Tamoxifen (Nolvadex) therapy — Radionale for loading dose followed by maintenance dose for patients with metastatic breast cancer

P. M. Wilkinson, G. G. Ribiero, H. K. Adam, J. V. Kemp and J. S. Patterson

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Abstract

A loading dose of tamoxifen 100 mg/m2 on day 1, followed by a maintenance dose of 20 mg daily, achieved mean parent drug concentrations of greater than 150 ng/ml in 12 of 12 patients with metastatic breast cancer. This drug concentration was achieved on day 1 and maintained throughout the study period (28 days). This rapid achievement of steady-state serum concentrations may be of therapeutic benefit in the management of patients with tamoxifen-sensitive tumours.
Nolvadex is a trade mark property of Imperial Chemical Industries PLC

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