receptor binding and can block oestrogen’s effects. This is important because some breast cancers depend on oestrogen signalling for growth.
Tamoxifen can have different effects in different tissues, which explains both its therapeutic activity and some of its adverse effects.
Potential Benefits
When appropriately prescribed, tamoxifen may provide clinically established benefits including:
- Treatment of certain forms of breast cancer
- Reduction in the risk of breast cancer in specified women at moderate or high risk
- Treatment of certain cases of anovulatory infertility
For breast cancer, tamoxifen is used as an anti-oestrogen to reduce oestrogen-mediated stimulation of susceptible tumour cells.
Claims that tamoxifen is a general-purpose medicine for managing anabolic-steroid side effects should not be presented as an authorised indication.
When Should You Not Take ROHM Tamoxifen/Nolvadex?
Tamoxifen should not be used in people with:
- Pregnancy
- Known hypersensitivity to tamoxifen or its ingredients
- Concurrent anastrozole therapy
Additional contraindications apply depending on the indication. For example, tamoxifen used for infertility is contraindicated in people with certain personal or family histories of unexplained venous thromboembolism or relevant inherited clotting disorders. For primary breast-cancer prevention, a history of deep-vein thrombosis or pulmonary embolism and concomitant coumarin-type anticoagulant therapy are contraindications.
Tamoxifen is not recommended for children because safety and efficacy have not been established.
Mechanism
Tamoxifen is a SERM that binds to oestrogen receptors and modifies oestrogen signalling.
Its effects vary according to the tissue involved. In breast tissue, it can act predominantly as an anti-oestrogen, reducing oestrogen-mediated stimulation.
Tamoxifen is metabolised into active compounds, including endoxifen, which contributes significantly to its pharmacological activity.
Uses
Authorised UK tamoxifen medicines are used for:
- Treatment of breast cancer
- Treatment of anovulatory infertility in specified circumstances
- Primary prevention of breast cancer in women at moderate or high risk, following appropriate medical assessment
Tamoxifen should not be marketed as an approved treatment for bodybuilding, post-cycle therapy or prevention of anabolic-steroid side effects.
The regulatory status of the exact ROHM Tamoxifen/Nolvadex 20mg x 60 product should be independently verified before describing it as a UK-authorised medicine.
Warnings and Precautions
Tamoxifen requires appropriate medical supervision because it can affect several body systems.
Important considerations include:
- Risk of venous thromboembolism
- Changes affecting the endometrium
- Menstrual irregularities
- Possible effects on vision
- Liver-function abnormalities
- Potential interactions with anticoagulants
- Potential interactions with medicines affecting CYP2D6
Tamoxifen may increase the risk of endometrial changes, including endometrial cancer and uterine sarcoma.
Some medicines that strongly inhibit CYP2D6, including certain antidepressants, may reduce formation of active tamoxifen metabolites and potentially reduce its effectiveness.
Tamoxifen can also prolong the QT interval, so caution is required when it is combined with other medicines known to prolong QT.
Side Effects
Possible adverse effects associated with tamoxifen include:
- Hot flushes
- Nausea
- Fatigue
- Menstrual irregularities
- Vaginal discharge
- Mood changes
- Headache
- Visual disturbances
- Fluid retention
More serious adverse effects can include:
- Deep-vein thrombosis
- Pulmonary embolism
- Endometrial cancer
- Other endometrial abnormalities
- Liver abnormalities
- Cataracts or other visual problems
The risk profile varies according to the indication, age and individual medical history.
Seek urgent medical attention for symptoms such as sudden chest pain, severe breathlessness, coughing blood, or painful swelling of a leg, as these may indicate a blood clot.
Storage
Store the tablets according to the manufacturer’s instructions.
General precautions include:
- Keep tablets in their original packaging.
- Protect from excessive heat, moisture and direct sunlight.
- Keep out of the reach and sight of children.
- Keep the container properly closed.
- Do not use beyond the stated expiry date.
- Do not use tablets if the packaging is damaged or their appearance has unexpectedly changed.
The verified manufacturer’s storage instructions should take precedence.
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Frequently Asked Questions
1. What is 6 x ROHM Tamoxifen/Nolvadex 20mg x 60?
It is a bulk pack containing six packs of 60 tablets marketed as tamoxifen, with each tablet stated to contain 20mg.
2. What is tamoxifen used for?
Authorised tamoxifen medicines are used primarily for the treatment of certain breast cancers. Specific UK indications also include anovulatory infertility and primary prevention of breast cancer in women at moderate or high risk.
3. Is Nolvadex the same as tamoxifen?
Nolvadex is a branded medicine containing tamoxifen. The active pharmaceutical ingredient is tamoxifen.
4. Can tamoxifen cause blood clots?
Yes. Tamoxifen is associated with an increased risk of venous thromboembolic events, including deep-vein thrombosis and pulmonary embolism.
5. Is ROHM Tamoxifen/Nolvadex authorised in the UK?
The regulatory status of this exact ROHM product should be independently verified. UK-authorised tamoxifen medicines exist, but that does not establish that the specific ROHM product is UK-authorised.





