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Tamoxifen online uk Tami Hoeck The patient had a history of positive pregnancy test in March 2014. In November 2014, there were concerns about the presence of tamoxifen in urine the patient. blood sample taken that day for follow-up testing did not show any tamoxifen in the urine as measured by HPLC/MS/MS (Figure 1). In December Tamoxifen 20mg $176.47 - $0.65 Per pill 2014 a positive pregnancy test was again recorded. In January 2015 additional urine tests were done for a possible pregnancy which have shown that the patient did have tamoxifen in her urine. This was documented in a report (Table 2). Table 2 Summary of the follow-up urine tests for patient on 6 January 2015 Day urine time result Tamoxifen positive Day after urine testing with the negative control 1 5:50 2 4:00 3 7:00 4 10:50 5 1:45 6 2:20 7 3:00 8 2:30 10 2:35 Figure 1 Tamoxifen concentration in the urine of patient on 6 January 2015 Tami Hoeck The patient had a history of positive pregnancy test in March 2014. On 3 January 2015 an anonymous informant was asked to take a blood sample for an assay of tamoxifen. On 4 January 2015, a confirmation for tamoxifen was requested. A urine sample obtained on 5 January 2015, after the patient had given notice to the clinic for appointments following day and a blood sample was obtained on 6 January. The first urine sample collected was negative. The blood sample collected was retested at 24 hours later to confirm the positive result. An additional blood sample was collected on 7 January and retested. This time the results were also positive for tamoxifen in the first blood sample. There were no further pregnancy tests and a follow-up urine sample was not taken. The patient was referred to a Pregnancy Assessment and Treatment Program (PATP) after her first positive urine test in February 2015. An assessment on 9 January 2015 showed that she was not at risk for an unwanted pregnancy and that she could get pregnant. During the assessment, she received a referral for pelvic exam at 24-48 hours later. She was referred out to the hospital following day. patient was referred back to the clinic on 13 January. patient had two follow-up urine tests in March 2015 which had shown the presence of tamoxifen. These results were also confirmed and a follow-up blood sample was taken at 2 – 4 hours after the last urine sample collected. second blood was retested at 12 hours after the last blood sample with a negative result. The patient was referred for postnatal care in September 2015 and was seen for an ultrasound on 1 October 2015. Following a review of the results from initial pregnancy testing the patient was counselled. She advised to take the medication for her postnatal period and be informed of the risk getting pregnant at this time. The patient was referred out for a postnatal scan on 23 October 2015. The ultrasound images showed a possible congenital malformation of the baby at 10 weeks of gestation. The baby was born with malformation in its heart. The baby was then surgically removed from the placenta at 12 weeks of gestation. No further postnatal care was provided following the birth. Discussion Tami Hoeck
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