Product image of Letrovena (Letrozole) supplied by GNH India

Letrovena

Active Ingredient:
Letrozole
Origin:
EU

Letrovena (Letrozole)

Letrozole, the active ingredient in Letrovena, is an aromatase inhibitor presented as an oral tablet for postmenopausal breast cancer treatment. It works by selectively blocking the aromatase enzyme, reducing estrogen production, which helps to slow the growth of hormone‑receptor‑positive tumors in postmenopausal women. The medication is indicated for use after surgery or as part of adjuvant therapy, and may be combined with other endocrine agents under medical supervision.

GNH India supplies Letrovena as a licensed, GDP‑compliant international pharmaceutical supplier serving oncology centres, hospitals and pharmacies worldwide.

Manufacturer / TM Owner

Vipharm S.A.

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Indications & Clinical Uses

Letrozole is used in the endocrine therapy of hormone‑receptor‑positive breast cancer, primarily in postmenopausal patients.

  • Postmenopausal hormone‑receptor‑positive breast cancer: reduces tumor recurrence and progression when used as adjuvant or first‑line endocrine therapy.
  • Advanced or metastatic breast cancer: provides disease control in patients whose disease has progressed on prior hormonal therapy.
  • Neoadjuvant setting before surgery: lowers tumor size to facilitate breast‑conserving surgery.

How It Works

  • Letrozole is a selective, non‑steroidal inhibitor of the aromatase enzyme (CYP19A1). By binding to the enzyme’s active site, it prevents the conversion of androstenedione and testosterone into estrone and estradiol, respectively. The resulting decrease in circulating estrogen limits stimulation of estrogen‑dependent breast cancer cells, thereby inhibiting tumor growth and proliferation. The inhibition is reversible and dose‑dependent, achieving near‑complete suppression of estrogen synthesis at therapeutic concentrations.

Side Effects

Letrozole may cause a range of adverse reactions, which are categorized by frequency and severity.

Common Side Effects

  • Hot flashes: transient episodes of increased skin temperature and sweating.
  • Joint or muscle pain: arthralgia or myalgia affecting daily activities.
  • Fatigue: persistent tiredness not relieved by rest.

Serious or Rare Side Effects

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

Precautions & Warnings

When prescribing Letrovena, clinicians should observe several precautionary measures to ensure patient safety.

  • Assess bone mineral density: baseline DEXA scan recommended before initiating therapy.
  • Monitor lipid profile: estrogen suppression may alter cholesterol levels.
  • Evaluate hepatic function: adjust use in patients with liver impairment.
  • Avoid use in pregnancy: Letrozole is contraindicated in pregnant women (Category X).
  • Store at ambient temperature: keep below 25°C in original container, protect from moisture and light.

Avoid Interactions

Letrozole can interact with other medicines, affecting its efficacy or safety.

Major Interactions (Avoid)

  • Strong CYP3A4 inducers (e.g., rifampin, carbamazepine): may markedly reduce letrozole plasma levels.
  • Tamoxifen: concurrent use may antagonize therapeutic effect.

Moderate Interactions (Monitor Closely)

  • Anticoagulants (warfarin): increased risk of bleeding, monitor INR.
  • Selective serotonin reuptake inhibitors (SSRIs): may exacerbate hot flashes.
  • Cholesterol‑lowering agents (statins): potential for altered lipid changes; monitor lipid profile.

Frequently Asked Questions

Letrovena contains letrozole, an aromatase inhibitor indicated for the endocrine treatment of hormone‑receptor‑positive breast cancer in postmenopausal women. It is employed as adjuvant therapy after surgery, in advanced disease, or as neoadjuvant treatment to reduce tumor size before operation.

Letrozole selectively blocks the aromatase enzyme (CYP19A1), which converts androgens into estrogens. By inhibiting this conversion, circulating estrogen levels fall dramatically, depriving estrogen‑dependent breast cancer cells of the growth signal they require, thereby slowing or halting tumor progression.

The specific dose of Letrovena is determined by the prescribing physician based on the patient’s clinical condition, treatment stage, and tolerability. Dosage regimens are individualized and should follow the prescriber’s written instructions; no standard dose is provided here.

Letrovena 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 letrozole may be excreted in breast milk and could affect the infant.

To order Letrovena, 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 cold‑chain requirements), and necessary import documentation.

The primary alternative to letrozole is another aromatase inhibitor such as anastrozole, or the selective estrogen receptor modulator tamoxifen. Letrozole generally provides more potent estrogen suppression than tamoxifen and is often preferred for postmenopausal patients, while anastrozole offers a similar efficacy profile with comparable safety.

Letrovena tablets should be stored at ambient temperature, below 25 °C, in the original packaging to protect them from moisture and light. Keep the container tightly closed and out of reach of children. No refrigeration is required for this oral formulation.

Letrovena is taken orally, usually once daily, with or without food, as directed by the prescriber. The tablet should be swallowed whole with a glass of water. Patients should follow the exact dosing schedule provided by their healthcare professional.

Serious risks include severe bone loss leading to osteoporosis or fractures, cardiovascular events such as thromboembolism or myocardial infarction, and liver dysfunction manifested by elevated liver enzymes or hepatitis. Patients should be monitored regularly for these conditions, and any new symptoms reported promptly.

Letrovena should not be used by pregnant or breastfeeding women, premenopausal patients, individuals with severe hepatic impairment, or patients with known hypersensitivity to letrozole or any excipients in the tablet. Clinicians must assess each patient’s medical history before initiating therapy.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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