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Tamoxifen - managing adverse effects - Management
How should I manage menopausal symptoms?

  • Encourage all women to make lifestyle modifications to reduce menopausal symptoms.
    • Hot flushes and night sweats:
      • Take regular exercise, sip cool drinks, wear lighter clothing, dress in layers, sleep in a cooler room, and reduce stress.
      • Avoid possible triggers, such as spicy foods, caffeine, smoking, and alcohol.
    • Sleep disturbances due to hot flushes:
      • Avoid exercise late in the day and maintain a regular bedtime.
  • Treat symptomatic atrophic vaginitis with a non-hormonal vaginal lubricant such as Replens MD®.
  • If symptoms are still distressing despite trying lifestyle modifications, consider drug treatment.
  • If drug treatment is not appropriate or is ineffective, seek specialist advice.

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