Exesin 25

Exesin 25

exemestane

Manufacturer:

Accord Healthcare

Distributor:

Indochina Healthcare
Concise Prescribing Info
Contents
Exemestane
Indications/Uses
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.
Dosage/Direction for Use
Administration
Should be taken with food.
Contraindications
Hypersensitivity. Premenopausal women. Pregnancy & lactation.
Special Precautions
Not to be administered in women w/ premenopausal endocrine status. +ve result in doping control tests. Women w/ & at risk of osteoporosis; w/ vit D deficiency. Assess LH, FSH & oestradiol levels; bone mineral density. Routine assessment of 25-hydroxy vit D levels prior to start of aromatase inhibitor treatment. Vit D supplementation. May affect ability to drive & use machines. Hepatic or renal impairment. Women of perimenopausal status or childbearing potential should have adequate contraception. Not to be administered during lactation. Not recommended in childn.
Adverse Reactions
Insomnia; headache; hot flashes; nausea; increased sweating; joint & musculoskeletal pain; fatigue. Anorexia; depression; dizziness, carpal tunnel syndrome, paraesthesia; abdominal pain, vomiting, constipation, dyspepsia, diarrhoea; rash, alopecia, urticaria, pruritus; osteoporosis, fracture; pain, peripheral oedema.
Drug Interactions
Reduced AUC & Cmax w/ potent CYP450 inducer eg, rifampicin. Reduced efficacy w/ rifampicin, anticonvulsants (eg, phenytoin & carbamazepine), herbal prep containing Hypericum perforatum (St. John's Wort). Concomitant use w/ drugs metabolised via CYP3A4 & w/ narrow therapeutic window. Negated pharmacological action w/ oestrogen-containing medicines.
MIMS Class
Cancer Hormone Therapy
ATC Classification
L02BG06 - exemestane ; Belongs to the class of enzyme inhibitors. Used in treatment of neoplastic diseases.
Presentation/Packing
Form
Exesin 25 FC tab 25 mg
Packing/Price
3 × 10's
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