Advertisement
Advertisement
Xenazole

Xenazole

letrozole

Manufacturer:

Novartis Pharma Stein

Distributor:

UNILAB, Inc
Concise Prescribing Info
Contents
Letrozole
Indications/Uses
Adjuvant treatment of postmenopausal women w/ hormone receptor +ve early breast cancer. Extended adjuvant treatment of hormone-dependent early breast cancer in postmenopausal women who have received prior standard adjuvant tamoxifen therapy for 5 yr. 1st-line treatment in postmenopausal women w/ hormone-dependent advanced breast cancer. Advanced breast cancer in women w/ natural or artificially induced postmenopausal status after relapse or disease progression, who have previously been treated w/ antiestrogens.
Dosage/Direction for Use
Adult & elderly 2.5 mg once daily. Adjuvant setting Recommended to treat for 5 yr or until tumour relapse occurs. Extended adjuvant setting Median duration of treatment: 4 yr. Advanced or metastatic disease Continue treatment until tumour progression is evident.
Administration
May be taken with or without food.
Contraindications
Hypersensitivity. Premenopausal endocrine status. Pregnancy & lactation.
Special Precautions
Reports of osteoporosis &/or bone fractures. Monitor overall bone health during treatment. Measure LH, FSH &/or estradiol levels before initiating treatment in patients whose menopausal status is unclear. Only women of confirmed postmenopausal endocrine status should receive letrozole. Avoid co-administration w/ tamoxifen, other anti-estrogens or estrogen-containing therapies. May affect ability to drive & use machines. Consider potential risk/benefit in patients w/ CrCl <10 mL/min before administration. Closely supervise treatment in patients w/ severe hepatic impairment (Child-Pugh C). Use effective contraception during & for 20 days after stopping treatment in sexually-active females of reproductive potential. May impair fertility in males of reproductive potential.
Adverse Reactions
Hypercholesterolemia; hot flush; hyperhidrosis; arthralgia; fatigue (including asthenia, malaise). Decreased/increased appetite; depression; headache, dizziness, vertigo; palpitations; HTN; nausea, vomiting, dyspepsia, constipation, diarrhoea, abdominal pain; alopecia, dry skin, rash (including erythematous, maculopapular, psoriaform, & vesicular rash); myalgia, bone pain, osteoporosis, bone fractures, arthritis, back pain; vag haemorrhage; peripheral oedema, chest pain; increased wt; fall.
Drug Interactions
Diminished pharmacological action w/ tamoxifen, other anti-estrogens or estrogen-containing therapies. Increased serum conc w/ CYP3A4 (eg, ketoconazole, itraconazole, voriconazole, ritonavir, clarithromycin, & telithromycin) & CYP2A6 (eg, methoxsalen) inhibitors. Decreased serum conc w/ CYP3A4 inducers (eg, phenytoin, rifampicin, carbamazepine, phenobarb, & St. John's wort). Reduced plasma levels w/ tamoxifen. Possible alteration in serum conc of medicinal products whose elimination is mainly dependent on CYP2C19 & w/ narrow therapeutic index (eg, phenytoin, clopidogrel).
MIMS Class
Cancer Hormone Therapy
ATC Classification
L02BG04 - letrozole ; Belongs to the class of enzyme inhibitors. Used in treatment of neoplastic diseases.
Presentation/Packing
Form
Xenazole FC tab 2.5 mg
Packing/Price
30's
Advertisement
Advertisement
Advertisement
Advertisement
Advertisement
Advertisement
Advertisement