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Ovalia

Ovalia

letrozole

Manufacturer:

Globela Pharma

Distributor:

Corbridge
Concise Prescribing Info
Contents
Letrozole
Indications/Uses
Adjuvant treatment of postmenopausal women w/ hormone receptor +ve invasive early breast cancer. Extended adjuvant treatment of hormone-dependent early invasive breast cancer in postmenopausal women who have received prior standard adjuvant tamoxifen therapy for 5 yr. 1st-line treatment in postmenopausal women w/ hormone-dependent advanced breast cancer. Advanced breast cancer after relapse or disease progression in women w/ natural or artificially induced postmenopausal endocrine status who have previously been treated w/ anti-oestrogens. Neoadjuvant treatment of postmenopausal women w/ hormone receptor +ve, HER-2 -ve breast cancer where chemotherapy is not suitable & immediate surgery not indicated.
Dosage/Direction for Use
Adult & elderly 2.5 mg once daily.
Administration
May be taken with or without food.
Contraindications
Hypersensitivity. Premenopausal endocrine status. Premenopausal, pregnant or lactating women.
Special Precautions
Efficacy has not been demonstrated in hormone receptor -ve breast cancer. Tendonitis & tendon rupture may rarely occur. Measure LH, FSH &/or oestradiol levels prior to treatment in patients whose postmenopausal status is unclear. Assess bone mineral density prior to commencement of adjuvant & extended adjuvant treatment & monitor during & following treatment in women w/ history of osteoporosis &/or fractures, or who are at risk of osteoporosis. Avoid co-administration w/ tamoxifen, other anti-oestrogens or oestrogen-containing therapies. Not to be taken by patients w/ galactose intolerance, total lactase deficiency or glucose-galactose malabsorption. Insufficient data on patients w/ renal impairment (CrCl <10 mL/min); severe hepatic impairment (Child-Pugh grade C). Not recommended in childn & adolescents up to 17 yr.
Adverse Reactions
Hot flushes, hypercholesterolaemia, arthralgia, fatigue, increased sweating & nausea. Osteoporosis &/or bone fractures & CV events.
Drug Interactions
Pharmacological action may be diminished & plasma conc be decreased w/ tamoxifen, other anti-oestrogens or oestrogen-containing therapies. Concomitant use w/ drugs whose disposition is mainly dependent on CYP2A6 & CYP2C19 & w/ narrow therapeutic index eg, phenytoin, clopidogrel.
MIMS Class
Cancer Hormone Therapy
ATC Classification
L02BG04 - letrozole ; Belongs to the class of enzyme inhibitors. Used in treatment of neoplastic diseases.
Presentation/Packing
Form
Ovalia FC tab 2.5 mg
Packing/Price
30's
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