Product image of Letroman (Letrozole) supplied by GNH India

Letroman

Active Ingredient:
Letrozole
Origin:
EU

Letroman (Letrozole)

Letrozole, the active ingredient in Letroman, is an aromatase inhibitor presented as an oral tablet for oral use. It reduces estrogen production and is employed in the treatment of estrogen receptor‑positive breast cancer in postmenopausal women, both as adjuvant therapy and for metastatic disease. The medication is manufactured in the European Union and conforms to EU regulatory standards.

GNH India supplies Letroman as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, pharmacies and clinics worldwide. The company ensures quality assurance, proper documentation, and timely delivery across global markets.

Manufacturer / TM Owner

Synthon Bv

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Indications & Clinical Uses

Letrozole is used in endocrine therapy targeting estrogen‑dependent breast cancer.

  • Early‑stage estrogen receptor‑positive breast cancer: provides adjuvant therapy to reduce recurrence risk.
  • Metastatic estrogen receptor‑positive breast cancer: helps control disease progression in postmenopausal patients.
  • Hormone‑responsive breast cancer in postmenopausal women: used as part of endocrine treatment regimens.

How It Works

  • Letrozole acts as a reversible inhibitor of the aromatase enzyme, which converts adrenal and peripheral androgen precursors into estrone and estradiol. By binding to the heme group of aromatase, it blocks estrogen synthesis, leading to markedly reduced circulating estrogen levels. The decline in estrogen deprives estrogen‑dependent tumor cells of growth stimulation, thereby inhibiting tumor proliferation in postmenopausal patients.

Side Effects

Letrozole may be associated with a range of adverse reactions, varying from mild to severe.

Common Side Effects

  • Hot flashes: sudden feeling of warmth and sweating.
  • Joint and muscle pain: arthralgia and myalgia.
  • Fatigue: persistent tiredness.
  • Nausea: mild gastrointestinal upset.

Serious or Rare Side Effects

  • Severe bone loss: increased risk of osteoporosis and fractures.
  • Liver dysfunction: elevated transaminases or hepatitis.
  • Cardiovascular events: rare cases of thromboembolism or stroke.

Precautions & Warnings

When prescribing Letrozole, clinicians should consider several safety precautions to minimize risk.

  • Pregnancy contraindication: drug is category X and must not be used during pregnancy.
  • Breastfeeding avoidance: not recommended for nursing mothers due to potential infant exposure.
  • Bone health monitoring: assess baseline bone mineral density and consider calcium/vitamin D supplementation.
  • Liver function assessment: evaluate hepatic enzymes before initiating therapy.
  • Drug interactions review: check for concomitant medications that may affect aromatase activity.
  • Store at ambient temperature: keep below 25 °C in the original packaging, protect from moisture and light.

Avoid Interactions

Letrozole can interact with other medicines, altering its effectiveness or increasing toxicity.

Major Interactions (Avoid)

  • Strong CYP3A4 inducers (e.g., rifampicin, carbamazepine): may reduce letrozole plasma levels.
  • Tamoxifen: concurrent use may diminish therapeutic benefit of both agents.

Moderate Interactions (Monitor Closely)

  • Antifungal azoles (e.g., ketoconazole): may increase letrozole concentrations.
  • Antidepressants (e.g., SSRIs): potential modest effect on estrogen metabolism.
  • Hormone replacement therapy: may counteract letrozole’s estrogen‑lowering action.
  • Cholestyramine or other bile‑acid sequestrants: may lower absorption of letrozole.

Frequently Asked Questions

Letroman contains letrozole, an aromatase inhibitor indicated for the treatment of estrogen receptor‑positive breast cancer in postmenopausal women. It is used both as adjuvant therapy after surgery to lower recurrence risk and for controlling disease in metastatic settings.

Letrozole reversibly binds to the aromatase enzyme’s heme group, blocking the conversion of adrenal and peripheral androgen precursors into estrone and estradiol. This inhibition sharply reduces circulating estrogen levels, depriving estrogen‑dependent tumor cells of the hormonal stimulus required for growth.

The dosage of Letroman is determined by the prescribing clinician based on the individual’s clinical condition, treatment stage, and tolerability. Standard regimens typically involve a once‑daily oral dose, but the exact amount and schedule must be set by a qualified health‑care professional.

Letroman is classified as pregnancy category X, meaning it is contraindicated during pregnancy because it can cause fetal harm. It is also not recommended for breastfeeding mothers, as the drug may be excreted in milk and affect the infant.

To order Letroman, submit an enquiry on the product page at gnhindia.com with the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any cold‑chain requirements) and necessary import documentation.

The primary alternative to letrozole is anastrozole, another aromatase inhibitor. Both lower estrogen levels, but letrozole is generally considered slightly more potent on a milligram‑for‑milligram basis. Choice between them depends on physician preference, patient tolerance, drug‑interaction profile, and specific clinical guidelines.

Letroman tablets should be stored at ambient temperature, preferably below 25 °C. Keep them in the original container, protect from moisture and direct light, and avoid exposure to excessive heat. No refrigeration is required for this oral formulation.

Letroman is taken orally, usually as a single tablet swallowed whole with water. It can be taken with or without food, but consistency with regard to meals helps maintain stable absorption. Patients should follow the dosing schedule prescribed by their health‑care provider.

The most serious adverse effects include severe bone loss leading to osteoporosis or fractures, liver dysfunction manifested by elevated enzymes or hepatitis, and rare cardiovascular events such as thromboembolism or stroke. Regular monitoring of bone density, liver function tests, and cardiovascular status is advised.

Letroman should not be used by pregnant or breastfeeding women, by patients with known hypersensitivity to letrozole or other aromatase inhibitors, and generally not by premenopausal women because its estrogen‑lowering effect is ineffective in that population. Caution is also advised in patients with severe liver impairment.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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