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If a caregiver prepares your dose for youthey should consider wearing gloves or pour the pills directly from their container into the capa small cupor directly into your handThey should avoid touching the pillsThey should always wash their hands before and after giving you the medicationPregnant or nursing women should not prepare the dose for you.
The most serious side effects seen with FEMARA are bone effectsfracturesdecreased bone density and osteoporosisand increases in cholesterolOther common side effects seen with FEMARA include joint painnauseaweight decreasevaginal irritationand pain in the extremitiesOther important less commonly reported side effects include blood clotsother cancersstrokeheart attack and endometrial cancer.
In patients with advanced diseaseLetrozole therapy should continue until tumor progression is evident.
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in patients whose menopausal status is unclear, luteinising hormone lh , follicle-stimulating hormone fsh and or oestradiol levels should be measured before initiating treatment with femara.