What is Anastrozole?
Anastrozole 1 mg is an aromatase inhibitor used mainly to treat hormone-receptor–positive breast cancer in postmenopausal women.
Anastrozole 1 works by lowering estrogen levels, which helps slow or stop the growth of estrogen-dependent cancer cells.
Brand names include:
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Arimidex
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Various generic versions
Manufacturer
Many companies manufacture Anastrozole. Common ones include:
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AstraZeneca (Arimidex – original brand)
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Various Indian generics such as Cipla, Sun Pharma, Natco, etc.
Composition
Each tablet contains:
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Anastrozole 1 mg
Inactive ingredients vary by brand (lactose, povidone, magnesium stearate, etc.)
Working (Mechanism of Action)
Anastrozole works by:
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Blocking the aromatase enzyme, which converts androgens into estrogen.
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This reduces estrogen levels in the body.
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Lower estrogen slows the growth of estrogen-dependent breast cancer cells.
It is not a chemotherapy drug — it is a hormonal therapy.
How to Use Anastrozole
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Take 1 mg tablet once daily
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Take at the same time each day
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Can be taken with or without food
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Swallow whole with water
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Continue long-term unless your doctor advises stopping
Do not stop the medication suddenly without medical advice.
Dosage
Standard dose: 1 mg once daily
Duration typically:
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5 years (standard treatment)
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Sometimes up to 10 years in high-risk patients
Dosage does not change based on age, weight, or food.
Warnings and Precautions
Do NOT take if:
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You are pregnant or breastfeeding
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You are premenopausal (unless specifically advised)
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You are allergic to Anastrozole
Use with caution if you have:
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Osteoporosis or bone weakness
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Heart disease
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History of stroke or blood clots
Drug Interactions
Avoid or discuss with your doctor:
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Tamoxifen
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Estrogen pills, patches, or creams
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Certain hormone therapies
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Some antidepressants
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Cholesterol-lowering medications
Benefits
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Reduces estrogen levels significantly
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Helps prevent breast cancer recurrence
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Effective in postmenopausal women with hormone-positive tumors
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Reduces the risk of cancer spreading
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Often used after surgery, radiation, or chemotherapy
Avoid Taking Anastrozole If
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You are pregnant or may become pregnant
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You are still having menstrual periods
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You are taking estrogen replacement therapy
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You have severe bone loss without medical supervision
Side Effects
Common:
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Hot flashes
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Weakness or fatigue
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Mood swings
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Headache
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Bone thinning (osteoporosis)
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Muscle pain
Serious (seek medical help):
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New or worsening bone pain
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Fractures
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Shortness of breath
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Leg swelling (possible clot)
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Severe allergic reactions
Bone density tests are often done yearly during treatment.
Where to Store
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Store below 25°C
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Keep in a dry place
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Protect from moisture and light
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Keep out of reach of children
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Do not store in the bathroom or hot areas
Conclusion
Anastrozole 1 is a highly effective hormonal therapy used mainly for hormone-positive breast cancer in postmenopausal women.
It works by lowering estrogen, slowing cancer growth, and preventing recurrence.
While generally well-tolerated, it requires monitoring for bone health, cholesterol levels, and cardiovascular risks.

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