Aromasin® (Exemestane)

Aromasin® (Exemestane)

Description

Exemestane 25mg Film-Coated Tablets — Steroidal Aromatase Inactivator for Hormone Receptor-Positive Breast Cancer in Postmenopausal Women

Additional Information

Aromasin® (Exemestane) — Steroidal Aromatase Inactivator for HR-Positive Breast Cancer

Irreversible Aromatase Inactivation — A Mechanistically Distinct Endocrine Therapy for Postmenopausal Breast Cancer

Aromasin® (Exemestane) is a steroidal, irreversible aromatase inactivator — used to treat hormone receptor-positive (HR-positive) breast cancer in postmenopausal women both as adjuvant therapy in early breast cancer and as treatment for advanced or metastatic disease. Unlike non-steroidal aromatase inhibitors (NSAIs) such as Anastrozole (Arimidex) and Letrozole which reversibly and competitively inhibit the aromatase enzyme, Exemestane is a steroidal compound that acts as a false substrate — binding irreversibly to the aromatase enzyme’s active site and permanently inactivating it through mechanism-based (suicide) inhibition. New aromatase activity is only restored when new enzyme protein is synthesised.

This irreversible inactivation mechanism distinguishes Exemestane fundamentally from NSAIs — providing complete and sustained aromatase blockade between doses, potential advantages in the setting of NSAI resistance through ESR1 and aromatase pathway mutations, and a mild androgenic profile (from Exemestane’s steroidal structure) that may provide modest bone-protective effects relative to NSAIs.

A.K. Pharma is a trusted medicine distributor in Delhi supplying genuine Aromasin (Exemestane) to hospitals, oncology centres, breast cancer clinics, and pharmacies across India. Manufactured by Pfizer, Aromasin has been used in breast cancer treatment for over two decades — with an extensive evidence base across adjuvant, sequential, and metastatic breast cancer settings and a unique combination role with Everolimus (mTOR inhibitor) in PI3K/mTOR pathway-resistant HR-positive advanced breast cancer.


What is Aromasin (Exemestane)?

Aromasin contains Exemestane — a steroidal compound structurally related to androstenedione (the natural aromatase substrate) that acts as a mechanism-based (suicide) inhibitor of aromatase.

Steroidal vs Non-Steroidal Aromatase Inhibitors — A Critical Mechanistic Distinction:

Non-Steroidal AIs (Anastrozole, Letrozole):

  • Bind reversibly to the haem group of aromatase (CYP19A1) in the active site
  • Competitive inhibition — prevents substrate (androstenedione) from accessing the active site
  • Inhibition is reversible — aromatase activity returns after drug levels fall
  • No covalent binding to enzyme — enzyme is released intact after drug dissociation

Steroidal AI — Exemestane (Aromasin):

  • Structurally similar to the natural aromatase substrate (androstenedione)
  • Binds to the androgen-binding active site of aromatase — recognised as a substrate
  • Undergoes partial enzymatic processing → forms a reactive intermediate
  • Reactive intermediate forms a covalent bond with the aromatase active site → permanent enzyme inactivation
  • Aromatase cannot be released intact — the enzyme is irreversibly destroyed
  • Activity only restored when new aromatase protein is synthesised (enzyme turnover)

Clinical Implications of Irreversible Inactivation:

  • More complete suppression of aromatase activity throughout the dosing interval
  • No rebound estrogen synthesis when drug levels fall between doses
  • Potential activity in the setting of NSAI resistance where aromatase protein may be upregulated (more aromatase molecules available but each one permanently inactivated by Exemestane)
  • The steroidal structure provides mild androgenic properties — which may partially offset estrogen deprivation effects on bone compared to NSAIs

Estrogen Suppression: Exemestane 25mg once daily suppresses plasma estrogens (estrone, estradiol, estrone sulphate) by >85-95% in postmenopausal women — comparable to NSAIs — achieving profound estrogen deprivation that deprives ER-positive breast cancer cells of their primary growth stimulus.

Full prescribing information is available at the FDA label for Exemestane.


Clinical Studies and Evidence

IES Trial (Exemestane After Tamoxifen — Landmark Sequential Adjuvant Trial) Published in the New England Journal of Medicine (2004) with long-term follow-up, the Intergroup Exemestane Study (IES) was a Phase 3 randomised controlled trial of 4,724 postmenopausal women with HR-positive early breast cancer who had received 2-3 years of adjuvant Tamoxifen — comparing switching to Exemestane for the remaining adjuvant period vs continuing Tamoxifen for 5 years total. Key results:

  • Disease-free survival — significantly improved with Exemestane switch — HR 0.76 — 24% reduction in risk of disease recurrence or death
  • Distant recurrence-free survival — significantly improved — HR 0.80
  • Overall survival — trend favouring Exemestane at initial analysis; significantly improved in updated analyses — particularly in ER-positive patients
  • Contralateral breast cancer — significantly fewer with Exemestane
  • Established sequential Exemestane (switching after 2-3 years of Tamoxifen) as a superior adjuvant strategy to continuing Tamoxifen — the pivotal trial for sequential aromatase inhibitor use after Tamoxifen

BOLERO-2 Trial (Exemestane + Everolimus in Advanced Breast Cancer After NSAI Failure) Published in the New England Journal of Medicine (2012), the landmark BOLERO-2 trial was a Phase 3 randomised controlled trial of 724 postmenopausal women with HR-positive HER2-negative advanced breast cancer who had progressed on a non-steroidal aromatase inhibitor (Anastrozole or Letrozole). Comparing Exemestane + Everolimus (mTOR inhibitor) vs Exemestane + placebo, key results:

  • Progression-free survival (central assessment) — median PFS 11.0 months (Exemestane + Everolimus) vs 4.1 months (Exemestane alone) — HR 0.38 — dramatically improved — more than doubling PFS
  • Objective response rate — 12.0% vs 1.3%
  • Clinical benefit rate — 51.3% vs 26.4%
  • Established Exemestane as the standard endocrine backbone for Everolimus combination in HR-positive HER2-negative advanced breast cancer after NSAI failure — a clinically important niche as the only steroidal AI with BOLERO-2 data in this specific setting
  • Also established PI3K/mTOR pathway inhibition (via Everolimus) as a strategy to overcome NSAI resistance — a paradigm-shifting finding

TEXT and SOFT Trials (Exemestane + Ovarian Suppression in Premenopausal Breast Cancer) Published in the New England Journal of Medicine (2014), the TEXT and SOFT trials specifically compared Exemestane + ovarian function suppression (OFS) vs Tamoxifen + OFS in premenopausal women with HR-positive early breast cancer. Key results at 5-year analysis:

  • Breast cancer-free interval — significantly improved with Exemestane + OFS vs Tamoxifen + OFS — HR 0.72 — particularly in high-risk patients
  • At 8-year follow-up — significantly improved BCFI maintained — HR 0.77
  • Established Exemestane + OFS as the preferred endocrine approach for high-risk premenopausal HR-positive early breast cancer — making Exemestane the recommended AI to combine with ovarian suppression in this setting

Exemestane as CDK4/6 Inhibitor Combination Partner: While Ribociclib (Kryxana) + AI and Palbociclib (Palbace) + AI combinations are typically studied with NSAIs (Letrozole, Anastrozole), Exemestane can be used as an alternative aromatase inhibitor partner in CDK4/6 inhibitor combinations in patients who have progressed on or are intolerant to NSAIs — the CDK4/6 inhibition mechanism is independent of which specific AI is used.


Available Strengths

Aromasin is available as:

Presentation Dose Administration
Aromasin 25mg Film-Coated Tablets 25mg Oral once daily after a meal

Standard dose: 25mg orally once daily — taken after a meal. Food increases Exemestane absorption and bioavailability — consistent post-meal administration is recommended for reliable drug exposure.


Indications — What Aromasin is Used For

Adjuvant Treatment — Early Breast Cancer (Sequential After Tamoxifen):

  • Adjuvant treatment of postmenopausal women with HR-positive early breast cancer — switching to Exemestane after 2-3 years of Tamoxifen for a total of 5 years of adjuvant endocrine therapy (IES trial)
  • Particularly recommended for patients who start adjuvant treatment as premenopausal and become postmenopausal during treatment (having started on Tamoxifen)

Adjuvant Treatment — Early Breast Cancer (With Ovarian Suppression in Premenopausal Women):

  • In combination with ovarian function suppression (GnRH agonist such as Zoladex/Goserelin) for adjuvant treatment of premenopausal women with HR-positive early breast cancer at high risk of recurrence (TEXT and SOFT trials)
  • In this setting Exemestane + OFS is superior to Tamoxifen + OFS — preferred for high-risk premenopausal patients

Advanced Breast Cancer — Monotherapy:

  • Treatment of advanced HR-positive breast cancer in postmenopausal women — after failure of anti-oestrogen therapy (Tamoxifen)
  • Less commonly used as monotherapy since the BOLERO-2 data established the combination with Everolimus as superior

Advanced Breast Cancer — In Combination With Everolimus (BOLERO-2 — Standard of Care):

  • In combination with Everolimus (mTOR inhibitor) for postmenopausal women with HR-positive HER2-negative advanced breast cancer who have progressed on non-steroidal aromatase inhibitor therapy
  • The only aromatase inhibitor with Level 1 evidence for the Everolimus combination in this specific post-NSAI failure setting

For detailed indication information refer to MedlinePlus Exemestane.


Key Benefits of Aromasin

Irreversible Aromatase Inactivation — Mechanistic Advantage Over NSAIs Exemestane’s irreversible mechanism-based inactivation provides more complete and sustained aromatase blockade throughout the dosing interval compared to reversible NSAIs — with no possibility of enzyme recovery between doses. This mechanistic distinction is clinically relevant in the post-NSAI resistance setting where aromatase protein may be upregulated — Exemestane permanently destroys each aromatase molecule it encounters regardless of expression levels.

The Only AI With BOLERO-2 Data — Standard Backbone for Everolimus Combination The BOLERO-2 trial specifically evaluated Exemestane + Everolimus in post-NSAI advanced breast cancer — Exemestane is therefore the standard aromatase inhibitor backbone for the Everolimus combination regimen. No equivalent Level 1 evidence exists for Everolimus + NSAI in the post-NSAI setting — making Aromasin the specific AI of choice when prescribing the Everolimus combination.

Preferred AI for Combination With Ovarian Suppression in Premenopausal Breast Cancer The TEXT and SOFT trials demonstrate Exemestane + OFS is superior to Tamoxifen + OFS in high-risk premenopausal HR-positive early breast cancer. Current international guidelines (ESMO, ASCO, St Gallen) recommend Exemestane + OFS as the preferred endocrine approach for high-risk premenopausal patients — making Aromasin the go-to AI when combining with Zoladex (Goserelin) or other GnRH agonists.

Mild Androgenic Properties — Potential Bone Advantage Over NSAIs Exemestane’s steroidal structure provides partial androgenic activity — which may partially counteract estrogen deprivation-related bone loss. Studies suggest less bone mineral density loss with Exemestane compared to NSAIs — potentially reducing fracture risk with long-term use. This modest bone advantage may be clinically relevant for patients at high baseline fracture risk.

Effective Sequential Therapy After Tamoxifen The IES trial establishes switching to Exemestane after 2-3 years of Tamoxifen as significantly superior to completing 5 years of Tamoxifen — a 24% reduction in recurrence risk. This sequential strategy is particularly important for patients who started adjuvant Tamoxifen as premenopausal and have become postmenopausal during treatment — they should switch to Exemestane (or another AI) at the point of confirmed postmenopausal status.

Simple Oral Once-Daily Dosing — Excellent Long-Term Tolerability Once-daily oral tablet taken after a meal — with generally good tolerability. The main side effects are estrogen deprivation-related (joint pain, hot flushes, bone loss) — manageable with appropriate monitoring and supportive care. Exemestane avoids the endometrial cancer and thromboembolic risks associated with Tamoxifen.


How Aromasin Works — Mechanism-Based Aromatase Inactivation

The Aromatase Enzyme and Estrogen Biosynthesis in Postmenopausal Women:

In postmenopausal women, ovarian estrogen production has ceased. The primary source of circulating estrogen is peripheral aromatisation — conversion of adrenal androgens (androstenedione, testosterone, DHEA) to estrogens (estrone, estradiol) by aromatase (CYP19A1) in adipose tissue, muscle, liver, skin, and breast tissue including tumour tissue itself.

This peripheral aromatisation is the only meaningful estrogen source in postmenopausal women — making aromatase inhibition highly effective at achieving estrogen deprivation and depriving ER-positive breast cancer of its primary growth stimulus.

Exemestane’s Mechanism-Based Inhibition:

Step 1 — Substrate Mimicry: Exemestane is structurally similar to androstenedione — the natural aromatase substrate. The aromatase enzyme recognises Exemestane as a substrate analog and binds it in the active site — just as it would bind natural androstenedione.

Step 2 — Enzymatic Activation: Aromatase begins the normal catalytic process on Exemestane — the first hydroxylation step proceeds normally. This generates a reactive intermediate (6-methylenandrosta-1,4-diene-3,17-dione).

Step 3 — Covalent Active Site Alkylation: The reactive intermediate forms a covalent bond with a nucleophilic residue in the aromatase active site — typically through Michael addition to the enzyme protein. This covalent modification permanently blocks the active site.

Step 4 — Irreversible Enzyme Inactivation: The covalently modified aromatase cannot release the inhibitor or resume catalytic activity — the enzyme is permanently inactivated. Normal substrate (androstenedione) cannot access the blocked active site.

Step 5 — Sustained Estrogen Suppression: With each molecule of aromatase permanently inactivated, plasma estrogen levels fall profoundly — >85-95% reduction — and remain suppressed until new aromatase enzyme protein is synthesised (enzyme turnover, which takes days). This provides sustained estrogen deprivation throughout and between doses.

Mild Androgenic Properties: Exemestane’s steroidal structure and the metabolite 17-hydroexemestane have mild androgenic activity — binding to the androgen receptor weakly. This mild androgen receptor activity may partially counteract estrogen deprivation effects on bone by stimulating osteoblast activity and inhibiting osteoclasts — contributing to the modest bone advantage observed vs NSAIs.

For detailed mechanism overview refer to ESMO Breast Cancer Guidelines and ASCO Breast Cancer Treatment Guidelines.


Aromasin vs Arimidex — Steroidal vs Non-Steroidal Aromatase Inhibitor

Feature Aromasin (Exemestane) Arimidex (Anastrozole)
Class Steroidal aromatase inactivator Non-steroidal aromatase inhibitor
Mechanism Irreversible — covalent enzyme inactivation Reversible — competitive haem binding
Androgenic properties Mild — from steroidal structure None
Bone mineral density loss Modest Moderate
Estrogen suppression >85-95% >80%
Post-Tamoxifen sequential use ✅ Yes (IES trial) ✅ Yes (ABCSG-8/ARNO)
Premenopausal + OFS ✅ Preferred (TEXT/SOFT) ✅ Yes
Everolimus combination ✅ BOLERO-2 standard backbone ❌ No Level 1 data
CDK4/6 inhibitor partner ✅ Yes (alternative to NSAI) ✅ Yes (first-line combination)
ESR1 mutation resistance ❌ Inactive (as all AIs) ❌ Inactive
Duration (adjuvant) 5 years total (2-3 Tam + 2-3 Exemestane) 5 years upfront or sequential
Available at A.K. Pharma Request Quote Request Quote

Dosage and Administration

All Indications — Standard Dose:

  • 25mg orally once daily — after a meal
  • Take at approximately the same time each day — consistent post-meal dosing is recommended for reliable absorption
  • Swallow tablet whole — do not crush or chew

Duration by Indication:

  • Sequential adjuvant after Tamoxifen: Continue Exemestane for 2-3 years after switching — completing 5 years of total adjuvant endocrine therapy (2-3 years Tamoxifen + 2-3 years Exemestane = 5 years total). Extended adjuvant beyond 5 years may be considered in high-risk node-positive patients
  • Premenopausal + OFS: 5 years of Exemestane + 5 years of OFS (GnRH agonist) in high-risk premenopausal patients per TEXT/SOFT trial protocols
  • Advanced/metastatic breast cancer (monotherapy): Until disease progression or unacceptable toxicity
  • Advanced breast cancer + Everolimus: Until disease progression — Exemestane 25mg once daily + Everolimus 10mg once daily

When Used With Everolimus (BOLERO-2 Regimen):

  • Exemestane 25mg once daily — after a meal — standard dose
  • Everolimus 10mg once daily — taken with or without food consistently
  • Monitor for Everolimus-related toxicities — stomatitis (most common), non-infectious pneumonitis, hyperglycaemia, dyslipidaemia, immunosuppression
  • Everolimus dose adjustments per toxicity — Exemestane dose remains 25mg throughout

Bone Monitoring and Protection:

  • DEXA scan at baseline before starting any aromatase inhibitor
  • Calcium and Vitamin D supplementation throughout
  • Repeat DEXA every 1-2 years during treatment
  • Consider Prolia (Denosumab 60mg) or bisphosphonate for patients with low baseline BMD or fracture risk

Drug Interactions:

  • CYP3A4 inducers (rifampicin, carbamazepine, St John’s Wort) — significantly reduce Exemestane plasma levels; avoid or increase Exemestane dose to 50mg daily if unavoidable
  • CYP3A4 inhibitors — moderate effect; generally no dose adjustment required for moderate inhibitors
  • Estrogen-containing therapies — negate Exemestane’s effect; avoid concomitant use

Full dosing guidelines available at Drugs.com Exemestane Dosage.


Who Should Use Aromasin

Aromasin is prescribed for:

Adjuvant Early Breast Cancer:

  • Postmenopausal women with HR-positive early breast cancer who have received 2-3 years of Tamoxifen and are switching to an AI for sequential adjuvant therapy — Exemestane is the established option for this sequential approach (IES trial)
  • High-risk premenopausal women with HR-positive early breast cancer — in combination with ovarian function suppression (GnRH agonist) — where Exemestane + OFS is preferred over Tamoxifen + OFS (TEXT/SOFT trials)
  • Patients becoming postmenopausal during Tamoxifen adjuvant therapy — switch to Exemestane at confirmed postmenopausal status

Advanced/Metastatic Breast Cancer:

  • Postmenopausal women with HR-positive HER2-negative advanced breast cancer who have progressed on NSAI (Anastrozole or Letrozole) — in combination with Everolimus per BOLERO-2 (the primary indication for Aromasin in this setting)
  • Postmenopausal women with HR-positive advanced breast cancer after Tamoxifen failure — as monotherapy (less common now that CDK4/6 and Everolimus combinations are available)
  • Patients where a steroidal AI is preferred over NSAI for bone protection considerations

Aromasin is prescribed by medical oncologists, breast cancer specialists, and gynaecological oncologists. A.K. Pharma supplies Aromasin to hospitals, oncology centres, breast cancer clinics, and pharmacies across Delhi and India.


Possible Side Effects

Common side effects relate primarily to estrogen deprivation and mild androgenic activity:

  • Hot flushes — 22% — estrogen deprivation vasomotor symptoms
  • Arthralgia and joint stiffness — 18-29% — most common reason for treatment discontinuation; typically most severe in the first year — often improves over time
  • Fatigue — 22%
  • Headache — 13%
  • Nausea — 9-18%
  • Increased sweating — 6-18%
  • Insomnia — 11%
  • Alopecia (hair thinning) — 15%
  • Mild androgenic effects — acne, mild hirsutism — less common; from steroidal structure

Serious side effects:

Bone Loss and Fracture Risk: Long-term estrogen deprivation causes progressive reduction in bone mineral density → increased fracture risk. Monitor with DEXA and consider bone-protective therapy. Exemestane has slightly less bone loss than NSAIs due to mild androgenic properties — but monitoring is still required.

Cardiovascular Effects: Mild increase in total cholesterol — monitor lipid profile periodically. No significant increase in cardiovascular events vs placebo demonstrated in clinical trials.

Hepatotoxicity: Rare elevations in liver enzymes — monitor liver function if clinically indicated.

Embryo-Foetal Toxicity: Exemestane can cause foetal harm — effective contraception required in women of reproductive potential (perimenopausal patients); not for use in pregnancy.

Full side effect information available at FDA Exemestane Safety Information.


Precautions

  • Postmenopausal status confirmation — Exemestane is ineffective in premenopausal women without concomitant ovarian suppression. Confirm postmenopausal status (FSH, LH, estradiol) before prescribing upfront; for premenopausal patients — add GnRH agonist
  • Bone mineral density monitoring — DEXA at baseline; bone-protective therapy for low BMD or high fracture risk; calcium and Vitamin D supplementation throughout
  • CYP3A4 inducers — avoid; significantly reduce Exemestane levels; if unavoidable — increase Exemestane dose to 50mg
  • Estrogen-containing therapies — avoid; negate Exemestane’s aromatase inhibition
  • Hepatic impairment — Exemestane is extensively metabolised; use with caution in severe hepatic impairment
  • Renal impairment — no significant pharmacokinetic impact; no dose adjustment required
  • Pregnancy — teratogenic; effective contraception required in perimenopausal women
  • Refer to ESMO Breast Cancer Guidelines for complete management context

Storage and Handling

  • Store at room temperature below 25°C
  • Keep in original packaging — protect from moisture and light
  • Keep out of reach of children
  • No special temperature requirements — straightforward oral tablet formulation

As a responsible medicine distributor in Delhi, A.K. Pharma stores all medicines including Aromasin under manufacturer-recommended conditions ensuring product integrity for every supply to oncology centres and breast cancer clinics.


Manufacturer Information

Aromasin (Exemestane) is manufactured by Pfizer Inc., a global pharmaceutical company with an extensive oncology portfolio. Exemestane received FDA approval in October 1999 for advanced breast cancer — with subsequent approval for adjuvant treatment of early breast cancer in 2005 following IES trial results. A.K. Pharma supplies only genuine Aromasin sourced from authorized Pfizer distributors.


Related Breast Cancer Medicines Available at A.K. Pharma


Frequently Asked Questions

Q. What is Aromasin used for? Aromasin (Exemestane) is used for adjuvant treatment of postmenopausal women with HR-positive early breast cancer — particularly as sequential therapy after Tamoxifen — and for treatment of advanced HR-positive HER2-negative breast cancer in postmenopausal women after NSAI failure, typically in combination with Everolimus. More information available at MedlinePlus.

Q. What is the generic name of Aromasin? The generic name of Aromasin is Exemestane. It is a steroidal, irreversible aromatase inactivator — structurally related to androstenedione — manufactured by Pfizer.

Q. How is Aromasin different from Arimidex (Anastrozole)? The key difference is the mechanism. Arimidex (Anastrozole) is a non-steroidal reversible aromatase inhibitor — it inhibits the enzyme but releases it intact. Aromasin (Exemestane) is a steroidal irreversible aromatase inactivator — it permanently destroys the enzyme through covalent binding. Practical differences: Aromasin has mild androgenic properties (potentially better for bones), is the standard backbone for Everolimus combination (BOLERO-2), and is the preferred AI for combination with ovarian suppression in premenopausal patients (TEXT/SOFT).

Q. When should Aromasin be used instead of Arimidex? Aromasin is specifically preferred in three situations: (1) Sequential adjuvant therapy after 2-3 years of Tamoxifen — IES trial evidence; (2) In combination with Everolimus for advanced breast cancer after NSAI (Anastrozole/Letrozole) failure — BOLERO-2 trial specifically used Exemestane; (3) In combination with ovarian suppression (Zoladex) for high-risk premenopausal early breast cancer — TEXT/SOFT trials used Exemestane.

Q. Can Aromasin be used in premenopausal women? Aromasin is not effective as sole therapy in premenopausal women — active ovarian estrogen production compensates for aromatase inhibition. However, Exemestane can be used effectively in premenopausal women when combined with ovarian function suppression using a GnRH agonist such as Zoladex (Goserelin). The TEXT and SOFT trials establish this combination as superior to Tamoxifen + OFS in high-risk premenopausal HR-positive early breast cancer.

Q. What is the BOLERO-2 trial and why does it matter for Aromasin? BOLERO-2 demonstrated that adding Everolimus (mTOR inhibitor) to Exemestane more than doubled progression-free survival (11.0 vs 4.1 months) in HR-positive HER2-negative advanced breast cancer after NSAI failure. This makes Exemestane the specific steroidal AI of choice when prescribing the Everolimus combination — the trial specifically used Exemestane, and it is this combination that is approved and guideline-recommended in the post-NSAI setting.

Q. Should Aromasin be taken with food? Yes — Aromasin should be taken after a meal. Food significantly increases Exemestane absorption and bioavailability. Taking consistently after meals ensures reliable drug exposure and optimal efficacy.

Q. Is Aromasin available in India? Aromasin can be supplied to hospitals, oncology centres, and pharmacies across India through licensed pharmaceutical distributors. Contact A.K. Pharma — medicine distributor in Delhi — for availability and pricing.

Q. What is the price of Aromasin in India? Aromasin 25mg price in India varies by pack size. Contact A.K. Pharma at 011 4172 6999 or WhatsApp +91 9810034827 for current pricing and bulk supply rates.

Q. How to order Aromasin from A.K. Pharma? You can request a quote directly from this page, call us at 011 4172 6999, or WhatsApp us at +91 9810034827 with your requirements and we will respond promptly.

Q. Does A.K. Pharma supply Aromasin in bulk? Yes. A.K. Pharma supplies Aromasin in bulk to oncology centres, breast cancer clinics, hospitals, and pharmacies across Delhi and India. Contact us for bulk pricing and availability.


Why Order Aromasin from A.K. Pharma?

  • Licensed medicine distributor in Delhi with all required drug licenses
  • 100% genuine Aromasin sourced from authorized Pfizer distributors
  • Available alongside the complete breast cancer endocrine therapy portfolio — Arimidex, Faslodex, Kryxana, Palbace, Ramiven, Zoladex
  • Bulk supply available for hospitals and oncology centres
  • Prompt response to all quote requests
  • Serving oncologists and breast cancer specialists across Delhi NCR and India

Contact A.K. Pharma for Aromasin Supply 📍 E-2/257A, 2nd Floor, Shastri Nagar, New Delhi 110052 📞 011 4172 6999 📱 WhatsApp: +91 9810034827 🌐 akpharma.in

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