What is Astralis?
Astralis is used to treat certain types of breast cancer in women who have already stopped menstruating (postmenopausal). It is also used for women who have already had other cancer treatments (e.g., tamoxifen).
Many breast cancer tumors grow in response to estrogen. Astralis interferes with the production of estrogen in the body. As a result, the amount of estrogen that the tumor is exposed to is reduced, limiting the growth of the tumor.
Astralis is available only with your doctor's prescription.
Once a medicine has been approved for marketing for a certain use, experience may show that it is also useful for other medical problems. Although these uses are not included in product labeling, Astralis is used in certain patients with the following medical conditions:
- Breast cancer, neoadjuvant treatment for hormone receptor-positive, operable or potentially operable, locally advanced disease in postmenopausal women (treatment for advanced breast cancer that may respond to surgery in women who have already stopped menstruating).
Astralis indications
Adjuvant Treatment
Astralis tablets are indicated for adjuvant treatment of postmenopausal women with hormone receptor-positive early breast cancer.
First-Line Treatment
Astralis tablets are indicated for the first-line treatment of postmenopausal women with hormone receptor-positive or hormone receptor unknown locally advanced or metastatic breast cancer.
Second-Line Treatment
Astralis tablets are indicated for the treatment of advanced breast cancer in postmenopausal women with disease progression following tamoxifen therapy. Patients with ER-negative disease and patients who did not respond to previous tamoxifen therapy rarely responded to Astralis tablets.
How should I use Astralis?
Use Astralis as directed by your doctor. Check the label on the medicine for exact dosing instructions.
- An extra patient information leaflet is available with Astralis. Talk to your pharmacist if you have questions about this information.
- Take Astralis by mouth with or without food.
- Continue to take Astralis even if you feel well. Do not miss any doses.
- If you miss a dose of Astralis, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.
Ask your health care provider any questions you may have about how to use Astralis.
Uses of Astralis in details
Use: Labeled Indications
Breast cancer:
First-line treatment of locally-advanced or metastatic breast cancer (hormone receptor-positive or unknown) in postmenopausal women
Adjuvant treatment of early hormone receptor-positive breast cancer in postmenopausal women
Treatment of advanced breast cancer in postmenopausal women with disease progression following tamoxifen therapy
Off Label Uses
Endometrial or uterine cancers (recurrent or metastatic)
Hormonal agents such as progestational agents or tamoxifen may be used in the management of recurrent or metastatic endometrial cancer; in select patients, aromatase inhibitors, including Astralis, may be considered. A small phase II trial evaluated Astralis in a group of unselected patients with advanced recurrent or persistent endometrial cancer; the results showed minimal activity of Astralis.
Astralis description
Astralis is a drug indicated in the treatment of breast cancer in post-menopausal women. It is used both in adjuvant therapy (i.e. following surgery) and in metastatic breast cancer. It decreases the amount of estrogens that the body makes. Astralis belongs in the class of drugs known as aromatase inhibitors. It inhibits the enzyme aromatase, which is responsible for converting androgens (produced by women in the adrenal glands) to estrogens.
Astralis dosage
Astralis Dosage
Generic name: Astralis 1mg
Dosage form: tablet
The information at Drugs.com is not a substitute for medical advice. Always consult your doctor or pharmacist.
Recommended Dose
The dose of Astralis is one 1 mg tablet taken once a day. For patients with advanced breast cancer, Astralis should be continued until tumor progression. Astralis can be taken with or without food.
For adjuvant treatment of early breast cancer in postmenopausal women, the optimal duration of therapy is unknown. In the ATAC trial, Astralis was administered for five years.
No dosage adjustment is necessary for patients with renal impairment or for elderly patients.
Patients with Hepatic Impairment
No changes in dose are recommended for patients with mild-to-moderate hepatic impairment. Astralis has not been studied in patients with severe hepatic impairment.
More about Astralis (Astralis)
- Side Effects
- During Pregnancy
- Dosage Information
- Drug Images
- Drug Interactions
- Support Group
- Pricing & Coupons
- En Espanol
- 43 Reviews - Add your own review/rating
- Generic Availability
Consumer resources
- Astralis
- Astralis (Advanced Reading)
Professional resources
- Astralis (AHFS Monograph)
- Astralis (FDA)
Related treatment guides
- Breast Cancer, Metastatic
- Breast Cancer
- McCune-Albright Syndrome
- Pubertal Gynecomastia
Astralis interactions
See also:
What other drugs will affect Astralis?
Astralis inhibits CYPs 1A2, 2C8/9 and 3A4 in vitro. Clinical studies with antipyrine and warfarin showed that Astralis at a 1 mg dose did not significantly inhibit the metabolism of antipyrine and R- and S-warfarin indicating the co-administration of Astralis with other medicinal products is unlikely to result in clinically significant medicinal product interactions mediated by CYP enzymes.
The enzymes mediating metabolism of Astralis have not been identified. Cimetidine, a weak, unspecific inhibitor of CYP enzymes, did not affect the plasma concentrations of Astralis. The effect of potent CYP inhibitors is unknown.
A review of the clinical trial safety database did not reveal evidence of clinically significant interaction in patients treated with Astralis who also received other commonly prescribed medicinal products. There were no clinically significant interactions with bisphosphonates.
Co-administration of tamoxifen or estrogen-containing therapies with Astralis should be avoided as this may diminish its pharmacological action.
Astralis side effects
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What are the possible side effects of Astralis?
Unless specified, the following frequency categories were calculated from the number of adverse events reported in a large phase III study conducted in 9,366 postmenopausal women with operable breast cancer treated for 5 years (ATAC Study).
The table below presents the frequency of pre-specified adverse events in the ATAC study, irrespective of causality, reported in patients receiving trial therapy and up to 14 days after cessation of trial therapy.
The ATAC trial data showed that patients receiving Astralis had an increase in joint disorders (including arthritis, arthrosis, and arthralgia) compared with patients receiving tamoxifen. Patients receiving Astralis had an increase in the incidence of fractures (including fractures of spine, hip and wrist) compared with patients receiving tamoxifen. These differences were statistically significant. Fracture rates of 22 per 1,000 patient-years and 15 per 1000 patient-years were observed for the Astralis and tamoxifen groups, respectively, after a median follow up of 68 months. The observed fracture rate for Astralis is similar to the range reported in age-matched postmenopausal populations. It has not been determined whether the rates of fracture and osteoporosis seen in ATAC in patients on Astralis treatment reflect a protective effect of tamoxifen, a specific effect of Astralis, or both.
The incidence of osteoporosis was 10.5% in patients treated with Astralis and 7.3% in patients treated with tamoxifen.
Patients receiving Astralis had a decrease in hot flushes, vaginal bleeding, vaginal discharge, endometrial cancer, venous thromboembolic events (including deep venous thrombosis) and ischaemic cerebrovascular events compared with patients receiving tamoxifen. These differences were statistically significant.
Results from the ATAC trial bone substudy, at 12 and 24 months demonstrated that patients receiving Astralis had a mean decrease in both lumbar spine and total hip bone mineral density (BMD) compared to baseline. Patients receiving tamoxifen had a mean increase in both lumbar spine and total hip BMD compared to baseline.
Slight increases in total cholesterol have also been observed in clinical trials with Astralis, although the clinical significance has not been determined.
Astralis contraindications
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What is the most important information I should know about Astralis?
Do not use Astralis if you are pregnant. It could harm the unborn baby.
You may need to take a pregnancy test before using Astralis, to make sure you are not pregnant.
You should not use this medication if you are allergic to Astralis, if you are breast-feeding a baby, or if you have not yet completed menopause. Astralis is not for use in men or children.
Before using Astralis, tell your doctor if you have heart disease, circulation problems, a history of stroke or blood clot, severe liver disease, high cholesterol, osteoporosis, or low bone mineral density.
Astralis may not work as well if you take it together with tamoxifen or an estrogen medication (such as hormone replacement therapy, estrogen creams, or birth control pills, injections, implants, skin patches, and vaginal rings). Before you start taking Astralis, tell your doctor if you also take tamoxifen or estrogen.
You may need to keep taking Astralis for up to 5 years. Follow your doctor's instructions.
Active ingredient matches for Astralis:
Anastrozole in Croatia (Hrvatska).
List of Astralis substitutes (brand and generic names) | Sort by popularity |
| Unit description / dosage (Manufacturer) | Price, USD |
| Asoinacor (Mexico) | |
| Astrazol (Greece) | |
| Astrol (Slovenia) | |
| Astrozol (Iceland, Philippines) | |
| Astzol (Australia) | |
| Atrocela (Hungary) | |
| Atrocela 1 mg (Hungary) | |
| Atrozol (Poland) | |
| Avomin (Georgia) | |
| Axastrol (Estonia, Latvia, Lithuania) | |
| Azastrole (Australia) | |
| Azoleres | |
| Azoleres 1mg TAB / 10 | $ 0.60 |
| Azonet (Croatia (Hrvatska)) | |
| Barstra (Netherlands) | |
| Betasolde (Poland) | |
| Bio-Anastrozole (Canada) | |
| Bio-anastrozole tablet 1 mg (Biomed Pharma (Canada)) | |
| Biomedis Anastrozole (Philippines) | |
| Biomedis Anastrozole 1 mg x 28's | $ 102.67 |
| Biostrol (Netherlands) | |
| CCP-Anastrozole (Canada) | |
| Cefer (Argentina) | |
| Curmyl (Spain) | |
| Deltasolde (Estonia, Latvia, Lithuania, Slovakia, Slovenia) | |
| Dispolan (Bulgaria) | |
| Distalene (Argentina) | |
| DP Anastrozole (New Zealand) | |
| Egistrazol (Russian Federation) | |
| Egistrozol (Bulgaria, Czech Republic, Georgia) | |
| ELINAL | |
| ELINAL 1 MG TABLET 1 strip / 10 tablets each (Emcure Pharmaceuticals Ltd) | $ 5.35 |
| Elinal 1mg Tablet (Emcure Pharmaceuticals Ltd) | $ 0.54 |
| Eloza (Romania) | |
| Enastros (Greece) | |
| Enzamidex (Romania) | |
| Episolde (Estonia) | |
| Epsisolde (Latvia, Lithuania, Slovakia, Slovenia) | |
| Eristrol (Italy) | |
| Estarizol (Russian Federation) | |
| Everdex (South Africa) | |
| Extroplex (Italy) | |
| Femistra (India) | |
| Femistra 1 mg Tablet (Cadila Healthcare (Zydus Cadila Healthcare Ltd)) | $ 0.47 |
| FEMISTRA 1 MG TABLET 1 strip / 10 tablets each (Cadila Healthcare (Zydus Cadila Healthcare Ltd)) | $ 4.42 |
| FEMISTRA 1 MG TABLET 1 strip / 5 tablets each (Cadila Healthcare (Zydus Cadila Healthcare Ltd)) | $ 2.21 |
| FEMISTRA film-coated tab 1 mg x 10's (Cadila Healthcare (Zydus Cadila Healthcare Ltd)) | $ 4.42 |
See 555 substitutes for Astralis | |
References
- DailyMed. "ANASTROZOLE: DailyMed provides trustworthy information about marketed drugs in the United States. DailyMed is the official provider of FDA label information (package inserts).". https://dailymed.nlm.nih.gov/dailyme... (accessed September 17, 2018).
- PubChem. "anastrozole". https://pubchem.ncbi.nlm.nih.gov/com... (accessed September 17, 2018).
- DrugBank. "anastrozole". http://www.drugbank.ca/drugs/DB01217 (accessed September 17, 2018).
Reviews
The results of a survey conducted on ndrugs.com for Astralis are given in detail below. The results of the survey conducted are based on the impressions and views of the website users and consumers taking Astralis. We implore you to kindly base your medical condition or therapeutic choices on the result or test conducted by a physician or licensed medical practitioners.User reports
Consumer reported useful
No survey data has been collected yetConsumer reported price estimates
No survey data has been collected yetConsumer reported time for results
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Information checked by Dr. Sachin Kumar, MD Pharmacology
