Country: Malasía
Tungumál: enska
Heimild: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
LETROZOLE
NOVARTIS CORPORATION (MALAYSIA) SDN. BHD.
LETROZOLE
30 Tablets
NOVARTIS PHARMA STEIN AG
_CONSUMER MEDICATION INFORMATION LEAFLET (RIMUP) _ FEMARA ® FILM-COATED TABLET Letrozole (2.5mg) 1 WHAT IS IN THIS LEAFLET 1. What Femara is used for 2. How Femara works 3. Before you use Femara 4. How to use Femara 5. While you are using Femara 6. Side effects 7. Storage and Disposal of Femara 8. Product Description 9. Manufacturer and Product Registration Holder 10. Date of Revision WHAT FEMARA IS USED FOR Femara contains an active substance called letrozole. It belongs to a group of medicines called aromatase inhibitors. It is a hormonal (or “endocrine”) breast cancer treatment. Femara is used to treat breast cancer in women who are post-menopausal – that is, women who no longer have periods, either naturally due to their age or after surgery or chemotherapy. It is also used before surgery in postmenopausal breast cancer women. HOW FEMARA WORKS Growth of breast cancer is often stimulated by estrogens, which are female sex hormones. Femara reduces the amount of estrogen by blocking an enzyme (“aromatase”) involved in the production of estrogens and therefore, may block the growth of breast cancers that need estrogen to grow. As a consequence tumor cells slow or stop the progression and/or spreading to other parts of the body. BEFORE YOU USE FEMARA Follow all the doctor’s instructions carefully. They may differ from the general information contained in this leaflet. _- When you must not use it _ If you are allergic (hypersensitive) to letrozole or to any of the ingredients in Femara listed in this leaflet. If you think you may be allergic, ask your doctor for advice. If you still have periods, i.e. if you have not yet gone through the menopause. If you are pregnant. If you are breast-feeding If any of these conditions apply to you, tell your doctor before taking Femara. _PREGNANCY _ You must not take Femara if you are pregnant as it may harm your unborn baby. Your doctor will discuss with you the potential risks of taking Femara during pregnancy. There are reports of abnormalities in Lestu allt skjalið
Novartis Page 2 Malaysian Package Leaflet 15 Dec 2016 Femara FEMARA Non-steroidal aromatase inhibitor (inhibitor of estrogen biosynthesis); antineoplastic agent. DESCRIPTION AND COMPOSITION PHARMACEUTICAL FORM Film-coated tablet Coated tablet, dark yellow, round, slightly biconvex with bevelled edges. One side bears the imprint “FV”, the other “CG”. ACTIVE SUBSTANCE : 4,4'-[(1H-1,2,4-triazol-1-yl)-methylene]bis-benzonitrile (INN/USAN= letrozole). Each film-coated tablet contains 2.5 mg letrozole. INDICATIONS • Adjuvant treatment of postmenopausal women with hormone receptor positive early breast cancer. • Adjuvant treatment of postmenopausal women with early breast cancer (positive or unknown oestrogen or progesterone receptor status) who have received 5 years of adjuvant tamoxifen therapy (extended adjuvant therapy). • First-line treatment in postmenopausal women with hormone-dependent advanced breast cancer. • Treatment of advanced breast cancer in women with natural or artificially induced postmenopausal status, who have previously been treated with antioestrogens. • Pre-operative therapy in postmenopausal women with localised hormone receptor positive breast cancer, to allow subsequent breast-conserving surgery in women not originally considered candidates for this type of surgery. Subsequent treatment after surgery should be in accordance with standard of care. DOSAGE AND ADMINISTRATION DOSAGE GENERAL TARGET POPULATION ADULTS The recommended dose of Femara is 2.5 mg once daily. In the adjuvant and extended adjuvant setting, treatment with Femara should continue for 5 years or until disease relapse/recurrence occurs, whichever comes first. In the large pivotal study of letrozole versus Novartis Page 3 Malaysian Package Leaflet 15 Dec 2016 Femara tamoxifen in the adjuvant setting, no benefit in efficacy or safety was obtained by sequential administration of these treatments compared with letrozole administered continuously for 5 years _. _ In patients with metastatic disease, treatment wi Lestu allt skjalið