WARNING

Fareston, also known as toremifene, is a medication primarily used to treat breast cancer in women. Like any medication, Fareston comes with potential risks and side effects. Some of the risks associated with taking Fareston include:

• Blood Clots: Fareston may increase the risk of developing blood clots, which can lead to serious conditions such as deep vein thrombosis (DVT) or pulmonary embolism.
• Vision Changes: Some individuals may experience vision changes or disturbances while taking Fareston, including blurred vision or difficulty seeing clearly.
• Liver Problems: Fareston can cause liver toxicity in some cases, leading to elevated liver enzymes or more severe liver damage.
• Hot Flashes: Similar to other hormonal treatments for breast cancer, Fareston may cause hot flashes, which can be uncomfortable and disruptive to daily life.
• Bone Density Loss: Fareston may contribute to bone density loss or osteoporosis, increasing the risk of fractures or bone-related complications.
• Endometrial Cancer: There’s a potential risk of developing endometrial cancer while taking Fareston, although this risk is generally lower compared to other hormone therapies.
• Other Side Effects: Additional side effects of Fareston may include nausea, fatigue, headache, and changes in appetite.

It’s important for individuals considering Fareston to discuss these risks with their healthcare provider and weigh them against the potential benefits of treatment. Close monitoring and regular follow-ups with a healthcare provider can help mitigate risks and manage any side effects that may arise.

Why is this medication prescribed?

Fareston, also known as toremifene, is a medication primarily prescribed to treat breast cancer in postmenopausal women. It belongs to a class of drugs called selective estrogen receptor modulators (SERMs), which work by blocking the effects of estrogen in the breast tissue, thus inhibiting the growth of cancer cells.

How should this medicine be used?

Fareston, also known as toremifene, is typically used to treat breast cancer in women. It is taken orally in tablet form, usually once daily with or without food. Here are some guidelines on how Fareston should be used:

• Dosage: The dosage of Fareston prescribed by a healthcare provider will depend on various factors, including the stage and type of breast cancer, as well as the individual patient’s health and response to the medication. It’s essential to follow the prescribed dosage exactly as directed by the healthcare provider.
• Administration: Fareston tablets should be swallowed whole with a glass of water. They should not be crushed, chewed, or broken.
• Timing: Fareston can be taken at any time of the day, but it’s essential to take it at the same time each day to maintain consistent levels of the medication in the body.
• Duration: The duration of treatment with Fareston will vary depending on the specific circumstances of the patient, such as the stage of breast cancer and the response to treatment. It’s important to continue taking Fareston for as long as prescribed by the healthcare provider, even if symptoms improve.
• Monitoring: Regular monitoring and follow-up appointments with a healthcare provider are essential while taking Fareston. This allows for the assessment of treatment effectiveness, monitoring for any potential side effects or complications, and adjustments to the treatment plan as needed.
• Missed Dose: If a dose of Fareston is missed, it should be taken as soon as remembered, unless it is almost time for the next scheduled dose. In that case, the missed dose should be skipped, and the regular dosing schedule resumed. It’s important not to take a double dose to make up for a missed one.
• Precautions: Before taking Fareston, patients should inform their healthcare provider about any other medications, supplements, or herbal products they are taking, as well as any medical conditions they have. Fareston may interact with certain medications or medical conditions, so it’s crucial to discuss these factors with a healthcare provider before starting treatment.

It’s essential to follow the healthcare provider’s instructions carefully when taking Fareston and to not adjust the dosage or stop taking the medication without consulting them.

Other uses for this medicine

Some of these potential off-label uses include:

• Treatment of gynecomastia (enlargement of breast tissue in males).
• Management of metastatic prostate cancer.
• Supportive therapy in transgender individuals undergoing hormone therapy.

What special precautions should I follow?

Regarding special precautions for Fareston, it’s crucial to follow these guidelines:

• Pregnancy and Breastfeeding: Fareston should not be used during pregnancy, as it may harm the developing fetus. It is also not recommended for use while breastfeeding, as it may pass into breast milk and cause harm to the nursing infant.
• Liver Function: Fareston may cause liver toxicity in some cases. Therefore, individuals with pre-existing liver conditions or elevated liver enzymes should use Fareston with caution and undergo regular monitoring of liver function tests.
• Blood Clotting: Fareston may increase the risk of blood clots, including deep vein thrombosis (DVT) and pulmonary embolism. Patients with a history of blood clots or clotting disorders should use Fareston with caution and be monitored closely for signs of clotting.
• Vision Changes: Some individuals may experience vision changes or disturbances while taking Fareston. It’s essential to report any changes in vision to a healthcare provider promptly.
• Bone Health: Fareston may contribute to bone density loss or osteoporosis. Patients at risk of bone-related complications should be monitored regularly for bone density and may require supplementation or other interventions to maintain bone health.
• Other Medications: Before taking Fareston, patients should inform their healthcare provider about any other medications, supplements, or herbal products they are taking, as Fareston may interact with certain medications.
• Regular Monitoring: Patients taking Fareston should undergo regular monitoring and follow-up appointments with a healthcare provider to assess treatment effectiveness, monitor for side effects, and adjust the treatment plan as needed.

By following these precautions and guidelines, individuals can use Fareston safely and effectively under the supervision of a healthcare provider.

What special dietary instructions should I follow?

Special dietary instructions for Fareston are generally not required. However, maintaining a healthy and balanced diet can support overall health during treatment. It’s essential to stay hydrated and follow any dietary recommendations provided by your healthcare provider.

What should I do if I forget a dose?

If you forget to take a dose of Fareston, take it as soon as you remember, unless it’s almost time for the next 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 the missed one. If you’re unsure about what to do, consult your healthcare provider or pharmacist for guidance.

What side effects can this medication cause?

Fareston (toremifene) can cause various side effects, although not everyone will experience them. Common side effects of Fareston include:

• Hot Flashes: Similar to other hormonal treatments, Fareston can cause hot flashes, which are sudden feelings of warmth, flushing, and sweating.
• Nausea: Some individuals may experience nausea or stomach discomfort while taking Fareston.
• Fatigue: Feeling tired or fatigued is a common side effect of Fareston.
• Vision Changes: Fareston may cause changes in vision, such as blurred vision or difficulty focusing.
• Dizziness: Some people may feel dizzy or lightheaded while taking Fareston.
• Headache: Headaches are a possible side effect of Fareston.
• Bone Pain: Fareston may cause bone pain or joint pain in some individuals.
• Vaginal Dryness or Discharge: Women taking Fareston may experience vaginal dryness or changes in vaginal discharge.
• Edema (Swelling): Fareston can cause fluid retention and swelling in some individuals.
• Mood Changes: Changes in mood, such as depression or anxiety, are possible side effects of Fareston.
• Increased Sweating: Some individuals may experience increased sweating while taking Fareston.
• Decreased Libido: Fareston may decrease libido or sexual desire in some individuals.
• Abnormal Liver Function Tests: Fareston can affect liver function, leading to abnormal liver enzyme levels in some cases.

It’s important to note that not all individuals will experience these side effects, and some may experience side effects not listed here. If you experience any concerning or bothersome side effects while taking Fareston, it’s essential to inform your healthcare provider. They can provide guidance on managing side effects and adjust your treatment plan if necessary.

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

Storage and Disposal of Fareston:

• Storage: Fareston tablets should be stored at room temperature, away from light and moisture. Avoid storing them in the bathroom or kitchen where they might be exposed to humidity. Keep Fareston out of reach of children and pets.
• Disposal: Unused or expired Fareston tablets should be disposed of properly. Do not flush them down the toilet or pour them into a drain unless instructed to do so. Instead, consult your pharmacist or local waste disposal company for guidance on how to dispose of medications safely.

In case of emergency/overdose

In case of emergency or overdose of Fareston, it’s important to seek immediate medical attention. Symptoms of overdose may include dizziness, nausea, vomiting, and headache. Contact a poison control center or go to the nearest emergency room for assistance. Be sure to bring the Fareston packaging or medication container with you to the hospital, so healthcare providers can identify the medication involved.

What other information should I know?

• Regular Monitoring: While taking Fareston, you may need regular check-ups and monitoring by your healthcare provider to assess treatment effectiveness and monitor for potential side effects or complications.
• Follow-up Appointments: Attend all scheduled follow-up appointments with your healthcare provider to discuss your progress and any concerns you may have about Fareston treatment.
• Drug Interactions: Inform your healthcare provider about all medications, supplements, or herbal products you’re taking, as Fareston may interact with certain medications. Avoid starting or stopping any medications without consulting your healthcare provider.
• Pregnancy and Breastfeeding: Do not use Fareston if you are pregnant or breastfeeding, as it may harm the developing fetus or nursing infant.
• Driving and Machinery: Fareston may cause dizziness or blurred vision in some individuals. If you experience these side effects, avoid driving or operating machinery until you feel alert and have clear vision.
• Medical Alert: Inform healthcare providers involved in your care, including dentists and emergency medical personnel, that you are taking Fareston.

By following these guidelines and staying informed about Fareston, you can use the medication safely and effectively under the guidance of your healthcare provider.