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EXEMESTANE RATIOPHARM 25 mg FILM-COATED TABLETS

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About the medicine

How to use EXEMESTANE RATIOPHARM 25 mg FILM-COATED TABLETS

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This page provides general information and does not replace a doctor’s consultation. Always consult a doctor before taking any medication. Seek urgent medical care if symptoms are severe.

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Introduction

Package Leaflet: Information for the User

Exemestane ratiopharm 25 mg film-coated tablets EFG

Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.

-Keep this leaflet, you may need to read it again.

-If you have any further questions, ask your doctor or pharmacist.

-This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.

-If you experience any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.

Contents of the pack and other information:

  1. What is Exemestane ratiopharm and what is it used for
  2. What you need to know before you take Exemestane ratiopharm
  3. How to take Exemestane ratiopharm
  4. Possible side effects
  5. Storage of Exemestane ratiopharm

6 Contents of the pack and further information

1. What is Exemestane ratiopharm and what is it used for

This medicine is called Exemestane ratiopharm. Exemestane ratiopharm belongs to a group of medicines called aromatase inhibitors. These medicines interfere with a substance called aromatase, which is necessary for producing female sex hormones, estrogens, especially in postmenopausal women. The reduction of estrogen levels in the body is a way of treating hormone-dependent breast cancer.

Exemestane ratiopharm is used to treat hormone-dependent breast cancer in early stages in postmenopausal women after they have completed 2-3 years of treatment with the medicine tamoxifen.

It is also used to treat advanced hormone-dependent breast cancer in postmenopausal women when other hormonal treatment has not been effective enough.

Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

2. What you need to know before you take Exemestane ratiopharm

Do not takeExemestane ratiopharm

  • if you are or have been previously allergic to exemestane (the active ingredient of Exemestane ratiopharm) or to any of the other ingredients of this medicine (listed in section 6).
  • if you have notyet reached menopause, i.e., if you still have your menstrual period,
  • if you are pregnant, think you may be pregnant, or are breast-feeding.

Warnings and precautions

Talk to your doctor or pharmacist before starting to take Exemestane ratiopharm

  • Before starting treatment with Exemestane ratiopharm, your doctor may perform a blood test to make sure you have reached menopause.
  • Before taking Exemestane ratiopharm, tell your doctor if you have any liver or kidney problems.
  • If you have a history of or suffer from any disease that affects bone strength. This is because medicines in this group reduce female hormone levels, which can lead to a loss of bone mineral content and may decrease bone strength. You may need to undergo a bone density test before and during treatment. Your doctor may give you medicines to prevent or treat bone loss.

Taking Exemestane ratiopharm with other medicines

Tell your doctor if you are using or have recently used or may need to use any other medicines, including those obtained without a prescription.

Exemestane ratiopharm should not be taken at the same time as hormone replacement therapy (HRT). The following medicines should be used with caution if you are being treated with Exemestane ratiopharm. Tell your doctor if you are taking any of these medicines:

  • rifampicin (an antibiotic),
  • carbamazepine or phenytoin (antiepileptics used to treat epilepsy),
  • the herbal medicine St. John's Wort (Hypericum perforatum), or preparations containing it.

Pregnancy, breast-feeding, and fertility

Do not take Exemestane ratiopharm if you are pregnant or breast-feeding.

Tell your doctor if you are pregnant or think you may be pregnant.

Talk to your doctor about contraceptive measures if there is any chance you may become pregnant.

Driving and using machines

If you feel dizzy, drowsy, or tired while being treated with Exemestane ratiopharm, do not drive or operate machinery.

3. How to take Exemestane ratiopharm

Follow exactly the administration instructions of this medicine as indicated by your doctor. If in doubt, consult your doctor or pharmacist again. Your doctor will tell you how to take Exemestane ratiopharm and for how long.

Adults and elderly

The normal dose is one 25 mg film-coated tablet per day.

Exemestane ratiopharm film-coated tablets should be taken orally after a meal, approximately at the same time each day.

Use in children and adolescents

Exemestane ratiopharm is not suitable for use in children and adolescents.

If you take more Exemestane ratiopharm than you should

If you accidentally ingest too many tablets, contact your doctor immediately or go directly to the emergency department of the nearest hospital or call the Toxicology Information Service, phone: 91 562 04 20, indicating the medicine and the amount taken. Show them the Exemestane ratiopharm packaging.

If you forget to take Exemestane ratiopharm

Do not take a double dose to make up for forgotten doses.

If you forget to take a tablet, take it as soon as you remember. If it is near the time of the next dose, take it at the usual time.

If you stop taking Exemestane ratiopharm

Do not stop treatment even if you do not feel well, unless your doctor tells you to.

If you have any other questions about the use of this medicine, ask your doctor or pharmacist.

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

4. Possible side effects

Like all medicines, Exemestane ratiopharm can cause side effects, although not everybody gets them. In general, Exemestane ratiopharm is well tolerated, and the following side effects observed in patients treated with Exemestane ratiopharm are mainly mild or moderate in nature. Most side effects are associated with the reduction of estrogens (such as hot flashes).

Very common side effects(may affect more than 1 in 10 people):

  • Difficulty sleeping
  • Headache
  • Hot flashes
  • Feeling unwell
  • Increased sweating
  • Muscle and joint pain (including osteoarthritis, back pain, arthritis, and joint stiffness)
  • Fatigue

Common side effects(may affect up to 1 in 10 people):

  • Lack of appetite
  • Depression
  • Dizziness, carpal tunnel syndrome (a combination of tingling, numbness, and pain that affects the entire hand except the little finger), altered sensation (paresthesia)
  • Stomach pain, vomiting (feeling unwell), constipation, indigestion, diarrhea
  • Skin rash, hair loss, skin disorders such as itching (urticaria)
  • Decreased bone density which may decrease bone strength (osteoporosis) and cause fractures in some cases (breaks or cracks)
  • Pain, swelling of hands and feet

Uncommon side effects(may affect up to 1 in 100 people):

  • Numbness
  • Muscle weakness
  • Hypersensitivity
  • Increased liver enzymes, liver inflammation (hepatitis) associated with nausea, jaundice (yellowing of the skin and eyes), itching, abdominal pain, and loss of appetite. Skin reaction with small blisters associated with fever (acute generalized exanthematous pustulosis)
  • Decrease in the number of white blood cells (leukopenia)

Rare side effects(may affect up to 1 in 1,000 people)

  • Decrease in the number of platelets (thrombocytopenia)

Frequency not known(cannot be estimated from the available data).

  • Decrease in the number of white blood cells (lymphocytes)

If you have had a blood test, you may have seen that there have been changes in liver function. There may be changes in the number of certain blood cells (lymphocytes) and platelets (cells that produce blood clotting) circulating in the blood, especially in patients with pre-existing lymphopenia (decrease in lymphocytes in the blood).

Reporting of side effects

If you experience any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly through the national reporting system listed in the Spanish Medicines Agency's website: www.notificaram.es.

By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Exemestane ratiopharm

Keep this medicine out of the sight and reach of children.

Do not use this medicine after the expiry date which is stated on the packaging after EXP. The expiry date is the last day of the month stated.

This medicine does not require any special storage conditions.

Medicines should not be disposed of via wastewater or household waste. Return the packaging and any unused medicine to the pharmacy. If in doubt, ask your pharmacist how to dispose of the packaging and any unused medicine. This will help protect the environment.

6. Contents of the pack and further information

Composition of Exemestane ratiopharm

The active ingredient is exemestane. Each film-coated tablet contains 25 mg of exemestane.

The other ingredients are:

Core of the tablet:

Mannitol, Copovidone, Crospovidone, Microcrystalline cellulose silicate, Sodium starch glycolate (Type A), Magnesium stearate.

Coating:

Hypromellose, Macrogol 400, Titanium dioxide (E171)

Appearance of the product and packaging

White to off-white, round, convex film-coated tablets with "25" on one side and smooth on the other side.

Exemestane ratiopharm is available in pack sizes of: 30 film-coated tablets.

Marketing authorisation holder and manufacturer

Teva Pharma, S.L.U.

C/ Anabel Segura 11, Edificio Albatros B, 1ª planta

28108 Alcobendas, Madrid (Spain)

Manufacturer

EirGen Pharma Ltd.

Westside Business Park, Old Kilmeaden Road, Waterford

Ireland

or

TEVA Pharmaceutical Works Private Limited Company

Pallagi út 13, 4042 Debrecen

Hungary

or

TEVA Pharmaceutical Works Private Limited Company

H-2100 Gödöllo, Táncsics Mihály út 82

Hungary

or

Pharmachemie B.V.

Swensweg 5, 2031 GA Haarlem

Netherlands

or

Teva Pharma B.V.,

Swensweg 5, 2031 GA Haarlem

Netherlands

Date of last revision of this leaflet: March 2016

"Detailed and updated information on this medicine is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.gob.es/"

Online doctors for EXEMESTANE RATIOPHARM 25 mg FILM-COATED TABLETS

Discuss questions about EXEMESTANE RATIOPHARM 25 mg FILM-COATED TABLETS, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

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Tomasz Grzelewski

Dermatology 21 years exp.

Dr Tomasz Grzelewski is an MD, PhD specialist in allergy, paediatrics, general practice and sports medicine, with a clinical focus on dermatology, endocrinology, allergology and sports-related health. He has more than 20 years of clinical experience and completed his medical training at the Medical University of Łódź, where he defended his PhD thesis with distinction. His doctoral research was recognised by the Polish Society of Allergology for its innovative contribution to the field. Throughout his career, he has gained extensive expertise in diagnosing and managing a wide range of allergic and paediatric conditions, including modern allergen desensitisation techniques.

For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance.

Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults.

In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions.

Patients commonly seek his care for:

  • seasonal and perennial allergies
  • allergic rhinitis and chronic nasal symptoms
  • asthma and breathing difficulties
  • food and medication allergies
  • urticaria, atopic dermatitis and skin reactions
  • recurrent infections in children
  • sports-related health questions
  • general family medicine concerns
Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.
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Giorgi Eremeishvili

Urology 22 years exp.

Giorgi Eremeishvili is a top-category urologist, a Candidate of Medical Sciences, and a licensed physician in Spain. He provides expert assistance in the diagnosis and treatment of a wide range of urological conditions in both men and women, employing a comprehensive approach and evidence-based principles.

Key areas of expertise:

  • Erectile dysfunction, decreased libido, premature ejaculation.
  • Male infertility: comprehensive diagnosis and modern treatment methods.
  • Prostate gland diseases: acute and chronic prostatitis, prostatic adenoma (benign prostatic hyperplasia), prostate cancer.
  • Inflammatory diseases of the genitourinary system: acute and chronic cystitis, pyelonephritis, epididymitis, orchitis, urethritis.
  • Sexually transmitted infections (STIs): chlamydia, ureaplasmosis, mycoplasmosis, gardnerellosis, candidiasis, herpetic infections, HPV, CMV, trichomoniasis, and others.
  • Urination disorders: urinary retention, frequent urination, urinary incontinence, overactive bladder, neurogenic bladder.
  • Neoplasms: cysts, tumors of the kidneys, bladder, testicles, prostate gland (including prostate cancer).
  • Surgical interventions: determining indications and selecting optimal minimally invasive methods.

Dr. Eremeishvili applies an integrated approach to each case. This includes thorough preoperative preparation, postoperative observation, and regular dynamic follow-up during the treatment process to achieve the best possible outcomes. All diagnostic and therapeutic recommendations are based on current evidence-based medicine and comply with the recommendations of the European Association of Urology, guaranteeing high-quality and effective care.

If you are seeking qualified assistance in diagnosing or treating urological conditions, book an online consultation with Dr. Giorgi Eremeishvili. Get expert support, accurate diagnosis, and a personalized treatment plan from the comfort of your home.

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€60
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Anna Biriukova

General medicine 6 years exp.

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
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Doctor

Dmytro Horobets

Family medicine 7 years exp.

Dr. Dmytro Horobets is a licensed family medicine physician in Poland, specialising in endocrinology, diabetology, obesity management, gastroenterology, pediatrics, general surgery, and pain medicine. He offers online consultations for adults and children, providing personalised medical support for a wide range of acute and chronic health concerns.

Areas of expertise:

  • Endocrinology: diabetes type 1 and type 2, prediabetes, thyroid disorders, metabolic syndrome, hormonal imbalance.
  • Obesity medicine: structured weight management plans, nutritional counselling, obesity-related health risks.
  • Gastroenterology: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), liver and biliary conditions.
  • Pediatric care: infections, respiratory symptoms, digestive issues, growth and development monitoring.
  • General surgery support: pre- and post-surgical consultations, wound care, rehabilitation.
  • Pain management: chronic and acute pain, back pain, joint pain, post-traumatic pain syndromes.
  • Cardiovascular health: hypertension, cholesterol control, risk assessment for heart disease.
  • Preventive medicine: regular check-ups, health screenings, long-term management of chronic conditions.

Dr. Horobets combines evidence-based medicine with a patient-centred approach. He carefully evaluates each patient’s medical history and symptoms, offering clear explanations and structured treatment plans adapted to individual needs.

Whether you need help managing diabetes, tackling weight-related health issues, interpreting lab results, or receiving general family medicine support, Dr. Horobets provides professional online care tailored to your specific health goals.

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€60

Frequently Asked Questions

Is a prescription required for EXEMESTANE RATIOPHARM 25 mg FILM-COATED TABLETS?
EXEMESTANE RATIOPHARM 25 mg FILM-COATED TABLETS requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.
What is the active substance in EXEMESTANE RATIOPHARM 25 mg FILM-COATED TABLETS?
The active ingredient in EXEMESTANE RATIOPHARM 25 mg FILM-COATED TABLETS is exemestane. This information helps identify medicines with the same composition but different brand names.
How much does EXEMESTANE RATIOPHARM 25 mg FILM-COATED TABLETS cost in pharmacies?
The average pharmacy price for EXEMESTANE RATIOPHARM 25 mg FILM-COATED TABLETS is around 96.66 EUR. Prices may vary depending on the manufacturer and dosage form.
Who manufactures EXEMESTANE RATIOPHARM 25 mg FILM-COATED TABLETS?
EXEMESTANE RATIOPHARM 25 mg FILM-COATED TABLETS is manufactured by Teva Pharma S.L.U.. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of EXEMESTANE RATIOPHARM 25 mg FILM-COATED TABLETS online?
Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether EXEMESTANE RATIOPHARM 25 mg FILM-COATED TABLETS is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.
What are the alternatives to EXEMESTANE RATIOPHARM 25 mg FILM-COATED TABLETS?
Other medicines with the same active substance (exemestane) include AROMASIL 25 mg FILM-COATED TABLETS, EXEMESTANE AUROVITAS 25 mg FILM-COATED TABLETS, EXEMESTANE AUROVITAS SPAIN 25 mg FILM-COATED TABLETS. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.
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