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User:Mr. Ibrahem/Exemestane

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Mr. Ibrahem/Exemestane
Clinical data
Pronunciation/ˌɛksəˈmɛˌstn/
EK-sə-ME-stayn
Trade namesAromasin
Other namesFCE-24304
AHFS/Drugs.comMonograph
MedlinePlusa607006
Routes of
administration
By mouth
Drug classAromatase inhibitor; Antiestrogen
Legal status
Legal status
Pharmacokinetic data
Bioavailability~60%[citation needed]
Protein binding90%
MetabolismLiver (CYP3A4, aldo-keto reductase)
Elimination half-life24 hours
Duration of action4–5 days[citation needed]
ExcretionUrine and feces ~ 1:1 (mainly metabolites)
Identifiers
  • 6-Methylideneandrosta-1,4-diene-3,17-dione[1]
Chemical and physical data
FormulaC20H24O2
Molar mass296.410 g·mol−1
3D model (JSmol)
  • O=C\1\C=C/[C@]3(C(=C/1)/C(=C)C[C@H]4[C@@H]2CCC(=O)[C@]2(CC[C@H]34)C)C
  • InChI=1S/C20H24O2/c1-12-10-14-15-4-5-18(22)20(15,3)9-7-16(14)19(2)8-6-13(21)11-17(12)19/h6,8,11,14-16H,1,4-5,7,9-10H2,2-3H3/t14-,15-,16-,19+,20-/m0/s1 checkY
  • Key:BFYIZQONLCFLEV-DAELLWKTSA-N checkY
 ☒NcheckY (what is this?)  (verify)

Exemestane, sold under the brand name Aromasin among others, is a medication used to treat breast cancer.[2] Specifically it is used for early estrogen receptor positive disease or advanced disease that has become resistant to tamoxifen.[3] It is taken by mouth.[2]

Common side effects include hot flushes, tiredness, joint pain, trouble sleeping, and increased sweating.[3] Other side effects may include osteoporosis.[3] Use in pregnancy may harm the baby.[3] It is a aromatase inhibitor which blocks the creation of estrogen.[3][4]

Exemestane was approved for medical use in the United Kingdom in 1998 and the United States in 1999.[5][6] It is available as a generic medication.[2] In the United Kingdom a month costs the NHS about £21.[2] This amount in the United States costs about 50 USD.[7]

References[edit]

  1. ^ Exemestane Archived 2015-12-23 at the Wayback Machine at ChEBI
  2. ^ a b c d e f BNF 81: March-September 2021. BMJ Group and the Pharmaceutical Press. 2021. p. 998. ISBN 978-0857114105.
  3. ^ a b c d e f "DailyMed - EXEMESTANE tablet". dailymed.nlm.nih.gov. Archived from the original on 21 March 2021. Retrieved 17 December 2021.
  4. ^ "Exemestane". LiverTox: Clinical and Research Information on Drug-Induced Liver Injury. National Institute of Diabetes and Digestive and Kidney Diseases. 2012. Archived from the original on 6 May 2021. Retrieved 17 December 2021.
  5. ^ "Aromasin - Summary of Product Characteristics (SmPC) - (emc)". www.medicines.org.uk. Archived from the original on 13 May 2021. Retrieved 17 December 2021.
  6. ^ "Exemestane Monograph for Professionals". Drugs.com. Archived from the original on 8 May 2021. Retrieved 17 December 2021.
  7. ^ "Exemestane Prices, Coupons & Savings Tips - GoodRx". GoodRx. Archived from the original on 21 October 2016. Retrieved 17 December 2021.