Exemestane Capsules

Available Dosage Strengths

20 mg

Want to Prescribe?

Disclaimer: Images are for reference only; actual products may vary.

Product Overview

Exemestane, a steroidal aromatase inhibitor that is structurally similar to androgens (androstenedione and testosterone), irreversibly inhibits estrogen production. It is used in postmenopausal women for advanced breast cancer and for estrogen-receptor positive early breast cancer. [1,2]

Aromastase activity is irreversibility inhibited by exemestane. It reduces estrogen (estrone, estradiol and estrone sulphate) levels by approximately 90%. The enzyme aromatase is critical in converting androgen from the adrenal gland and ovaries to estrogens. The drug is structurally like androgens which provides the attraction for binding to aromatase. The process of binding leads to “suicide inhibition” of the drug when binding irreversibly to the enzyme. With less estrogen production hormone-dependent breast cancer cells regress. [1,2]

Common

  • Hot flashes and increased sweating
  • Fatigue and insomnia
  • Arthralgia
  • Nausea and abdominal pain [2]

Contraindications

  • Hypersensitivity to exemestane or any component of the formulation.
  • Premenopausal women, as they produce estrogen primarily from the ovaries rather than peripheral conversion—aromatase inhibition is ineffective and may disrupt the hypothalamic-pituitary-gonadal axis.
  • Pregnancy and breastfeeding- teratogen and negative hormonal effects.

Precautions

  • Reduction in bone mineral density.
  • Exemestane’s activity is antagonized by estrogen (recommended not to be administered with estrogen replacement therapy). [2]

Store at 20°C to 25°C (68°F to 77°F). [2]

This sheet is a summary. It may not cover all possible drug information about this product. Call your doctor for medical advice and/or about side effects. You may report side effects to the FDA at 1-800-FDA-1088.  A Wells Pharmacy Network pharmacist will be happy to answer any questions. For consultation, please call 1-800-622-4510.

EXPLORE MORE

Related Medications

We deliver your orders fast and with complete discretion, straight to your door.

We're licensed to ship nationwide

Our mission is to elevate compounding industry standards through a unique combination of superior science and service.

Ready to get started?