🩺 ENDOCRINE HORMONE THERAPY 🏷️ 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 1 mg 088457 28 Rs.5601.05 Rs.6589.47
Tab 1 mg 088457 10 Rs.2000.37 Rs.2353.38

📋 Indications & Clinical Dosage

*Adjuvant treatment of oestrogen-receptor-positive early invasive breast cancer in postmenopausal women or following 2-3 years of tamoxifen therapy or advanced breast cancer in postmenopausal women which is oestrogen-receptor positive or responsive to tamoxifen:* Adult: 1 mg daily. Children: Not recommended.

⛔ Contraindications

Pre-menopausal women, moderate to severe hepatic impairment, severe renal impairment; avoid if creatinine clearance less than 20 ml/minute,

⚠️ Precautions & Warnings

Laboratory test for menopause if doubt. Susceptibility to osteoporosis; assess bone mineral density before treatment and at regular intervals.

🔄 Drug Interactions

Oestrogens.

⚠️ Adverse Reactions / Side Effects

Allergic reactions, anaphylaxis, angioedema, anorexia, arthralgia, arthritis, asthenia, bone fractures, bone pain, cutaneous vasculitis, diarrhoea, drowsiness, hair thinning, headache, hot flushes, nausea, rash, slight increases in total cholesterol levels, Stevens-Johnson syndrome, vaginal bleeding, vaginal dryness, vomiting.

🤰 Pregnancy & Lactation Safety

Pregnancy Risk:
Positive evidence of risk: Avoid
Lactation / Breastfeeding:
Avoid. 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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