Exemestane

Capsules

20 mg

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Product Overview

Exemestane Description1,2

Exemestane is a steroidal aromatase inhibitor that is structurally related to androgens such as androstenedione and testosterone. It irreversibly inhibits the aromatase enzyme, thereby reducing estrogen production. Exemestane is used in postmenopausal women for the treatment of advanced breast cancer as well as estrogen receptor–positive early-stage breast cancer.

Mechanism of Action1,2

Aromatase 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.

Common2

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

Contraindications2

  • 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.

Precautions2

  • Reduction in bone mineral density.
  • Exemestane’s activity is antagonized by estrogen (recommended not to be administered with estrogen replacement therapy).
  • Store at controlled room temperature (20°C to 25°C / 68°F to 77°F)
  • Protect from moisture and light
  • Keep in a tightly closed container

WPPL operates as a 503A compounding pharmacy and prepares individualized prescription medications pursuant to provider direction. Compounded preparations are not reviewed, tested, or approved by the FDA.

This listing also includes commercially manufactured products for convenience; these items are not compounded by our pharmacy and are sold as provided by their manufacturers. Actual products in stock at time of dispensing may vary due to supply chain variability. Any statements regarding non-compounded products are manufacturer-supplied, have not been evaluated by the FDA, and are not intended to diagnose, treat, cure, or prevent any disease. WPPL does not verify or endorse any therapeutic claims made by manufacturers. Please refer to original labeling for complete product information.

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