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Anastrozole

ANASTROZOLE TABLETS

Manufacturer: Yiling Pharmaceutical, Inc.

Score: 145.0

Quick Summary

Anastrozole is a non-steroidal aromatase inhibitor used for the treatment of breast cancer in postmenopausal women. It is indicated for adjuvant treatment of hormone receptor-positive early breast cancer, first-line treatment of hormone receptor-positive or hormone receptor unknown locally advanced or metastatic breast cancer, and treatment of advanced breast cancer in postmenopausal women with disease progression following tamoxifen therapy. The recommended dose is 1 mg once daily, and it can be taken with or without food. Anastrozole is contraindicated in patients with demonstrated hypersensitivity to the drug or any excipient, and it may cause fetal harm when administered to a pregnant woman. Common adverse reactions include hot flashes, asthenia, arthritis, pain, and osteoporosis.

Key Clinical Findings and Indications

  • Adjuvant treatment of hormone receptor-positive early breast cancer
  • First-line treatment of hormone receptor-positive or hormone receptor unknown locally advanced or metastatic breast cancer
  • Treatment of advanced breast cancer in postmenopausal women with disease progression following tamoxifen therapy

Important Safety Information

Warning

Anastrozole may cause fetal harm when administered to a pregnant woman

Contraindications

  • Demonstrated hypersensitivity to anastrozole or any excipient

Adverse Reactions

  • Hot flashes
  • Asthenia
  • Arthritis
  • Pain
  • Osteoporosis
  • Fractures
  • Nausea and vomiting
  • Rash
  • Depression
  • Insomnia
  • Headache

Dosing Recommendations

General Guidance

No dose adjustment is necessary for patients with renal impairment or for elderly patients

Hormone receptor-positive early breast cancer

Adult Dose

1 mg once daily

Pediatric Dose

Not recommended

Special Population Considerations

Pregnancy

  • Anastrozole may cause fetal harm when administered to a pregnant woman
  • Advise pregnant women and females of reproductive potential of the potential risk to a fetus

Nursing Mothers

  • It is not known whether anastrozole is excreted in human milk
  • Advise females of reproductive potential to use effective contraception during treatment with anastrozole

Pediatric Use

  • The efficacy of anastrozole in the treatment of pubertal gynecomastia in adolescent boys and in the treatment of precocious puberty in girls with McCune-Albright Syndrome has not been demonstrated
  • Anastrozole has been studied in pediatric patients with McCune-Albright Syndrome and progressive precocious puberty

Geriatric Use

  • In studies 0030 and 0027, about 50% of patients were 65 or older
  • Patients ≥65 years of age had moderately better tumor response and time to tumor progression than patients < 65 years of age regardless of randomized treatment

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