Femara (letrozole) has been approved by the FDA to treat breast cancer in post-menopausal women. But, many doctors also prescribe the drug as an infertility treatment, a non-approved use, despite the known risks of birth defects and miscarriages.
Novartis, the maker of Femara, recently issued a letter to doctors in the U.S. and Canada warning them against non-approved uses of the drug. To date, Novartis has received 13 adverse reports of women prescribed Femara during pregnancy - approximately 30% of these reports indicated harm to the baby, such as birth defects.
Animal studies have shown that Femara can cause harm to the fetus when prescribed to the pregnant female. Specifically, in small doses, the drug was show to be embryotoxic, fetotoxic, and teratogenic - causing harm and birth defects to the unborn baby.
Doctors and fertility clinics are currently using Femara to induce ovulation in infertile females. The Femara website states very clearly, "You should not take FEMARA if you are pregnant as it may cause fetal harm. You must be postmenopausal to take FEMARA." In the prescribing information, Novartis warns, "If there is exposure to letrozole [Femara] during pregnancy, the patient should be apprised of the potential hazard to the fetus and the potential risk for loss of the pregnancy.
Femara In the News
Femara continues to be used by fertility specialists to induce ovulation by suppressing the production of estrogen. To inform doctors of the risks of birth defects, Health Canada urged drug maker, Novartis to send out a warning letter. (Nov-29-05) [SAN JOSE MERCURY NEWS]Novartis outlines specific safety information on Femara for doctors and patients. [FEMARA]
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