Why is this medication prescribed?

Exemestane is a medication primarily prescribed to treat breast cancer in postmenopausal women. It belongs to a class of drugs known as aromatase inhibitors, which work by decreasing the amount of estrogen produced in the body. Since estrogen can promote the growth of certain types of breast cancer, reducing its levels can help slow down or stop the cancer’s progression. Exemestane is typically used in women who have already undergone surgery, radiation, or other treatments to remove or shrink the tumors but are at risk of cancer recurrence or progression. It’s often prescribed in cases where the cancer is hormone receptor-positive, meaning it relies on estrogen to grow.

How should this medicine be used?

Exemestane is typically taken orally in the form of a tablet, usually once a day. It’s commonly prescribed to be taken after a meal to help with absorption and reduce the risk of stomach upset. The usual recommended dosage for Exemestane is 25 milligrams (mg) once daily.

Here are some general guidelines for taking Exemestane:

• Take with Food: It’s typically recommended to take Exemestane after a meal to improve absorption and reduce the likelihood of gastrointestinal side effects.
• Consistency: Try to take Exemestane at the same time each day to maintain consistent levels of the medication in your body.
• Swallow Whole: Swallow the tablet whole with a full glass of water. Do not crush, chew, or break the tablet, as it can affect the medication’s effectiveness.
• Follow Doctor’s Instructions: Always follow your doctor’s instructions regarding the dosage and duration of treatment. Do not adjust the dosage or stop taking the medication without consulting your doctor first.
• Regular Monitoring: Your doctor may periodically monitor your progress and adjust your dosage as needed based on your response to the medication and any side effects you may experience.
• Continue Treatment: It’s important to continue taking Exemestane for as long as your doctor prescribes it, even if you start feeling better. Stopping the medication prematurely can increase the risk of cancer recurrence.
• Storage: Store Exemestane tablets at room temperature away from moisture and heat. Keep them out of reach of children and pets.

Always consult your healthcare provider if you have any questions or concerns about how to take Exemestane or if you experience any side effects while using it.

Other uses for this medicine

Other uses for Exemestane are limited, as it’s primarily indicated for breast cancer treatment. However, in some cases, it may be prescribed off-label for conditions such as female infertility and gynecomastia (enlargement of male breast tissue). It’s crucial to consult with a healthcare professional before using Exemestane for any purpose other than its approved indications.

What special precautions should I follow?

As for special precautions when taking Exemestane, it’s essential to discuss these with your healthcare provider before starting the medication. Here are some general precautions to consider:

• Pregnancy and Breastfeeding: Exemestane is contraindicated during pregnancy as it may cause harm to the fetus. It should not be used by pregnant women or women who may become pregnant during treatment. It’s also not recommended for use while breastfeeding.
• Bone Health: Exemestane may increase the risk of osteoporosis and bone fractures. Your doctor may recommend monitoring your bone density and taking supplements like calcium and vitamin D to support bone health.
• Liver Function: Exemestane may affect liver function, so it’s important to have regular liver function tests while taking the medication.
• Drug Interactions: Inform your doctor about all the medications, supplements, and herbal products you are taking, as Exemestane may interact with certain medications, including other hormone therapies and medications metabolized by the liver.
• Side Effects: Be aware of potential side effects of Exemestane, including hot flashes, fatigue, joint pain, mood changes, and increased cholesterol levels. Report any unusual or severe side effects to your doctor promptly.
• Allergies: If you have a known allergy to Exemestane or any of its ingredients, inform your doctor before starting treatment.

Always follow your healthcare provider’s instructions and discuss any questions or concerns you may have about taking Exemestane.

What special dietary instructions should I follow?

There are no specific dietary restrictions associated with taking Exemestane. However, maintaining a healthy diet rich in fruits, vegetables, whole grains, and lean proteins can support overall health and well-being during cancer treatment.

What should I do if I forget a dose?

If you forget to take a dose of Exemestane, take it as soon as you remember, unless it’s almost time for your next scheduled dose. In that case, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one. If you’re unsure about what to do, consult your healthcare provider or pharmacist for advice. It’s essential to try to maintain a consistent dosing schedule to ensure the medication’s effectiveness.

What side effects can this medication cause?

Exemestane, like any medication, can cause side effects, although not everyone experiences them. Common side effects of Exemestane may include:

• Hot flashes: These are sudden feelings of warmth, often accompanied by sweating and flushing of the face and neck.
• Fatigue: Feeling tired or lacking energy is a common side effect of Exemestane.
• Joint pain: Some people may experience joint stiffness, discomfort, or pain while taking Exemestane.
• Mood changes: Mood swings, irritability, or feelings of anxiety or depression can occur in some individuals.
• Headache: Exemestane may cause headaches or migraines in some people.
• Insomnia: Difficulty falling asleep or staying asleep may occur.
• Nausea: Some individuals may experience feelings of nausea or upset stomach while taking Exemestane.
• Bone thinning: Exemestane may increase the risk of osteoporosis or bone fractures, particularly in postmenopausal women.
• Increased cholesterol levels: Exemestane may lead to elevated levels of cholesterol in the blood.
• Vaginal dryness: Some women may experience vaginal dryness or discomfort while taking Exemestane.
• Hair thinning: Hair loss or thinning may occur as a side effect of Exemestane.
• Decreased libido: Some individuals may experience a decrease in sexual desire while taking Exemestane.

It’s important to note that not everyone will experience these side effects, and some may experience side effects not listed here. If you experience any persistent or bothersome side effects while taking Exemestane, it’s essential to discuss them with your healthcare provider. They can provide guidance on managing side effects and may adjust your treatment regimen if necessary. Additionally, seek medical attention immediately if you experience any severe or life-threatening side effects while taking Exemestane.

What should I know about storage and disposal of this medication?

Storage and disposal of Exemestane:

• Storage: Store Exemestane tablets at room temperature away from moisture and heat. Keep them in their original container, tightly closed, and out of reach of children and pets.
• Disposal: Dispose of expired or unused Exemestane tablets properly according to local regulations or guidelines. Do not flush them down the toilet or pour them down the drain unless instructed to do so. Ask your pharmacist or healthcare provider about the best way to dispose of medications you no longer need.

In case of emergency/overdose

In the event of an overdose of Exemestane or if you suspect someone has taken more than the prescribed dose, seek emergency medical attention or contact a poison control center immediately. Overdose symptoms may include nausea, vomiting, and dizziness. It’s essential to have the medication’s packaging or label information available to provide to healthcare professionals.

What other information should I know?

• Regular Monitoring: Your doctor may periodically monitor your progress and adjust your dosage as needed based on your response to the medication and any side effects you may experience.
• Follow-up Visits: Attend all scheduled follow-up visits with your healthcare provider to monitor your response to treatment and address any concerns or questions you may have.
• Routine Healthcare: Continue to receive routine healthcare, including screenings and check-ups, as recommended by your doctor, even while taking Exemestane.
• Drug Interactions: Inform your healthcare provider about all the medications, supplements, and herbal products you are taking, as Exemestane may interact with certain medications.
• Patient Education: Make sure to understand the purpose of taking Exemestane, how to take it correctly, potential side effects to watch for, and what to do if you experience any side effects or have questions.
• Support Resources: Seek out support resources or groups for individuals undergoing breast cancer treatment, as they can provide valuable information, guidance, and emotional support throughout your journey.

Always follow your healthcare provider’s instructions and guidance when taking Exemestane or any other medication. If you have any questions or concerns, don’t hesitate to reach out to your doctor or pharmacist for assistance.