- Take one 60 mg tablet once daily or as your doctor tells you.
- Can be taken with or without food.
- Swallow the tablet whole with a glass of water.
- Take at the same time each day for best results.
- If you miss a dose, take it as soon as you remember unless it’s close to the next dose. Do not double up to make up for a missed dose.
Keep taking Fareston even if you feel well—stopping suddenly may affect your treatment.
Fareston works by interacting with estrogen receptors in the body. Estrogen is a hormone that can help some types of breast cancer cells grow. Fareston helps to block estrogen’s effect on these cancer cells.
Here’s how Fareston works:
- It attaches to estrogen receptors in breast cells.
- Once it binds, it prevents estrogen from connecting to those receptors.
- This slows down the growth or even shrinks tumors that depend on estrogen.
Because it works differently in different parts of the body, Fareston can act like estrogen blockers in the breast and mild estrogen in other areas like bones. This helps protect against osteoporosis in some patients while still treating cancer.
Like all medicines, Fareston may cause side effects. Some are mild and go away with time, while others may require medical attention.
Common Side Effects:
- Hot flashes
- Sweating
- Nausea
- Dizziness
- Vaginal discharge
- Weight gain
- Swelling of hands or feet
- Headache
- Fatigue
Serious Side Effects:
- Blood clots (deep vein thrombosis, pulmonary embolism)
- Heart rhythm problems (QT prolongation)
- Liver problems (yellowing of skin or eyes, dark urine)
- Vision problems
- Severe allergic reactions (rash, swelling, trouble breathing)
- Unusual bleeding or bruising
Call your doctor or go to the emergency room if you experience chest pain, trouble breathing, sudden swelling, or fainting.
Before using Fareston, tell your doctor if you:
- Have a history of blood clots or stroke
- Have heart rhythm disorders (like long QT syndrome)
- Have liver problems
- Have high cholesterol or high calcium levels
- Are taking hormone replacement therapy
- Have osteoporosis or bone loss history
- Are pregnant or breastfeeding (Fareston is not safe during pregnancy)
Other precautions:
- Regular check-ups are important. Your doctor may order blood tests, ECGs, and liver function tests while you’re on Fareston.
- Stop smoking if you use tobacco. Smoking can increase the risk of blood clots.
- Avoid alcohol or limit it, as it may increase side effects.
- Stay active and move around regularly to help prevent blood clots.
Always follow your doctor’s advice and report any unusual symptoms.
Fareston can interact with other medications. Some interactions may increase side effects or reduce how well Fareston works.
Tell your doctor if you take:
- Heart rhythm medications
- Blood thinners (like warfarin)
- Antifungal medicines (like ketoconazole or fluconazole)
- Macrolide antibiotics (like erythromycin)
- HIV medicines
- Antidepressants
- Supplements, including calcium or herbal products
Avoid grapefruit or grapefruit juice while taking Fareston—it can interfere with how your body processes the drug.
Here are some key guidelines for taking Fareston safely:
- Standard Dose: 60 mg once daily
- Long-Term Use: May be taken for months or years, depending on your cancer treatment plan
- Missed Dose: Take as soon as possible unless it’s almost time for the next dose
- Do Not Stop Suddenly: Always talk to your doctor before stopping the medication
- Not for Use in Children or Men
- Pregnancy Warning: Fareston is not safe for use during pregnancy—use birth control if you are of childbearing age
Your doctor will regularly monitor your progress and adjust treatment if needed.
Fareston is a prescription-only medication. You must see a licensed healthcare provider to receive it.
Before prescribing Fareston, your doctor will:
- Review your medical history
- Check for hormone receptor status of your cancer
- Order tests like liver function tests, ECG, or calcium levels
- Ask about any past blood clot history or heart conditions
- Review your other medications for possible interactions
Never take Fareston unless it has been specifically prescribed for you. Breast cancer treatment is highly personal and must be managed by a cancer specialist.