Manufacturer: Sciroxx
Substance: Exemestane
Pack: 200 tabs@25 mg/tab
The below article about Aromasin-Exemestane discusses how it works
and gives a history of the drug. You can find articles about all of the
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Aromasin (Exemestane) is a Type-I aromatase inhibitor, or suicidal
aromatase inhibitor. It's called this because it lowers estrogen
production in the body by attaching to the aromatase enzyme, and
permanently deactivating it. (1)
Personally, I find this to be a very interesting mechanism of action
when compared to type-II aromatase inhibitors, which bind competitively
to the aromatase enzyme, and eventually unbind, rendering it active
again. In the case of Aromasin, this doesn't happen, and once it does
its job on the enzyme, those particular enzymes will no longer
function. Your body will eventually create more of the aromatase
enzyme, so this isn't dangerous, despite the really odd suicide thing
in the first paragraph. As with all aromatase inhibitors, Aromasin was
developed to fight breast cancer primarily in post-menopausal women,
but we in the athletic community use it to combat estrogenic side
effects from aromatizable steroids, or for post cycle therapy.
Estrogen is responsible for many of the effects we're trying to avoid
when we're on a cycle, including excess water retention and development
of gynocomastia (breast tissue development in males. Thus, limiting the
conversion of testosterone into estrogen is of use for steroid using
athletes, when they're trying to avoid side effects. In this case, the
advantage of using a suicidal aromatase inhibitor is that it really
won?t cause much, if any, noticeable ?rebound? in estrogen when you
cease using it.
The hard numbers on Aromasin are reasonably impressive, as it averages
an 85% rate of estrogen suppression (2), and this translates to an
overall reduction in estradiol levels of about 50%, as well as raising
testosterone to a significant degree.(3).
It is also known as a steroidal aromatase inhibitor. This is really
interesting, because it has been known to actually cause side effects
(androgenic sides) that include increased aggressiveness and a pretty
decent hardening effect. (4) I wouldn't usually suggest that women
should use Aromasin in large doses for any extended period of time, for
this reason (possible virilization, or development of male sexual
characteristics could occur with its use). It should, therefore, be
reserved for use by women to brief periods of time in a possible
pre-contest phase or for a form of post cycle therapy after a cycle.
Interestingly (and almost paradoxically) exemestane not only increases
testosterone and lowers estrogen, but it also increases levels of
insulin-like growth Factor (IGF). (5) I find this to be interesting,
because although the rise in testosterone is most likely responsible
for the increase in IGF levels, IGF is known to be an aggravating
factor in the growth of breast tumors, like the kind found in breast
cancer. However, since estrogen is the primary culprit in breast
cancer, the large reduction in estrogen levels, even when combined with
a rise in IGF, is enough to make Aromasin a very effective breast
cancer medication. /div> Aromasin isn't too harsh on blood lipids
(6) (cholesterol), unlike some of the other AIs' like Letrozole.
Exemestane reaches steady blood plasma levels of after a week of
administration and this is also when we see it begin its maximal effect
on reducing circulating estrogen levels. It's also has a ½ life of 27
hours (4), so taking it once per day is going to build up blood plasma
levels to a very effective level.
References:
1. A predictive model for exemestane pharmacokinetics/pharmacodynamics
incorporating the effect of food and formulation.Br J Clin Pharmacol.
2005 Mar;59(3):355-64.
2. Eur. J. Cancer. 2000, May;36(8):976-82
3. The Journal of Clinical Endocrinology & Metabolism Vol. 88, No. 12 5951-5956Copyright © 2003 by The Endocrine Society
4. Clin Cancer Res. 2003 Jan;9(1 Pt 2):468S-72S
5. Anticancer Res. 2003 Jul-Aug;23(4):3485
6. J Clin Endocrinol Metab. 2003 Dec;88(12):5951-6.
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