Indications
Aromasin Tablet is used for:
Breast cancer in postmenopausal women
Adult Dose
Oral
Advanced or locally advanced breast cancer
Adult: In women who are no longer responsive to anti-oestrogen therapy: 25 mg once daily.
Child Dose
Renal Dose
Administration
Should be taken with food. Take after a meal.
Contra Indications
Hypersensitivity. Premenopausal women. Pregnancy and lactation.
Precautions
Hepatic and renal impairment. Monitor bone mineral density at regular intervals especially in patients at risk of osteoporosis.
Lactation: Excretion in milk unknown; because of potential for serious adverse reactions in breast-fed infants, advise women not to breastfeed during treatment and for 1 month after final dose
Pregnancy-Lactation
Pregnancy Category: X
Lactation: Excretion in milk unknown; because of potential for serious adverse reactions in breast-fed infants, advise women not to breastfeed during treatment and for 1 month after final dose
Interactions
May result in reduced plasma levels of exemestane when used with CYP3A4 enzyme inducers. Oestrogen-containing drugs; St. John's wort, black cohosh, dong quai.
Adverse Effects
Side effects of Exemestane :
>10%
Fatigue (22%),Nausea (18%),Hot flashes (13%),Depression (13%),Pain (13%),Insomnia (11%)
1-10%
Anxiety (10%),Dyspnea (10%),Dizziness (8%),Headache (8%),Edema (7%),Vomiting (7%),Flu-like syndrome (6%),Abdominal pain (6%),Anorexia (6%),Cough (6%),Hypertension (5%),Constipation (5%),Diarrhea (4%)
<1%
Cardiac failure,Uterine polyps,Endometrial hyperplasia,Gastric ulcer
Frequency not defined
Hepatitis,Visual disturbances
Mechanism of Action
Exemestane is an irreversible selective aromatase inhibitor which acts as a false substrate for the aromatase enzyme, forming an intermediate that binds irreversibly to the active site causing its inactivation. It also lowers circulating oestrogens in estrogen-dependent breast carcinoma.
Note
Aromasin 25 mg Tablet manufactured by Janata Traders. Its generic name is Exemestane. Aromasin is availble in Bangladesh.
DIMS information on Aromasin Tablet is not intended for diagnosis, medical advice or treatment; neither intended to be a substitute for the exercise of professional judgment.