Aromasin (Exemestane) – What It Is and How It Works

If you’ve heard doctors mention Aromasin, they’re talking about a drug called exemestane. It belongs to a group called aromatase inhibitors, which means it blocks an enzyme that turns hormones into estrogen. Lower estrogen can slow the growth of certain breast cancers that need the hormone to thrive.

When Do People Use Aromasin?

Most patients take Aromasin after surgery or radiation for early‑stage breast cancer. It’s also used when cancer comes back or spreads and still depends on estrogen. Some doctors prescribe it for a few years to keep the cancer from growing again. The drug is taken as a single 25 mg tablet once a day, usually with water.

How to Take Aromasin Safely

Take the pill at the same time each day so your body gets a steady level. If you miss a dose, take it as soon as you remember—unless it’s almost time for the next dose, then just skip the missed one. Don’t double up.

Because Aromasin lowers estrogen, it can cause hot flashes, joint pain, or fatigue. Staying active, drinking plenty of water, and eating a balanced diet helps manage these symptoms. If anything feels extreme, call your doctor right away.

Women on Aromasin should keep an eye on bone health. The drop in estrogen can make bones weaker, so doctors often suggest calcium and vitamin D supplements, and sometimes a bone‑density scan every year.

Regular blood tests are part of the plan, too. Your doctor will check cholesterol, liver function, and hormone levels to make sure the drug isn’t causing problems.

People with liver issues need extra caution. Exemestane is processed by the liver, so doctors may start with a lower dose or choose a different medicine if liver tests are off.

Pregnancy and breastfeeding are off‑limits while on Aromasin. The drug can harm a developing baby, and it also passes into breast milk. Use reliable birth control if you’re of child‑bearing age.

Common side effects include:

  • Hot flashes
  • Joint or muscle aches
  • Fatigue
  • Weight gain or loss
  • Changes in cholesterol levels

Most side effects are mild and improve over time. If they linger or get worse, your doctor might adjust the dose or try a different aromatase inhibitor.

When to call the doctor:

  • Severe or sudden joint pain
  • High fever or chills
  • Persistent nausea or vomiting
  • Signs of liver trouble – yellow skin, dark urine

Those symptoms could signal something more serious and need medical attention.

Finally, remember that Aromasin is just one piece of a bigger treatment plan. It works best when combined with surgery, radiation, or other therapies your doctor recommends. Stick to appointments, follow the medication schedule, and keep an open line with your healthcare team.

Got more questions? Common queries include how long to stay on Aromasin, whether you can take it with other meds, and if lifestyle changes can ease side effects. Your doctor can give personalized answers based on your health history.

Bottom line: Aromasin can be a powerful tool against estrogen‑driven breast cancer, but it works best when you understand how to take it, watch for side effects, and stay in touch with your medical team.

Aromasin: Real-World Guide to Uses, Side Effects, and Tips
By Celia Rawdon
Aromasin: Real-World Guide to Uses, Side Effects, and Tips

Explore how Aromasin (exemestane) helps fight breast cancer, from how it works to handling side effects. Get practical tips you can actually use.