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Breast cancer patients with severe hepatic impairment are, thus, expected to be exposed to higher levels of letrozole than patients with normal liver function receiving similar doses of this drug. FEMPRO Tablets are indicated in the following: Adjuvant treatment of postmenopausal women with hormone receptor positive invasive early breast cancer. Extended adjuvant treatment of hormone receptor positive early invasive breast cancer in postmenopausal women who have received prior standard adjuvant tamoxifen therapy for 5 years. First-line treatment in postmenopausal women with hormone receptor positive advanced breast cancer. Treatment of advanced breast cancer in women after relapse or disease progression with natural or artificially induced postmenopausal status, who have previously been treated with anti-oestrogens. Neo – adjuvant therapy in postmenopausal women with hormone receptor positive breast cancer, HER-2 negative breast cancer where chemotherapy is not suitable and immediate surgery not indicated. Efficacy has not been demonstrated in patients with hormone receptor negative breast cancer. The recommended dose of Fempro Tablets is one 2. In the adjuvant setting, treatment with Fempro Tablets should continue for 5 years or until tumour relapse occurs, whichever comes first. Following standard adjuvant tamoxifen therapy, treatment with Fempro Tablets should continue for 5 years or until tumour relapse occurs, whichever comes first. In the adjuvant setting a sequential treatment schedule (letrozole 2 years followed by tamoxifen 3 years) could also be considered. In patients with metastatic disease, treatment with Fempro Tablets should continue until tumour progression is evident. In the neoadjuvant setting, treatment with Letrozole could be continued for 4 to 8 months in order to establish optimal tumour reduction. If the response is not adequate, treatment with Letrozole should be discontinued and surgery scheduled and/or further treatment options discussed with the patient. Regular monitoring to observe progression during the pre-operative treatment period is recommended. No dose adjustment is required for elderly patients. Letrozole is not recommended for use in children and adolescents. The safety and efficacy of Letrozole in children and adolescents aged up to 17 years have not been established. Limited data are available but no recommendation on a posology can be made. Use in Hepatic Impairment, anabolic supplements bodybuilding. No dosage adjustment is recommended for patients with mild-to-moderate hepatic impairment, although letrozole blood concentrations were modestly increased in subjects with moderate hepatic impairment due to cirrhosis. The dose of letrozole in patients with cirrhosis and severe hepatic dysfunction should be reduced by 50%. The recommended dose of letrozole for such patients is 2. Patients with severe hepatic impairment (Child-Pugh score C) should be kept under close supervision. The effect of hepatic impairment on letrozole exposure in non-cirrhotic cancer patients with elevated bilirubin levels has not been determined.
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