I'm really struggling with hot flushes 17 or 18 a day. I've heard that trying a different brand of Tamoxifen may help. Surely Tamoxifen is Tamoxifen and won't make any difference to my side effects. I've been taking it since the middle of August following two lots of surgery and radiotherapy. I'm new to the site so not sure how it works exactly but any advice would be appreciated. Thanks.