What is Letrozole?

Letrozole, marketed under the brand name Femara, is classified as an aromatase inhibitor. It is primarily used after surgery to treat hormonally responsive breast cancer in postmenopausal women.

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Uses of Letrozole

Breast Cancer Treatment: Letrozole is used to treat certain types of breast cancer, particularly hormone-receptor-positive breast cancer, which is sensitive to estrogen.

Cancer Recurrence Prevention: It is also employed to help prevent cancer recurrence by reducing estrogen levels in the body, thereby inhibiting the growth of breast cancer cells.


Side Effects of Letrozole

Common side effects may include:


Precautions Before Medication

  • Allergies: Inform your doctor about any allergies to letrozole or similar medications.
  • Medical History: Discuss your medical history, especially conditions like high cholesterol, bone issues, heart, kidney, or liver disease.
  • Side Effects: Letrozole may cause dizziness, fatigue, or blurred vision. Avoid alcohol, marijuana, and refrain from driving or operating machinery.
  • Pregnancy: Letrozole is not safe during pregnancy and is primarily used in postmenopausal women. Reliable birth control methods should be discussed if you have recently gone through menopause.
  • Breastfeeding: It is not recommended during treatment and for at least 3 weeks after stopping letrozole due to potential risks to the infant.

How to Use Letrozole?

  • Administration: Take letrozole orally once a day, with or without food, as directed by your doctor.
  • Dosage: The dosage is determined based on your medical condition and response to treatment. Consistency in taking the medication at the same time daily is recommended for optimal effectiveness.
  • Handling: Pregnant women should avoid handling letrozole tablets due to potential absorption through the skin and lungs.

Interactions

Letrozole may interact with other medications such as estrogens (e.g., ethinyl estradiol), estrogen blockers (e.g., anastrozole, tamoxifen), and tibolone. Discuss all medications and supplements with your doctor to prevent interactions.


Missed Dose

If you miss a dose, take it as soon as you remember. However, if it is near the time of the next dose, skip the missed dose. Do not double the dose to catch up.

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Overdose

Accidental overdose can be harmful. Contact emergency services if you suspect you have taken more than the prescribed amount of letrozole.


Storage Instructions

Store letrozole in a safe place away from heat, light, and moisture. Keep out of reach of children to prevent accidental ingestion.


Letrozole vs Tamoxifen

Letrozole: Tamoxifen (Nolvadex):
Aromatase inhibitor used post-surgery for hormone-receptor-positive breast cancer in postmenopausal women. Reduces estrogen production by inhibiting aromatase enzyme activity.
Selective estrogen receptor modulator (SERM) used to prevent and treat breast cancer in both men and women. Blocks estrogen from binding to cancer cell receptors, thereby inhibiting tumor growth.
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Frequently Asked Questions

1. What does letrozole do to the body?

Letrozole belongs to a class of drugs known as nonsteroidal aromatase inhibitors. It works by lowering the amount of estrogen the body produces. Some types of breast cancer cells that require estrogen to grow can be slowed or stopped by this.

2. How does letrozole help with fertility?

Letrozole stimulates ovulation by reducing estrogen levels, helping regulate menstrual cycles, and improving the chances of conception in women with fertility issues.

3. Can I drink coffee while taking letrozole?

Drinking moderate amounts of coffee is generally safe while taking letrozole. However, consult your doctor for personalized advice based on your health condition.

4. Does letrozole improve egg quality?

Letrozole may indirectly enhance egg quality by regulating hormone levels, aiding ovulation in conditions like PCOS or unexplained infertility.

5. Can letrozole cause weight gain?

Weight gain is one of the rare side effects that can occur when taking letrozole, but if you are having difficulty controlling it, it may be worth contacting your doctor.

6. What are the side effects of letrozole 2.5 mg?

Common side effects of letrozole 2.5 mg include hot flashes, warmth in your face or chest, hair loss, joint/bone/muscle pain, tiredness, unusual sweating or night sweats, nausea, and diarrhea.

7. Can you eat grapefruit while taking letrozole?

While taking letrozole, avoid eating grapefruit or drinking grapefruit juice.

8. Is it better to take letrozole at night?

Yes, try taking letrozole at bedtime. This usually improves as your body adjusts to the medicine.

9. How long do you have to stay on letrozole?

Letrozole is typically taken for five to ten years, depending on individual circumstances. After a few years of taking the hormone therapy drug tamoxifen, some people begin taking letrozole.


Disclaimer: The information provided herein is accurate, updated and complete as per the best practices of the Company. Please note that this information should not be treated as a replacement for physical medical consultation or advice. We do not guarantee the accuracy and the completeness of the information so provided. The absence of any information and/or warning to any drug shall not be considered and assumed as an implied assurance of the Company. We do not take any responsibility for the consequences arising out of the aforementioned information and strongly recommend you for a physical consultation in case of any queries or doubts.

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