Exemestane

In Aotearoa New Zealand exemestane is available as tablets (25 mg).

• The usual dose of exemestane is 1 tablet once a day.
• Exemestane is a long-term treatment so you may have to take it for several years.
• Always take exemestane exactly as your doctor has told you. The pharmacy label on your medicine will tell you how much to take, how often to take it, and any special instructions.

• Take exemestane at the same time each day, either in the morning or the evening.
• It's best to take exemestane after a meal. 
• If you forget to take your dose, take it as soon as you remember. But if it is nearly time for your next dose, just take the next dose at the right time. Don't take double the dose.
• Don't stop taking exemestane suddenly, talk to your doctor before stopping.

Here are some things to know when you're taking exemestane. Other things may be important as well, so ask your healthcare provider what you should know about.

• Exemestane can make you drowsy, especially when you first start taking it. Avoid driving and doing other tasks where you need to be alert until you know how this medicine affects you. It's best to take it at bedtime.
• Exemestane can interact with some other medicines and herbal supplements, so check with your doctor or pharmacist before starting exemestane and before starting any new products.
• Aromatase inhibitors, such as exemestane, may decrease bone mineral density (BMD) if you have been through menopause. This means you have a possible increased risk of fractures. You can help to keep your bones strong by regular weight-bearing exercise, eating a healthy diet rich in calcium and vitamin D and not smoking. If you are concerned, talk to your doctor about your risk. 

Like all medicines, exemestane can cause side effects, although not everyone gets them. Often side effects improve as your body gets used to the new medicine.

Hot flushes and sweats

These are common and are often mild, but this can vary. Hot flushes and sweats may improve after the first few months. You can try to reduce hot flushes and sweats by not smoking, reducing alcohol and avoiding hot drinks containing caffeine, such as tea and coffee. Try to dress in layers, so you can remove clothes as needed, and wear clothes made from natural fabrics, such as cotton. If hot flushes are troubling you, tell your doctor or nurse. There are some medicines that can help to reduce flushes.

Other side effects