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exemestane

Structure via PubChem · Public domain (PubChem)

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exemestane

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Also known as 6-methyleneandrosta-1,4-diene-3,17-dione

Exemestane, sold under the brand name Aromasin among others, is a medication used to treat breast cancer. It is a member of the class of antiestrogens known as aromatase inhibitors. Some breast cancers require estrogen to grow. Those cancers have estrogen receptors (ERs), and are called ER-positive. They may also be called estrogen-responsive, hormonally-responsive, or hormone-receptor-positive. Aromatase is an enzyme that synthesizes estrogen. Aromatase inhibitors block the synthesis of estrogen. This lowers the estrogen level, and slows the growth of cancers.

Key facts

Drug.Verifiedfields
changed
Drug.Watchedfields
changed
Drug.verifiedrevid
461098446
Drug.IUPAC_name
6-Methylideneandrosta-1,4-diene-3,17-dione
Drug.image
Exemestane.svg
Drug.image_class
skin-invert-image
Drug.width
225
Drug.image2
Exemestano.png
Drug.image_class2
bg-transparent
Drug.width2
225
Drug.tradename
Aromasin
Drug.MedlinePlus
a607006
Drug.routes_of_administration
By mouth
Drug.class
Aromatase inhibitor; Antiestrogen
Drug.ATC_prefix
L02
Drug.ATC_suffix
BG06
Drug.legal_UK
POM
Drug.legal_US
Rx only

via Wikipedia infobox

Chemical data

Formula
C20H24O2
Molecular weight
296.4 g/mol
IUPAC name
(8R,9S,10R,13S,14S)-10,13-dimethyl-6-methylidene-7,8,9,11,12,14,15,16-octahydrocyclopenta[a]phenanthrene-3,17-dione
SMILES
C[C@]12CC[C@H]3[C@H]([C@@H]1CCC2=O)CC(=C)C4=CC(=O)C=C[C@]34C
InChIKey
BFYIZQONLCFLEV-DAELLWKTSA-N
XLogP
3.1
Polar surface area
34.1 Ų
H-bond donors
0
H-bond acceptors
2
Formal charge
0

via PubChem

Wikidata facts

Mass
296.178
Show 7 more facts
chemical formula
C₂₀H₂₄O₂
defined daily dose
25
canonical SMILES
CC12CCC3C(C1CCC2=O)CC(=C)C4=CC(=O)C=CC34C
isomeric SMILES
C[C@]12CC[C@H]3[C@H]([C@@H]1CCC2=O)CC(=C)C4=CC(=O)C=C[C@]34C
MCN code
3003.39.95
World Health Organisation international non-proprietary name
exemestane
Commons category
Exemestane
Sources (5)

via Wikidata · CC0

~9 min read

Article

14 sections
Contents
  • Medical uses
  • Contraindications
  • Side effects
  • Overdose
  • Interactions
  • Pharmacology
  • Pharmacodynamics
  • Pharmacokinetics
  • Chemistry
  • Society and culture
  • Performance enhancement
  • Research
  • References
  • External links

Exemestane, sold under the brand name Aromasin among others, is a medication used to treat breast cancer. It is a member of the class of antiestrogens known as aromatase inhibitors. Some breast cancers require estrogen to grow. Those cancers have estrogen receptors (ERs), and are called ER-positive. They may also be called estrogen-responsive, hormonally-responsive, or hormone-receptor-positive. Aromatase is an enzyme that synthesizes estrogen. Aromatase inhibitors block the synthesis of estrogen. This lowers the estrogen level, and slows the growth of cancers.

==Medical uses== Exemestane is indicated for the adjuvant treatment of postmenopausal women with estrogen-receptor positive early breast cancer who have received two to three years of tamoxifen and are switched to it for completion of a total of five consecutive years of adjuvant hormonal therapy. US FDA approval was in October 1999.

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