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When I saw the oncologist last week, I mentioned the relentless hot flushes and asked if there was anything that might alleviate them.  Having already tried taking my drugs at various times of day, with no benefit, her last remaining non-drug option was to try splitting the dose.  Not wanting to be mid-experiment yesterday, I opted to wait until today to start this.  The idea is to take half a tablet at breakfast time and half at tea time.  That's all fine until you see a Tamoxifen tablet!  They are small, they are fiddly, they have a nice 'line' across them but snap in two they won't.  So it was a knife and some reasonable pressure to get my 'half a dose' to go with my weetabix!

Now, I am fortunate.  I am fairly dextrous.  The mild chemotherapy induced peripheral neuropathy I got in my non-dominant hand has long gone.  But not everyone is so fortunate.  Some people just would not be able to break the thing in half, let alone pick up the spare bit to put back in the packet for later.

Whether it will work in reducing the side effects only time will tell.  These little pills come in packs of thirty, and I've just started a new pack, so I will continue the experiment until I need a new prescription and, if it hasn't made a substantial difference, will talk to my GP then.  If nothing else by then I will be a deft pill cutter!


  • You can buy actual pill cutters from your local pharmacy, which reduce the risk of accidentally chopping off the end of a finger or losing the bits of tablet all over the floor!

  • Thanks Elaine, one of my lovely church people had one and has passed it on to me - impressive how easily it cuts the tablets and, as you say, no bits over the floor. Too early yet to say if the experiment will work...

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