Страна: Сингапур
Язык: английский
Источник: HSA (Health Sciences Authority)
Letrozole
DUOPHARMA (SINGAPORE) PTE LTD
L02BG04
TABLET, FILM COATED
Letrozole 2.5 mg
ORAL
Prescription Only
Duopharma HAPI Sdn Bhd
ACTIVE
2022-09-12
Lebreta (Letrozole Tablets 2.5mg) DESCRIPTION AND COMPOSITION: Letrozole Tablets 2.5mg Yellow coloured, round shaped tablets debossed with ‘LC’ on one side and plain on other side. _Excipients _ Sodium starch glycolate, lactose monohydrate, microcrystalline cellulose, starch pregelatinized, colloidal silicon dioxide, magnesium stearate, Hypromellose, titanium dioxide, iron oxide yellow, macrogol and talc. PHARMACODYNAMICS: _Mechanism of action _ The elimination of estrogen-mediated stimulatory effects is a prerequisite for tumor response in cases where the growth of tumor tissue depends on the presence of estrogens. In postmenopausal women, estrogens are mainly derived from the action of the aromatase enzyme, which converts adrenal androgens - primarily androstenedione and testosterone - to estrone (E1) and estradiol (E2). The suppression of estrogen biosynthesis in peripheral tissues and the cancer tissue itself can therefore be achieved by specifically inhibiting the aromatase enzyme. Letrozole is a non-steroidal aromatase inhibitor. It inhibits the aromatase enzyme by competitively binding to the hem of the cytochrome P450 subunit of the enzyme, resulting in a reduction of estrogen biosynthesis in all tissues. _Pharmacodynamic effects _ In healthy postmenopausal women, single doses of 0.1 mg, 0.5 mg and 2.5 mg letrozole suppress serum oestrone and oestradiol by 75 to 78 % and 78 % from baseline, respectively. Maximum suppression is achieved in 48 to 78 hours. In postmenopausal patients with advanced breast cancer, daily doses of 0.1 to 5 mg suppress plasma concentration of oestradiol, oestrone, and oestrone sulphate by 75 to 95 % from baseline in all patients treated. With doses of 0.5 mg and higher, many values of oestrone and oestrone sulphate are below the limit of detection in the assays, indicating that higher oestrogen suppression is achieved with these doses. Oestrogen suppression was maintained throughout treatment in all these patients. Letrozole is highly specific in inhibiting aromatase activity Прочитать полный документ