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I reviewed the dosing and metabolism information from the websites of both Arimidex and Fermara prior to my fall onc visit, to see if I could go on a reduced dosage. According to the information I read, the standard dose is higher than the average patient requires to attain the degree of aromatase suppression the drug is designed to deliver. Arimidex does not provide for reduced dosing, even in patients with poor liver function, but Femara does. The reduced dosage is administered by taking a pill every other day, rather than every day. My onc said he has only done the lower dose regimen with very elderly patients whom he believed would have less aggressive disease. His opinion was that the half dosage did not work as well. This is another area I believe requires more immediate attention and study.
Hopeful
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