Country: Australia
Language: English
Source: Department of Health (Therapeutic Goods Administration)
Letrozole
Sun Pharma ANZ Pty Ltd
Letrozole
LETROZOLE RBX CMI V4 Sep 2013 1 LETROZOLE RBX TABLETS LETROZOLE _ _ CONSUMER MEDICINE INFORMATION WHAT IS IN THIS LEAFLET This leaflet answers some common questions about LETROZOLE RBX tablets. It does not contain all the available information. It does not take the place of talking to your doctor or pharmacist. YOU SHOULD ENSURE THAT YOU SPEAK TO YOUR PHARMACIST OR DOCTOR TO OBTAIN THE MOST UP TO DATE INFORMATION ON THE MEDICINE. This leaflet was last updated on the date at the end of this leaflet. More recent information may be available. The latest Consumer Medicine Information is available from https://www.ebs.tga.gov.au/ and may contain important information about the medicine and its use of which you should be aware. All medicines have risks and benefits. Your doctor has weighed the risks of your taking LETROZOLE RBX against the benefits it is expected to have for you. IF YOU HAVE ANY CONCERNS ABOUT TAKING THIS MEDICINE, ASK YOUR DOCTOR OR PHARMACIST. KEEP THIS LEAFLET WITH THE MEDICINE. You may need to read it again. WHAT LETROZOLE RBX IS USED FOR LETROZOLE RBX is used to treat breast cancer in women who are post- menopausal – that is, women who no longer have periods, either naturally due to their age or after surgery or chemotherapy. LETROZOLE RBX contains the active ingredient letrozole. Letrozole tablets are used to treat breast cancer in postmenopausal women, that is, women who no longer have periods, either naturally due to their age or after surgery or chemotherapy. LETROZOLE RBX CMI V4 Sep 2013 2 Letrozole belongs to a class of medicines known as aromatase inhibitors. They are also called “anti-oestrogens” because they block production of the hormone, oestrogen. Oestrogen stimulates the growth of certain types of breast cancer. These cancers are called “oestrogen-dependent.” Reducing the production of oestrogen may help to keep the cancer from growing. This may be the first time you are taking an “anti-oestrogen” such as letrozole or you may have taken another “anti-estrogen” such Read the complete document
LETROZOLE RBX PI V5 Jun 2013 Page 1 of 19 LETROZOLE RBX LETROZOLE 2.5 MG TABLETS NAME OF THE MEDICINE Letrozole Chemical Structure: Molecular formula: C 17 H 11 N 5 Chemical name: 4, 4'-[(1 _H_ -1, 2, 4-triazol-1-yl)-methylene]bis-benzonitrile Molecular weight: 285.303 CAS number: 112809-51-5 DESCRIPTION Letrozole is a white or yellowish crystalline powder. It is practically insoluble in water, freely soluble in methylene chloride and sparingly soluble in methanol. Each film-coated tablet of LETROZOLE RBX contains letrozole 2.5 mg and the inactive ingredients: lactose, maize starch, hypromellose, microcrystalline cellulose, sodium starch glycollate, colloidal anhydrous silica, magnesium stearate, macrogol 6000, titanium dioxide, purified talc and iron oxide yellow CI77492. PHARMACOLOGY PHARMACODYNAMICS The elimination of oestrogen-mediated stimulatory effects is a prerequisite for tumour response in cases where the growth of tumour tissue depends on the presence of oestrogens. LETROZOLE RBX PI V5 Jun 2013 Page 2 of 19 In postmenopausal women, oestrogens are mainly derived from the action of the aromatase enzyme, which converts adrenal androgens - primarily androstenedione and testosterone - to oestrone (E1) and oestradiol (E2). The suppression of oestrogen biosynthesis in peripheral tissues and the cancer tissue itself can, therefore, be achieved by specifically inhibiting the aromatase enzyme. Letrozole is a non-steroidal aromatase inhibitor. Data suggest that it inhibits the aromatase enzyme by competitively binding to the haem of the cytochrome P450 subunit of the enzyme, resulting in a reduction of oestrogen biosynthesis in all tissues. In healthy post-menopausal women, single doses of 0.1, 0.5 and 2.5 mg letrozole suppressed serum oestrone and oestradiol by 75-78% and 78% from baseline, respectively. Maximum suppression was achieved in 48-78 h. In post-menopausal patients with advanced breast cancer, daily doses of 0.1 to 5 mg letrozole suppressed plasma concentrations of oestradiol, oestrone, and oestrone s Read the complete document