Hi Meconopsis, googling interactions between tamoxifen and warfarin suggests that the tamoxifen enhances the effect of the warfarin and that some doctors seem to reduce the dosage of warfarin by 30/50%. I'd have a chat with your doctor or the pharmacist - they're the ones trained re drug interactions. Perhaps there might be something you could take instead of the warfarin that wouldn't interfere with the tamoxifen, or perhaps vice versa? Either way it does need further investigation and consideration, sorry I couldn't be more help, best wishes Pat x