I started taking tamoxifen in November 2014, I took it every night before bed. The side effects nearly drove me mad, leg cramps, hot flushes and I didn't sleep more than 4hrs a night. After my second surgery I decided to take it in the morning with breakfast and the side effects are minimal. I was also advised by my breast surgeon that there are different brand names of tamoxifen, they all have the same amount of active ingredient but different additives. Try to find what best suits you. I am grateful that I have had the support and advice from all:)
