Product image of Letrostar (Letrozole) supplied by GNH India

Letrostar

Active Ingredient:
Letrozole
Origin:
EU

Letrostar (Letrozole)

Letrozole, the active ingredient in Letrostar, is an aromatase inhibitor presented as an oral tablet for oral use. It is employed in the endocrine treatment of postmenopausal estrogen receptor‑positive breast cancer, reducing estrogen production that can stimulate tumor growth and is commonly prescribed as part of a comprehensive oncology regimen.

GNH India supplies Letrostar as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, pharmacies and clinics worldwide. Our distribution network ensures consistent quality and regulatory compliance across multiple regions.

Manufacturer / TM Owner

Maddox Pharma Swiss B.V.

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Indications & Clinical Uses

Letrozole is an aromatase inhibitor used in the management of estrogen‑driven breast cancer.

  • Postmenopausal estrogen receptor‑positive breast cancer: Reduces tumor progression by lowering systemic estrogen levels.
  • Metastatic hormone‑receptor‑positive breast cancer: Provides disease control when combined with other endocrine agents.
  • Adjuvant therapy for early‑stage ER‑positive breast cancer: Decreases risk of recurrence after surgery.

How It Works

  • Letrozole reversibly binds to the aromatase enzyme (CYP19A1) in peripheral tissues, inhibiting the conversion of androstenedione and testosterone to estrone and estradiol. By suppressing estrogen synthesis, it lowers circulating estrogen concentrations, depriving estrogen‑dependent tumor cells of a growth stimulus. The inhibition is dose‑dependent and persists for several days after dosing, supporting its use in postmenopausal patients who rely on peripheral aromatization for estrogen production.

Side Effects

Letrozole may cause a range of adverse reactions, varying from mild to serious.

Common Side Effects

  • Hot flashes: Sudden warmth and sweating.
  • Joint and muscle pain: Arthralgia and myalgia.
  • Nausea: Mild gastrointestinal upset.

Serious or Rare Side Effects

  • Osteoporosis: Decreased bone density with fracture risk.
  • Elevated liver enzymes: Possible hepatic injury.
  • Severe allergic reaction: Rash, swelling, or anaphylaxis.

Precautions & Warnings

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

  • Assess bone health: Baseline DEXA scan recommended due to risk of osteoporosis.
  • Monitor liver function: Periodic tests for hepatic enzyme elevation.
  • Evaluate cardiovascular risk: Caution in patients with history of thromboembolic disease.
  • Avoid use in pregnancy: Contraindicated in women of childbearing potential unless effective contraception is used.
  • Review drug interactions: Check concomitant medications that affect CYP3A4.
  • Store at ambient temperature: Keep below 25 °C in original packaging, protect from moisture.

Avoid Interactions

Letrozole can interact with other medicines, altering its effectiveness or safety profile.

Major Interactions (Avoid)

  • Strong CYP3A4 inducers (e.g., rifampin, carbamazepine): May reduce letrozole plasma levels.
  • Antifungal azoles (e.g., ketoconazole): Can increase exposure, raising toxicity risk.

Moderate Interactions (Monitor Closely)

  • Hormone replacement therapy: May diminish letrozole’s estrogen‑lowering effect.
  • Warfarin: Potential alteration of anticoagulant control; monitor INR.
  • Selective serotonin reuptake inhibitors: May increase risk of bone loss; observe bone health.

Frequently Asked Questions

Letrostar contains letrozole, an aromatase inhibitor indicated for the treatment of postmenopausal estrogen receptor‑positive breast cancer. It is used in both early‑stage (adjuvant) and advanced (metastatic) settings to lower estrogen levels that can stimulate tumor growth. The medication is prescribed by oncologists as part of an endocrine therapy regimen.

Letrozole works by reversibly inhibiting the aromatase enzyme (CYP19A1) that converts androgens into estrogens in peripheral tissues. By blocking this conversion, circulating estradiol and estrone concentrations fall, depriving estrogen‑dependent cancer cells of a key growth signal. The effect is dose‑dependent and persists for several days after each dose.

The specific dose of Letrostar is determined by the prescribing physician based on the patient’s clinical condition, treatment stage, and individual factors. Typical adult dosing for postmenopausal breast cancer is 2.5 mg taken once daily, but the exact regimen should follow the oncologist’s order and local prescribing guidelines.

Letrozole is classified as contraindicated in pregnancy because it can interfere with fetal estrogen production. Women of childbearing potential must use effective contraception while taking the drug. Safety during breastfeeding has not been established; therefore, breastfeeding is generally discouraged during treatment with letrozole.

To request Letrostar, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any required temperature control) and necessary import documentation.

Letrozole is a third‑generation aromatase inhibitor, offering more potent estrogen suppression than earlier agents such as anastrozole. Compared with selective estrogen receptor modulators (e.g., tamoxifen), letrozole does not have partial agonist activity and is generally preferred for postmenopausal patients because of its higher efficacy in reducing recurrence risk, though side‑effect profiles differ.

Letrostar tablets should be stored at ambient temperature, below 25 °C, in the original blister pack or container to protect from moisture and light. Keep the medication out of reach of children and do not use if the packaging is damaged or the tablets appear discoloured.

Letrostar is taken orally, usually as a single tablet swallowed whole with water. It can be taken with or without food, but consistency with respect to meals is recommended to maintain stable absorption. Patients should follow the dosing schedule prescribed by their oncologist and not miss doses without medical advice.

The most serious risks include severe bone loss leading to osteoporosis and fractures, hepatic dysfunction indicated by elevated liver enzymes, and rare but life‑threatening allergic reactions such as anaphylaxis. Patients should be monitored regularly for bone density, liver function, and any signs of hypersensitivity, and report urgent symptoms to their healthcare provider.

Letrozole is not recommended for premenopausal women, patients with known hypersensitivity to letrozole or other aromatase inhibitors, individuals with uncontrolled liver disease, or those who are pregnant or breastfeeding. Caution is also advised in patients with a history of thromboembolic events or severe cardiovascular disease, and the decision to treat should be individualized by a qualified clinician.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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