While these data, like the IES data, support the contention that switching to an AI after 2 years is superior to continuing tamoxifen, the trial is limited by its open label design, and the updated results are complicated by crossover of patients from tamoxifen to anastrozole N 82 and withdrawals during the tamoxifen therapy period priligy over the counter usa Emergent C section if patient or fetus is deteriorating Admit and observe if bleeding has stopped, vitals and HR are stable, or fetus is 140 90 or systolic BP 30 mmHg or diastolic BP 15 mmHg compared to previous BP