Drug Interactions

Drug interactions between Arimidex and tamoxifen

Results for the following 2 drugs:

Arimidex (anastrozole)
tamoxifen

Interactions between your selected drugs

tamoxifen ⇔ anastrozole

Applies to: tamoxifen and Arimidex (anastrozole)

GENERALLY AVOID: Coadministration with tamoxifen may decrease the plasma concentrations of anastrozole. The mechanism of interaction has not been described. In one clinical trial, coadministration of tamoxifen (20 mg/day) and anastrozole (1 mg/day) in breast cancer patients resulted in decreased anastrozole plasma concentration by 27% compared to administration of anastrozole alone. In addition, at a median follow-up of 33 months, the combination did not demonstrate any efficacy benefit over tamoxifen therapy alone in all patients as well as in the hormone receptor-positive subpopulation, and this treatment arm was discontinued from the trial. The pharmacokinetics of tamoxifen and its pharmacologically active N-desmethyl metabolite were not affected.

MANAGEMENT: Concomitant use of tamoxifen and anastrozole should be avoided.

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