🩺 ENDOCRINE HORMONE THERAPY 🏷️ Non-steroidal aromatase inhibitor
👨‍⚕️ Clinically Reviewed by: PakistaniBano Medical Editorial Board (Pharm.D Panel)
📅 Reviewed: November 2026 • 🔍 Authority: DRAP / WHO ATC
📦 Formulations, Pack Sizes & Retail Prices Currency: Rs.
Dosage Form Reg. No Pack Size Trade Price (TP) Maximum Retail Price (MRP)
Tab 2.5 mg 091869 30 — Rs.368.9 434.00

📋 Indications & Clinical Dosage

*First-line treatment in postmenopausal women with hormone-dependent advanced breast cancer, Adjuvant treatment of oestrogen-receptor-positive invasive early breast cancer in postmenopausal women, Extended adjuvant treatment of hormone-dependent invasive breast cancer in postmenopausal women who have received standard adjuvant tamoxifen therapy for 5 years, Neo-adjuvant treatment in postmenopausal women with localized hormone-receptor-positive, human epidermal growth factor-2 negative breast cancer where chemotherapy is not suitable and surgery not yet indicated:* Adult: 2.5 mg daily.

⛔ Contraindications

Pre-menopausal women, very severe hepatic impairment.

⚠️ Precautions & Warnings

Very severe renal impairment.Susceptibility to osteoporosis

⚠️ Adverse Reactions / Side Effects

Alopecia, anorexia, appetite increase, arthralgia, bone fracture, constipation, depression, diarrhoea, dizziness, dry skin, dyspepsia, fatigue, headache, hot flushes, hypercholesterolaemia, hypertension, increased sweating, musculoskeletal pain, nausea, osteoporosis, peripheral oedema, rash, vaginal bleeding, vomiting, weight changes, anxiety, arthritis, blurred vision, breast pain, cardiac events, cataract, cerebrovascular events, cough, dysaesthesia, dyspnea, leucopenia, memory impairment, mucosal dryness, palpitation, pruritus, pyrexia, stomatitis, tachycardia, thrombophlebitis, tumour, urinary frequency, urinary-tract infection, urticaria, hepatitis, toxic epidermal necrolysis. Rare Arterial thrombosis, pulmonary embolism

🤰 Pregnancy & Lactation Safety

Pregnancy Risk:
Positive evidence of risk: Avoid
Lactation / Breastfeeding:
Contraindicated. Discontinue breast-feeding

📚 Official Regulatory & Clinical References

  • Drug Regulatory Authority of Pakistan (DRAP): Drug Registration, S.R.O. Price Gazettes & National Essential Medicines List (NEML).
  • World Health Organization (WHO): Collaborating Centre for Drug Statistics Methodology (ATC/DDD Index).
  • Formulary Standards: British National Formulary (BNF) & Pakistan National Formulary (PNF) guidelines.

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