This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.

How to use FARESTON 60 mg TABLETS

Introduction

Package Leaflet: Information for the User

Fareston 60 mg Tablets

toremifene

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 and other information:

What is Fareston and what is it used for
What you need to know before you take Fareston
How to take Fareston
Possible side effects
Storage of Fareston
Contents of the pack and further information

1. What is Fareston and what is it used for

Fareston contains the active substance toremifene, an anti-oestrogen. Fareston is indicated for the treatment of certain types of breast tumors in women after menopause.

2. What you need to know before you take Fareston

Do not take Fareston:

if you are allergic to toremifene or any of the other ingredients of this medicine (listed in section 6).

if you have a thickening of the lining of the uterus (endometrium)

if you have severe liver problems

if you have had a condition that affects the heart rhythm (as shown on an electrocardiogram or ECG)
if you have an imbalance of salts in the blood, especially low levels of potassium in the blood (hypokalaemia) that do not respond to treatment
if you have a very slow heart rate (bradycardia)

if you have a weak heart (heart failure)

if you have a history of heart rhythm disorders (arrhythmias)

if you are taking other medicines that may affect your heart (see section 2 "Taking Fareston with other medicines").

This is because Fareston may affect your heart by prolonging the time it takes for electrical signals to pass through your heart (prolongation of the QT interval).

Warnings and precautions

Talk to your doctor or pharmacist before you start taking Fareston.

if you have unstable diabetes

if your quality of life has been severely impaired

if you have previously had episodes of blood clots in the veins, such as in the lungs (pulmonary embolism) or in the veins of the legs (deep vein thrombosis).

if you have heart rhythm disorders when taking Fareston. Your doctor may recommend that you stop taking Fareston and have a medical test to check how your heart is working (ECG, electrocardiogram), (see section 2 "Do not take Fareston")

if you have any heart problems, including chest pain (angina)

if the cancer has spread to the bones (bone metastases) as the level of calcium in the blood may increase at the start of treatment with Fareston. Your doctor will perform regular checks

if your doctor has told you that you have an intolerance to some sugars, such as lactose (see section 2 "Fareston contains lactose")

You should have gynaecological examinations at the start of treatment with Fareston and at least once a year while you are taking Fareston. Your doctor will perform regular checks if you have high blood pressure, diabetes, have had hormone replacement therapy or if you are obese (BMI over 30).

Other medicines and Fareston

Tell your doctor if you are taking, have recently taken or might take any other medicines. It may be necessary to adjust the dose of one of them while you are taking Fareston. In particular, tell your doctor if you are taking any of the following medicines:

thiazide diuretics

medicines that prevent blood clotting, such as warfarin
medicines used to treat epilepsy, such as carbamazepine, phenytoin, phenobarbital

medicines used to treat fungal infections, such as ketoconazole, itraconazole, voriconazole, posaconazole
medicines used to treat bacterial infections (antibiotics) such as erythromycin, clarithromycin and telithromycin
medicines used to treat viral infections such as ritonavir and nelfinavir

Do not take Fareston with the following medicines as there is a risk of heart rhythm disorders (see section 2 "Do not take Fareston"):

medicines used to treat irregular heart rhythms (anti-arrhythmics); such as quinidine, hydroquinidine, disopyramide, amiodarone, sotalol, dofetilide, ibutilide,
medicines used to treat mental or behavioural disorders (neuroleptics) such as phenothiazines, pimozide, sertindole, haloperidol, sultopride,

medicines used to treat infections (antimicrobials) such as moxifloxacin, erythromycin (by infusion), pentamidine and antimalarials (especially halofantrine)
certain medicines used to treat allergies; such as terfenadine, astemizole, mizolastine

others (cisapride, vincamine intravenously, bepridil, diphemanil).

If you are admitted to hospital or prescribed a new medicine, tell your doctor that you are taking Fareston.

Pregnancy and breast-feeding

Do not take Fareston during pregnancy or breast-feeding.

Driving and using machines

Fareston has no influence on the ability to drive and use machines.

Fareston contains lactose(28.5 mg per tablet). If your doctor has told you that you have an intolerance to some sugars, contact your doctor before taking this medicine.

3. How to take Fareston

Take this medicine exactly as your doctor has told you. If you are not sure, check with your doctor or pharmacist. The recommended dose is one 60 mg tablet per day, taken orally. Fareston can be taken with or without food.

If you take more Fareston than you should

Contact your doctor, pharmacist or the nearest hospital immediately. Symptoms of overdose may be dizziness and headache.

If you forget to take Fareston

If you forget to take a dose, take the next tablet as usual and continue with your treatment as recommended. Do not take a double dose to make up for a forgotten dose. If you forget several doses, inform your doctor and follow their instructions.

If you stop taking Fareston

Treatment with Fareston should only be stopped when your doctor tells you to.

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

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.

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

hot flushes, sweating

Common (may affect up to 1 in 10 people)

fatigue, dizziness, depression

nausea (feeling sick), vomiting

skin rash, itching, swelling (oedema)
vaginal bleeding, vaginal discharge.

Uncommon (may affect up to 1 in 100 people)

headache, sleep disorders
weight gain, constipation, loss of appetite

thickening of the lining of the uterus (endometrial hyperplasia)

blood clots, such as in the lungs (thromboembolic events)
breathing difficulties.

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

feeling of spinning (vertigo)
growth of the lining of the uterus (endometrial polyps)

increase in liver enzymes (increase in transaminases).

Very rare (may affect up to 1 in 10,000 people)

changes in the lining of the uterus (endometrium), cancer of the lining of the uterus (endometrial cancer)
hair loss (alopecia)

clouding of the cornea (transient corneal opacity)

yellowing of the skin and whites of the eyes (jaundice).

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

low white blood cell count, which is important for fighting infection (leucopenia)
low red blood cell count (anaemia)

low platelet count (thrombocytopenia)

inflammation of the liver (hepatitis)

You should contact your doctor immediately if you notice any of the following:

swelling or unusual sensitivity in your calf

unexplained breathing difficulties or sudden chest pain

vaginal bleeding or changes in vaginal discharge.

Fareston can cause certain abnormal changes in the heart's electrical activity (electrocardiogram or ECG). See section 2 "Warnings and precautions".

Reporting of side effects

If you get 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 listed in Annex V. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Fareston

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 label. 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. Ask your pharmacist how to dispose of medicines no longer required. These measures will help protect the environment.

6. Contents of the pack and further information

Composition of Fareston

The active substance is toremifene; each tablet contains 60 mg (as citrate).
The other ingredients are maize starch, lactose monohydrate, povidone, sodium starch glycollate, microcrystalline cellulose, anhydrous colloidal silica and magnesium stearate.

Appearance and packaging

The tablets are white, round, smooth, bevelled, with TO 60 printed on one side.

30 and 100 tablets. Not all pack sizes may be marketed.

Marketing authorisation holder

Orion Corporation

Orionintie 1

FI-02200 Espoo

Finland

Manufacturer

Orion Corporation Orion Pharma

Joensuunkatu 7

FI-24100 Salo

Finland

Date of last revision of this leaflet

Detailed information on this medicine is available on the European Medicines Agency web site http://www.ema.europa.eu

Country of registration
Spain
Active substance
toremifene
Prescription required
Yes
Manufacturer
Orion Corporation
This information is for reference only and does not constitute medical advice. Always consult a licensed doctor before taking any medication. Oladoctor is not responsible for medical decisions based on this content.
Alternatives to FARESTON 60 mg TABLETS
FARESTON 60 mg TABLETS
Dosage form: TABLET, 60 mg
Active substance: toremifene
Manufacturer: Orion Corporation
Prescription required
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Active substance: fulvestrant
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Prescription required
AMBIFUL 250 mg SOLUTION FOR INJECTION IN PRE-FILLED SYRINGE
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Manufacturer: Ever Valinject Gmbh
Prescription required

Alternatives to FARESTON 60 mg TABLETS in other countries

The best alternatives with the same active ingredient and therapeutic effect.

Alternative to FARESTON 60 mg TABLETS in Ukraina

FARESTON

Dosage form: tablets, tablets 60mg

Active substance: toremifene

Manufacturer: Orion Korporejsn (virobnik, so zdijsnue vsi virobnici stadii, virobnictvo, pervinne ta vtorinne pakuvanna, kontrol' akosti, vipusk serii)

Prescription required

FARESTON

Dosage form: tablets, tablets 20mg

Active substance: toremifene

Manufacturer: Orion Korporejsn (virobnik, so zdijsnue vsi virobnici stadii, virobnictvo, pervinne ta vtorinne pakuvanna, kontrol' akosti, vipusk serii)

Prescription required

Online doctors for FARESTON 60 mg TABLETS

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for FARESTON 60 mg TABLETS – subject to medical assessment and local rules.

5.0(2)

Tomasz Grzelewski

Dermatology21 years of experience

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:

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recurrent infections in children
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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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abnormal uterine bleeding, endometrial hyperplasia, cervical dysplasia
care during perimenopause and menopause, hormonal balance, cancer prevention
breastfeeding issues: nipple pain, cracked skin, blocked ducts, low milk supply
support during the postpartum and lactation period

Dr Reznychenko offers a clear, attentive and professional approach. Her consultations help prevent minor discomforts from developing into more serious concerns – all in a convenient online format.

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Supportive care for oncology patients – pain control, symptom relief, and side effect management.
Preventive medicine and health screenings.
Development of tailored treatment plans based on clinical guidelines.

With a patient-centred approach, Dr. Raevskii helps individuals manage both chronic illnesses and complex oncological cases. His consultations are guided by current medical standards and adapted to each patient’s needs.

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Early detection and treatment of type 1 and type 2 diabetes, with personalised therapy plans
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Diagnosis and treatment of endocrine-related skin, hair, and nail issues
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Dr. Tabeshadze takes a patient-centred approach based on evidence-based medicine. Her goal is to help patients achieve hormonal balance, manage chronic conditions effectively, and improve overall well-being through targeted, personalised care.

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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.
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Post-COVID-19 cardiac monitoring and care.

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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.
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Lab test analysis, therapy adjustments, medication management.
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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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Family medicine7 years of experience

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Endocrinology: diabetes type 1 and type 2, prediabetes, thyroid disorders, metabolic syndrome, hormonal imbalance.
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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.

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Type 1 and Type 2 diabetes – diagnosis, therapy adjustment, CGM interpretation, and prevention of chronic complications
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