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Femara Indications, Dosage, Storage, Stability - Letrozole
INDICATIONS
Femara® (letrozole tablets) is indicated for the extended adjuvant treatment of early breast cancer in postmenopausal women who have received 5 years of adjuvant tamoxifen therapy (see CLINICAL STUDIES). The effectiveness of Femara in extended adjuvant treatment of early breast cancer is based on an analysis of disease-free survival in patients treated for a median of 24 months (see CLINICAL PHARMACOLOGY Clinical Studies subsection). Further data will be required to determine long-term outcome.
Femara® (letrozole tablets) is indicated for first-line treatment of postmenopausal women with hormone receptor positive or hormone receptor unknown locally advanced or metastatic breast cancer. Femara is also indicated for the treatment of advanced breast cancer in postmenopausal women with disease progression following antiestrogen therapy.
DOSAGE AND ADMINISTRATION
Adult and Elderly Patients
The recommended dose of Femara (letrozole tablets) is one 2.5 mg tablet administered once a day, without regard to meals. Treatment with Femara should continue until tumor progression is evident. No dose adjustment is required for elderly patients. Patients treated with Femara do not require glucocorticoid or mineralocorticoid replacement therapy.
Renal Impairment
(See CLINICAL PHARMACOLOGY.) No dosage adjustment is required for patients with renal impairment if creatinine clearance is ³ 10 mL/ min.
Hepatic Impairment
(See CLINICAL PHARMACOLOGY.) Although letrozole blood concentrations were modestly increased in subjects with moderate hepatic impairment due to cirrhosis, no dosage adjustment is recommended for patients with mild- to- moderate hepatic impairment. Patients with severe impairment of liver function have not been studied. Because letrozole is eliminated almost exclusively by hepatic metabolism, patients with severe impairment of liver function should be dosed with caution.
HOW SUPPLIED
2,5 mg tablets - dark yellow, film-coated, round, slightly biconvex, with beveled edges (imprinted with the letters FV on one side and CG on the other side).
Packaged in HDPE bottles with a safety screw cap. Bottles of 30 tablets............................ NDC 0078-0249-15
Store at 25º C (77º F); excursions permitted to 15º C-30º C (59º F-86º F) (see USP Controlled Room Temperature)
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