Product image of Novofen (Tamoxifen) supplied by GNH India

Novofen

Active Ingredient:
Tamoxifen
Origin:
EU

Novofen (Tamoxifen)

Tamoxifen, the active ingredient in Novofen, is a selective estrogen receptor modulator (SERM) presented as an oral tablet for oral use. It is used to treat estrogen receptor‑positive breast cancer in women, both as adjuvant therapy and for recurrence prevention.

GNH India supplies Novofen as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Remedica Ltd

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Indications & Clinical Uses

Novofen (tamoxifen) acts on estrogen‑driven breast cancer pathways and is employed in several clinical settings.

  • Estrogen receptor‑positive breast cancer: used as adjuvant therapy to lower the risk of disease recurrence after surgery.
  • Breast cancer recurrence prevention: administered to reduce the chance of cancer returning in patients who have completed primary treatment.
  • High‑risk women (e.g., strong family history or genetic predisposition): given prophylactically to decrease the incidence of developing breast cancer.

How It Works

  • Tamoxifen binds competitively to estrogen receptors in breast tissue, acting as an antagonist that blocks estrogen‑mediated cellular proliferation. In bone and uterine tissue it exhibits partial agonist activity, preserving bone density while still inhibiting estrogen‑driven tumor growth. The drug is metabolized primarily by CYP2D6 to active metabolites that sustain its anti‑estrogenic effects.

Side Effects

Common side effects are generally mild to moderate and may affect daily comfort.

Common Side Effects

  • Hot flashes: sudden feeling of warmth and sweating.
  • Nausea: mild to moderate stomach upset.
  • Menstrual irregularities: changes in cycle length or flow.
  • Fatigue: persistent tiredness.

Serious or Rare Side Effects

  • Deep vein thrombosis or pulmonary embolism: blood clots in veins or lungs.
  • Endometrial cancer: abnormal growth of the uterine lining.
  • Severe liver injury: jaundice, elevated enzymes.
  • Stroke or cerebrovascular events: neurological deficits due to impaired blood flow.

Precautions & Warnings

Before initiating therapy, several safety considerations should be addressed.

  • Pregnancy risk: avoid use in pregnant women; tamoxifen is Category D.
  • Thromboembolic history: assess for prior clotting disorders.
  • Uterine health: monitor for abnormal uterine bleeding.
  • Liver function: evaluate baseline hepatic enzymes.
  • Store at room temperature: keep in the original container, protect from moisture and heat.

Avoid Interactions

Tamoxifen may interact with other medicines, requiring careful management.

Major Interactions (Avoid)

  • Strong CYP2D6 inhibitors (e.g., paroxetine, fluoxetine): may reduce active metabolite formation.
  • Anticoagulants (e.g., warfarin): increased risk of bleeding.

Moderate Interactions (Monitor Closely)

  • CYP3A4 inducers (e.g., rifampin): may lower tamoxifen exposure.
  • Hormone replacement therapy or estrogen‑containing contraceptives: may counteract anti‑estrogen effect.
  • Certain SSRIs with moderate CYP2D6 inhibition (e.g., sertraline): monitor therapeutic response.

Frequently Asked Questions

Novofen contains tamoxifen, a selective estrogen receptor modulator that is prescribed for estrogen receptor‑positive breast cancer. It is used as adjuvant therapy after surgery, to prevent disease recurrence, and as a prophylactic option for women at high risk of developing breast cancer.

Tamoxifen binds to estrogen receptors in breast tissue, acting as an antagonist that blocks estrogen‑driven cell growth. In bone and uterine tissue it shows partial agonist activity, preserving bone density while still inhibiting tumor proliferation. Its active metabolites, produced mainly by CYP2D6, sustain this anti‑estrogenic effect.

The specific dose of Novofen is determined by the prescribing clinician based on the individual’s medical condition, treatment stage, and response. Standard dosing regimens for tamoxifen exist, but the exact amount and schedule should be set by a qualified healthcare professional.

Novofen is classified as Pregnancy Category D, indicating evidence of risk to the fetus. It should not be used during pregnancy, and women of child‑bearing potential must use effective contraception. Breastfeeding is not recommended while taking tamoxifen because the drug can pass into milk.

To order Novofen, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details, and any necessary import documentation.

The primary alternative to tamoxifen is the class of aromatase inhibitors, which lower estrogen production rather than blocking its receptor. Aromatase inhibitors are often used in post‑menopausal women, whereas tamoxifen is effective in both pre‑ and post‑menopausal patients and also offers bone‑protective benefits.

Novofen tablets should be stored at room temperature, below 25 °C, in the original packaging to protect them from moisture and excessive heat. Keep the container tightly closed and out of direct sunlight to maintain product stability.

Novofen is taken orally as a tablet, usually with a glass of water. It can be taken with or without food, but consistency with meals may help reduce gastrointestinal upset. Patients should follow the dosing schedule prescribed by their healthcare provider.

Serious risks include blood clots such as deep vein thrombosis or pulmonary embolism, endometrial cancer, severe liver injury, and cerebrovascular events like stroke. Patients should promptly report symptoms such as unexplained leg swelling, abnormal uterine bleeding, jaundice, or sudden neurological changes.

Novofen should not be used by pregnant women, individuals with a known history of thromboembolic disease, patients with active or past endometrial cancer, and those with severe liver impairment. Contra‑indications are determined by the prescribing clinician based on the patient’s overall health profile.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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