Adjuvant treatment of postmenopausal women w/ oestrogen-receptor +ve invasive early breast cancer following 2-3 yr of initial adjuvant tamoxifen therapy. Advanced breast cancer in women w/ natural or induced postmenopausal status whose disease has progressed following anti-oestrogen therapy.
Adult & elderly 25 mg tab once daily. Early breast cancer Continue treatment until completion of 5 yr of combined sequential adjuvant hormonal therapy (tamoxifen followed by exemestane), or earlier if tumour relapse occurs. Advanced breast cancer Continue treatment until tumour progression is evident.
Not to be administered to women w/ premenopausal endocrine status. Assess LH, FSH & oestradiol levels whenever clinically appropriate to ascertain postmenopausal status. +ve doping control test result. Reduction in bone mineral density & increased fracture rate. Assess bone mineral density at commencement of treatment in women w/ osteoporosis or at risk of osteoporosis. May impair ability to drive & use machines. Patients w/ hepatic or renal impairment. Not recommended in childn.