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EXEMESTANE SANDOZ 25 mg FILM-COATED TABLETS

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About the medicine

How to use EXEMESTANE SANDOZ 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 Patient

Exemestane Sandoz 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 get 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

  1. What is Exemestane Sandoz and what is it used for
  2. What you need to know before you take Exemestane Sandoz
  3. How to take Exemestane Sandoz
  4. Possible side effects
  5. Storage of Exemestane Sandoz
  6. Contents of the pack and other information

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

Exemestane belongs to a group of medicines called aromatase inhibitors.

These medicines interfere with a substance called aromatase, which is needed to produce female sex hormones, estrogens, especially in post-menopausal women. The reduction of estrogen levels in the body is a way to treat hormone-dependent breast cancer.

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

Exemestane is used to treat advanced hormone-dependent breast cancer in post-menopausal women when other hormonal treatment has not been effective enough.

Doctor consultation

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

Do not take Exemestane Sandoz

  • if you are or have previously been allergic to exemestane or any of the other ingredients of this medicine (listed in section 6),
  • if you have not yet reached menopause, i.e., if you still have your period,
  • if you are pregnant, think you may be pregnant, or are breast-feeding.

Warnings and precautions

Consult your doctor or pharmacist before starting to take Exemestane Sandoz.

  • This medicine contains exemestane, which may give a positive result in doping tests,
  • before starting treatment with exemestane, your doctor may perform a blood test to ensure you have reached menopause,
  • before taking exemestane, inform your doctor if you have any liver or kidney problems,
  • tell your doctor if you have a history of or suffer from any disease that affects bone strength. Your doctor may analyze bone density before and during treatment with Exemestane Sandoz. 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,
  • your doctor may consider that you should receive vitamin D supplementation because there is a high prevalence of severe deficiency in women with early breast cancer.

Important information for athletes

Athletes are informed that this medicine contains a component that may result in a positive doping test.

Taking Exemestane Sandoz with other medicines

Tell your doctor if you are using, have recently used, or might use any other medicines.

Exemestane should not be administered at the same time as hormone replacement therapy (HRT).

Tell your doctor if you are taking any of the following medicines:

  • rifampicin (an antibiotic),
  • anti-epileptic medicines used to treat epilepsy (carbamazepine or phenytoin),
  • herbal medicines used as an antidepressant, St. John's Wort (Hypericum perforatum).

Taking Exemestane Sandoz with food and drink

Exemestane Sandoz tablets should be taken after a meal, approximately at the same time every day.

Pregnancy and breast-feeding

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

If you are pregnant or breast-feeding, think you may be pregnant, or are planning to have a baby, consult your doctor or pharmacist before using this medicine.

Talk to your doctor about contraceptive measures if there is any possibility of becoming pregnant.

Driving and using machines

If you feel dizzy, drowsy, or tired while taking Exemestane Sandoz, do not drive or use machines.

Exemestane Sandoz contains sodium

This medicine contains less than 23 mg of sodium (1 mmol) per film-coated tablet; this is essentially "sodium-free".

3. How to take Exemestane Sandoz

Exemestane Sandoz should be taken orally after a meal, approximately at the same time every day.

Follow exactly the administration instructions of this medicine given by your doctor.

Consult your doctor or pharmacist if you have any doubts.

The recommended dose is one 25 mg tablet per day.

If you need to go to the hospital while taking Exemestane Sandoz, inform the healthcare professionals what medication you are taking.

Use in children

Exemestane Sandoz is not suitable for use in children.

If you take more Exemestane Sandoz than you should

If you take too many tablets by accident, contact your doctor immediately or go directly to the emergency department of the nearest hospital. Show the packaging of Exemestane Sandoz.

In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicology Information Service, phone 91 562 04 20, indicating the medicine and the amount taken.

If you forget to take Exemestane Sandoz

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 Sandoz

Do not stop taking the tablets even if you feel well, unless your doctor tells you to.

If you have any further questions on 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, this medicine can cause side effects, although not everybody gets them.

Exemestane is well tolerated, and the following side effects observed in patients treated with this medicine are mainly mild or moderate in nature. Most side effects are associated with the reduction of estrogens (such as hot flashes).

Tell your doctor immediately if you experience the following:

  • severe allergic reactions. Symptoms include rash, itching, hives, difficulty breathing or swallowing, dizziness,
  • liver inflammation (hepatitis). Symptoms include general feeling of being unwell, nausea, yellowing of the skin and eyes (jaundice), itching, abdominal pain on the right side, and loss of appetite.

The following side effects have been reported by people taking exemestane.

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)

  • loss of appetite,
  • depression,
  • dizziness,
  • tingling or numbness of hands and feet,
  • carpal tunnel syndrome (a combination of tingling, numbness, and pain that affects the entire hand except the little finger),
  • stomach pain, vomiting (feeling unwell), constipation, indigestion, diarrhea,
  • skin rash, itching, hair loss,
  • 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)

  • decrease in the number of white blood cells, which can increase the risk of infection. Symptoms may include fever, ulcers in the mouth or throat due to infections,
  • acute generalized exanthematous pustulosis,
  • numbness,
  • muscle weakness.

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

  • low platelet count (with an increased risk of bleeding and bruising).

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 via the national reporting system: Spanish Medicines Surveillance System for Human Use: https://www.notificaram.es.

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

5. Storage of Exemestane Sandoz

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 carton after EXP. The expiry date is the last day of the month shown.

This medicine does not require any special storage conditions.

Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help protect the environment.

6. Contents of the pack and other information

Composition of Exemestane Sandoz

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

The other ingredients are:

  • mannitol, microcrystalline cellulose, crospovidone, sodium carboxymethyl starch (Type A) potato, hypromellose E5, polysorbate 80, colloidal anhydrous silica, and magnesium stearate,

hypromellose 6cp (E 464), titanium dioxide (E 171), and macrogol 400.

Appearance and packaging

Exemestane Sandoz are film-coated tablets, round, biconvex, white or almost white, marked with E25 on one side and smooth on the other.

Exemestane Sandoz 25 mg is available in cardboard boxes containing white opaque PVC/PVdC-Alu blisters of 15, 20, 28, 30, 90, 98, 100, and 120 tablets.

Not all pack sizes may be marketed.

Marketing authorisation holder and manufacturer

Marketing authorisation holder

Sandoz Farmacéutica, S.A.

Centro Empresarial Parque Norte

Edificio Roble

C/Serrano Galvache, 56

28033 Madrid

Spain

Manufacturer

Cemelog BRSLtd

2040 Budaors,

Vasut u.13,

Hungary

Or

S.C. Sandoz, S.R.L.

Str. Livezeni nr.

7A, RO-540472

Targu-Mures

Romania

Or

Salutas Pharma GmbH

Otto-von-Guericke-Alle

1 39179 Barleben

Germany

Or

Lek Pharmaceuticals d.d.

Verovškova ulica 57

Ljubljana 1526,

Slovenia

This medicine is authorised in the Member States of the European Economic Area under the following names

Member State

Medicine name

Denmark

Exemestan "Sandoz"

Bulgaria

Exemestane Sandoz

Belgium

Exemestan Sandoz 25 mg filmomhulde tabletten

Finland

EXEMESTAN SANDOZ 25 mg Tabletti, kalvopäällysteinen

France

EXEMESTANE SANDOZ 25 mg comprimé pelliculé

Germany

Exemestan Hexal 25 mg Filmtabletten

Greece

Exemestane Sandoz

Hungary

Exemestane Pharmacenter 25 mg Filmtabletta

Italy

EXEMESTANE SANDOZ 25 mg compresse rivestite con film

Lithuania

Arostanil 25 mg plevele dengtos tabletes

Luxembourg

Exemestan Sandoz 25 mg Film comprimé pelliculés

Norway

Exemestan Sandoz

Poland

Exemestan Sandoz

Portugal

Exemestano Sandoz

Romania

AROSTANIL 25 mg, comprimate filmate

Sweden

Exemestan Sandoz

Spain

Exemestano Sandoz 25 mg comprimidos recubiertos con película EFG

Netherlands

Exemestaan Sandoz 25 mg

This leaflet was last revised in 09/2019

Detailed and up-to-date 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 SANDOZ 25 mg FILM-COATED TABLETS

Discuss questions about EXEMESTANE SANDOZ 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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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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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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Frequently Asked Questions

Is a prescription required for EXEMESTANE SANDOZ 25 mg FILM-COATED TABLETS?
EXEMESTANE SANDOZ 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 SANDOZ 25 mg FILM-COATED TABLETS?
The active ingredient in EXEMESTANE SANDOZ 25 mg FILM-COATED TABLETS is exemestane. This information helps identify medicines with the same composition but different brand names.
How much does EXEMESTANE SANDOZ 25 mg FILM-COATED TABLETS cost in pharmacies?
The average pharmacy price for EXEMESTANE SANDOZ 25 mg FILM-COATED TABLETS is around 96.66 EUR. Prices may vary depending on the manufacturer and dosage form.
Who manufactures EXEMESTANE SANDOZ 25 mg FILM-COATED TABLETS?
EXEMESTANE SANDOZ 25 mg FILM-COATED TABLETS is manufactured by Sandoz Farmaceutica S.A.. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of EXEMESTANE SANDOZ 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 SANDOZ 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 SANDOZ 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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