Do not take this medicine with any of the following medications:

-cisapride
-dronedarone
-fluconazole
-pimozide
-posaconazole
-saquinavir
-thioridazine
-ziprasidone
This medicine may also interact with the following medications:

-antiviral medicines for HIV or AIDS
-certain antibiotics like clarithromycin or telithromycin
-certain diuretics like hydrochlorothiazide
-certain medicines for fungal infections like itraconazole, ketoconazole, voriconazole
-certain medicines for seizures like carbamazepine, phenobarbital, phenytoin
-certain medicines that treat or prevent blood clots like warfarin
-dexamethasone
-female hormones, like estrogens and birth control pills
-grapefruit juice
-other medicines that prolong the QT interval (cause an abnormal heart rhythm) like dofetilide, ziprasidone
-rifabutin
-rifampin
-St. John''s Wort
-tolbutamide

They need to know if you have any of these conditions:

-heart disease
-high levels of calcium in the blood
-history of blood clots
-history of irregular heartbeat
-liver disease
-low blood counts, like low white cell, platelet, or red cell counts
-low levels of magnesium or potassium in the blood
-an unusual or allergic reaction to toremifene, other medicines, foods, dyes, or preservatives
-pregnant or trying to get pregnant
-breast-feeding

Visit your doctor or health care professional for regular checks on your progress. You will need regular pelvic exams, breast exams, and mammograms.
If you have bone tumors, this medicine may cause bone pain and/or high blood calcium. Talk to your doctor about what symptoms are possible and what to do if you have these symptoms.
Do not become pregnant while taking this medicine. Women should inform their doctor if they wish to become pregnant or think they might be pregnant. There is a potential for serious side effects to an unborn child. Talk to your health care professional or pharmacist for more information. Do not breast-feed an infant while taking this medicine.

Keep out of the reach of children.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Protect from heat and light. Keep container tightly closed. Throw away any unused medicine after the expiration date.