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    HomeMedication GuideExemestane safety
    Irreversible steroidal aromatase inhibitorFDA-Approved

    Exemestane: Patient Information & Safety Notes

    Also known as Aromasin

    Other names: aromasin

    Exemestane is an FDA-approved, irreversible steroidal aromatase inhibitor that permanently inactivates aromatase, reducing estrogen synthesis. It is approved for breast cancer treatment in postmenopausal women.

    FDA-approved as Aromasin for hormone receptor-positive advanced breast cancer in postmenopausal women after tamoxifen failure, and as adjuvant treatment. Off-label use in males is not FDA-approved.
    Reviewed by the OmniRx Health clinical teamLast reviewed Jul 4, 2026

    In plain language

    What Exemestane is used for

    • FDA-approved: postmenopausal breast cancer

    Taking this medicine

    How it is administered

    • Oral tablet

    Read before you decide

    Risks and precautions

    Risks and warnings

    • Menopausal symptoms (hot flashes, sweating)
    • Headache
    • Joint and muscle pain
    • Fatigue
    • Bone density loss with long-term use

    Who should not take it

    • Pregnancy or breastfeeding (teratogenic)
    • Premenopausal women (unless in clinical context of ovarian suppression)

    Common questions

    Patient questions

    How is exemestane different from anastrozole?

    Both reduce estrogen in postmenopausal women, but exemestane is a steroidal irreversible aromatase inhibitor (permanently inactivates aromatase), while anastrozole is a non-steroidal reversible inhibitor. Both are FDA-approved for breast cancer; the choice depends on patient-specific factors and provider guidance.

    This information is educational — not medical advice.

    This page is provided for general educational purposes and summarizes publicly available data from sources such as the U.S. Food & Drug Administration. It is not a substitute for the judgment of a licensed clinician and should not be used to start, stop, or change any medication. It may be incomplete or out of date, and individual circumstances vary. Always talk with your prescriber or pharmacist about your specific medications and health conditions. If you think you may have a medical emergency, call 911.

    Have medication questions?

    A licensed OmniRx provider can review your health history and medication list. Availability and treatment options are determined individually.