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  #1  
Old 03-19-2013
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Question Hot Flashes Management

This is Archers Question

A 45 year old woman was recently diagnosed with Stage II right sided breast cancer with positive axillary lymphnodes. The tumor was positive for estrogen receptors. She received lumpectomy followed by chemotherapy and then, radiation. She is then placed on Tamoxifen three weeks ago. The patient has been experiencing severe hot flashes since the start of Tamoxifen therapy. Most important next step in management:

A) Discontinue Tamoxifen
B) Start Fluoxetine
C) Start Venlafaxine
D) Start low dose estrogen pills
E) Reassure that symptoms will abate
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  #2  
Old 03-19-2013
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Default

confused about this one.

i'd go with Velnafaxine.

confused between C and E
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  #3  
Old 03-19-2013
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Arrow C it is

Hot flashes in women taking Tamoxifen are treated with Venlafaxine. Paroxetine is a good alternative.

Keep posting Bro
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  #4  
Old 04-24-2013
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venlafaxine may be the best possible ans amongst the given options
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