NOTICE: This Consumer Medicine Information (CMI) is intended for persons living in Australia.
Consumer Medicine Information
What is in this leaflet
This leaflet answers some common questions about anastrozole. It does not contain all the available information. It does not take the place of talking to your doctor or pharmacist.
All medicines have risks and benefits. Your doctor has weighed the risks of you using this medicine against the benefits they expect it will have for you.
If you have any concerns about taking this medicine, ask your doctor or pharmacist.
Keep this leaflet with the medicine.
You may want to read it again.
What this medicine is used for
Anastrozole is used to treat breast cancer in women who no longer have their menstrual periods either naturally, due to their age or after surgery, radiotherapy or chemotherapy.
How it works
Anastrozole is a non-steroidal aromatase inhibitor, which reduces the amount of oestrogen (female sex hormone) made by the body. In some types of breast cancer, oestrogen can help the cancer cells grow. By blocking oestrogen, anastrozole may slow or stop the growth of cancer.
Ask your doctor if you have any questions about why this medicine has been prescribed for you.
Your doctor may have prescribed this medicine for another reason.
This medicine is available only with a doctor’s prescription.
This medicine is not addictive.
Anastrozole is not recommended for use in children.
Before you take this medicine
When you must not take it
Do not take this medicine if you have an allergy to:
any of the ingredients listed at the end of this leaflet.
Some of the symptoms of an allergic reaction may include:
cough, shortness of breath
wheezing or difficulty breathing
swelling of the face, lips, tongue, throat or other parts of the body
rash, itching or hives on the skin
fainting or hay fever-like symptoms.
Do not take this medicine if you are pregnant, plan to become pregnant or are breastfeeding.
Anastrozole may affect your developing baby if you take it during pregnancy. It may also pass into human breast milk.
Do not take this medicine after the expiry date printed on the pack or if the packaging is torn or shows signs of tampering.
If it has expired or is damaged, return it to your pharmacist for disposal.
If you are not sure whether you should start taking this medicine, talk to your doctor.
Before you start to take it
Tell your doctor if you have allergies to any other medicines,foods, preservatives or dyes.
Tell your doctor if you have or have had any of the following medical conditions:
liver or kidney problems
osteoporosis, a family history of osteoporosis or risk factors for developing osteoporosis (such as smoking, a diet low in calcium, poor mobility, a slight build or treatment with steroid medicines)
If you have not told your doctor about any of the above, tell them before you start taking this medicine.
Taking other medicines
Tell your doctor if you are takingany other medicines, including any that you get without a prescription from your pharmacy, supermarket or health food shop.
Some medicines may interact with anastrozole. These include:
tamoxifen, used to treat breast cancer
any medicine that contains oestrogen (e.g. hormone replacement therapy (HRT) or oral contraceptives)
any health food products that contain natural oestrogens used for post-menopausal symptoms.
luteinising hormone releasing hormone (LHRH) agonists (e.g. goserelin or leuprorelin)
If you are taking any of these, you may need a different dose, or you may need to take different medicines.
Other medicines not listed above may also interact with anastrozole.
How to take this medicine
Follow carefully all directions given to you by your doctor or pharmacist.
They may differ to the information contained in this leaflet.
How much to take
The usual dose is one tablet taken once each day.
How to take it
Swallow anastrozole tablets whole, with a glass of water.
When to take it
Take this medicine at about the same time each day.
Taking it at the same time each day will have the best effect. It will also help you remember when to take it.
It does not matter if you take anastrozole with or without food.
How long to take it for
Continue taking your medicine for as long as your doctor tells you.
Do not stop taking it unless your doctor tells you to, even if you feel better.
Make sure you have enough to last over weekends and holidays.
If you forget to take it
If it is almost time to take your next dose, skip the missed dose and take your next dose at the usual time.
Otherwise take it as soon as you remember and then go back to taking your medicine as you would normally.
Do not take a double dose to make up for missed doses.
This may increase the chance of you experiencing side effects.
If you have trouble remembering to take your medicine, ask your pharmacist for some hints.
If you take too much (overdose)
Immediately telephone your doctor or the Poisons Information Centre (telephone 13 11 26) for advice or go to the Emergency department at your nearest hospital if you think that you or anyone else may have taken too much of this medicine.
Do this even if there are no signs of discomfort or poisoning. You may need urgent medical attention.
While you are taking this medicine
Things you must do
If you are about to be started on any new medicine, tell your doctor that you are taking this medicine.
If you become pregnant whilst taking anastrozole, tell your doctor immediately.
Tell any other doctors, dentists and pharmacists who are treating you that you take this medicine.
Things you must not do
Do not give this medicine to anyone else, even if they have the same condition as you.
Do not take your medicine to treat any other complaint unless your doctor tells you to.
Do not stop taking your medicine, or change the dosage, without first checking with your doctor.
Things to be careful of
Be careful when driving or operating machinery until you know how anastrozole affects you. Some patients may occasionally feel weak or sleepy.
Tell your doctor or pharmacist as soon as possible if you do not feel well while you are taking anastrozole.
All medicines can have side effects. Sometimes they are serious but most of the time they are not.
Do not be alarmed by the following lists of side effects. You may not experience any of them.
Tell your doctor or pharmacist if you notice any of the following:
feeling weak or sleepy, lack of energy
joint pain or stiffness, bone pain or arthritis
vaginal dryness or bleeding
hair thinning or hair loss
mild skin rash
nausea, vomiting, loss of appetite (anorexia), diarrhoea
carpal tunnel syndrome (tingling, pain, coldness, weakness in parts of hand)
pins and needles
toss of taste or changing taste of food or drink
feelings of sadness or depression
The above list includes the more common side effects. Mostly, these are mild.
If you experience any of the following, stop taking your medicine and contact your doctor immediately or go to the Emergency department at your nearest hospital:
shortness of breath, wheezing or difficulty in breathing; swelling of the face, lips, tongue or any other parts of the body; rash, itching or hives on the skin (signs of allergy)
severe skin reactions with lesions, ulcers or blisters.
liver pain or swelling, a general feeling of unwellness with or without jaundice (yellowing of the skin and eyes)
The above list includes very serious side effects. You may need urgent medical attention or hospitalisation.
Anastrozole may be associated with changes in your blood, urine or liver.
Your doctor may want to perform tests from time to time to check on your progress and detect any side effects.
Uncommon side effects can include, trigger finger which is a condition in which one of your fingers or your thumb catches in a bent position.
Tell your doctor if you notice anything else that is making you feel unwell.
Other side effects not listed above may occur in some patients.
Storage and disposal
Keep your medicine in its pack until it is time to take it.
If you take your medicine out of its pack it may not keep well.
Keep your medicine in a cool dry place where the temperature will stay below 25°C.
Do not store your medicine, or any other medicine, in the bathroom or near a sink. Do not leave it on a window sill or in the car.
Heat and dampness can destroy some medicines.
Keep this medicine where children cannot reach it.
A locked cupboard at least one-and-a-half metres above the ground is a good place to store medicines.
If your doctor tells you to stop taking this medicine or the expiry date has passed, ask your pharmacist what to do with any medicine left over.
What it looks like
White, round, biconvex tablet,with ‘1’ on one side, .
Blister pack of 30 film-coated tablets. AUST R 266676
Each tablet contains 1 mg of anastrozole as the active ingredient.
It also contains the following:
sodium starch glycollate type A
Opadry II white 85F18422.
This medicine does not contain gluten, sucrose, tartrazine or anyother azo dyes.
Apotex Pty Ltd
16 Giffnock Avenue
Macquarie Park NSW 2113
APO and APOTEX are registered trademarks of Apotex Inc.
This leaflet was prepared in May 2019.
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