Monograph Details

Neoplasms > Hormones and antagonists
FEMARA
Manufacturer
Novartis Pharmaceuticals Corp
Legal Classification
Rx
Pharmacological Class
Aromatase inhibitor.
Generic Name
Letrozole 2.5mg; tabs.
Indications
In postmenopausal women: Adjuvant treatment of hormone receptor positive early breast cancer; Extended adjuvant treatment of early breast cancer after 5 years of adjuvant tamoxifen therapy; First-line treatment of hormone receptor positive or unknown, locally advanced or metastatic breast cancer; Treatment of advanced breast cancer with disease progression following antiestrogen therapy.
Children
Not applicable.
Adults
2.5mg once daily. Continue until tumor progression is evident. Adjuvant or extended adjuvant therapy: treat for at least 24 months (see literature). Severe hepatic impairment or cirrhosis: 2.5mg every other day.
Contraindications
Women of premenopausal endocrine status.
Precautions
Severe renal or hepatic impairment. Monitor bone mineral density. Pregnancy (Cat.D): not recommended. Nursing mothers.
Adverse Reactions
Pain (bone and other), hot flashes, GI upset, arthralgia, fatigue, dizziness, dyspnea, cough, headache, insomnia, hypertension, edema, alopecia, anorexia, weight changes, hypercalcemia, pleural effusion, sweating, vertigo; thromboembolic or cardio- or cerebrovascular events (rare).
How Supplied
Tabs—30
Additional Resources
Related Prescribing Note