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Tamoxifen is used for treating breast cancer that has spread to other sites in the body.

Tamoxifen over the counter. But in a world with multiple hormonal sources and drug interactions, this kind of practice is a fool's errand. "This is just an attempt to avoid the headache of trying to figure out which hormone is working side and whether to adjust hormone balance," she said. "It's not going to get it done." The American Society of Reproductive Medicine estimates there are about 100,000 women worldwide taking tamoxifen every year; and it may cost upwards of $1,200 a month. So to have the drug prescribed freely, without a prescription, would be problematic for some. "I think most doctors are not going to prescribe it without a conversation or with doctor," Eichorst said. "So it would be a big effort to get this medication on the market, Drug use in canada vs us but it would be doable." Even if it were affordable, other side effects may plague patients. "I'm afraid of any drug that we have in common," Eichorst warned of the drug-spiked drink, which led to a rash of hepatitis-induced liver injuries and even death. "A lot of these drugs are metabolized differently by different cells, and some patients develop side effects from these medications that are unrelated or completely to their underlying disease." And as with the tamoxifen cocktail, a patient may experience withdrawal symptoms when their regimen is suddenly discontinued. Still, it's difficult to see how the drug abuse epidemic could be eradicated by giving it away—unless, of course, were made more accessible by a government agency. "What we're trying to do is change the culture that surrounds abuse of medications," she said. "To do that, we have to change government policies around prescribing medications." One such measure, called "prescribing transparency," was recently launched in the UK, where doctors' notes are made public online from other doctors' offices—allowing patients to find out whether, for example, the doctor prescribes medication because patient is at high risk of cancer, or because a patient has high level of medical debt. "If they can actually get this kind of information, maybe they can see that this medicine works, and maybe they don't," Eichorst said. Of course, this isn't the only attempt to eradicate opioid misuse in the U.S. A nationwide effort called "Smart on Prescription" was recently launched by the Centers for Disease Control and Prevention; it encourages doctors pharmacists to give patients safer doses of narcotics, and to prescribe them only for the shortest possible time when an overdose is