Arimidex (Anastrozole), product photo
PCT & AI

Arimidex (Anastrozole)

Non-steroidal aromatase inhibitor. Reversible binding to aromatase - finely tunable for estradiol control during cycle.

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Also searched as: Anastrozol

At a glance

Arimidex (Anastrozole) by the numbers

The key figures from our lexicon. Drag the point along the curve to see how much is left after one dose, by calculation.

Full lexicon entry

How long does it stay in the body?

Share left after one dose, calculated with a half-life of ~2 days

Half-life ~2 days
After 4 days: 25 %
Day 2 · 50 %Day 4 · 25 %Day 6 · 12.5 %Day 10 · 3.1 %

Simplified model without an absorption phase, half-life from the TPD lexicon.

Class
Aromatase inhibitor

non-steroidal, reversible

Half-life
about 48 hours
Use
Oral

1-3x per week

Sizes
0.5 to 1 mg

2 sizes in the shop

For research and educational purposes only. Values from the TPD lexicon, sources linked there.

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Knowledge

Everything about Arimidex (Anastrozole)

Description

Anastrozole (Arimidex) is a non-steroidal, reversible third-generation aromatase inhibitor. Structurally the substance is a triazole derivative that binds competitively to the active site of the aromatase enzyme (CYP19A1) and prevents the conversion of androgens to estrogens.

Per study reports Anastrozole lowers circulating estradiol levels by 70-85% with daily dosing. The effect onsets quickly (steady-state within 7 days) and is equally quickly reversible after discontinuation - typical of reversible AIs.

In anabolic research Anastrozole is used to control aromatization of supraphysiologic testosterone doses. High test levels lead to increased aromatase activity and thus E2 spikes associated with water retention, mood swings, hypertension and gynecomastia research findings. Anastrozole curbs this conversion specifically.

The fine dose-response curve makes Anastrozole a precise tool: 0.25-0.5mg every 2-3 days suffices in many research protocols to keep E2 in the physiologic range. Unlike Exemestane, Anastrozole is reversible - this enables cycle adjustments without long recovery times.

Pharmacokinetically orally bioavailable with about 50-hour half-life. Known effects in studies: at too-strong E2 suppression (E2 under 20 pg/ml), joint pain, low libido and mood depression appear. Estradiol monitoring (blood tests) in longer research protocols is therefore important.

You can order Anastrozole as oral tablets in one bottle with 1mg per tablet.

This information is for research and educational purposes only. No medical recommendations.

Risks & Safety

Anastrozole sits in the mid range of the risk scale. As a reversible aromatase inhibitor the central risk lies not in the compound itself but in lowering estradiol too far.

Documented in studies and the literature:

  • Estradiol crash: at E2 below about 20 pg/ml, joint pain, low libido and low mood are documented - the lead problem of all aromatase inhibitors.
  • Lipid profile: the estrogen lowering can unfavorably affect the lipid profile in the literature.
  • Bone density: sustained low estradiol is associated with bone density loss.
  • Steep dose curve: the steep dose-response curve makes accidental over-dosing easy, so estradiol monitoring is recommended in the literature.

Monitoring via bloodwork is recommended. This classification does not replace medical advice. Risk and responsibility for any actual use lie entirely with the buyer.

Studies

Dosing

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More in the lexicon

FAQ

Frequently asked

Sources for every answer: lexicon entry

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What is anastrozole approved for?

In the USA since December 1995 for hormone-sensitive breast cancer in postmenopausal women, after surgery and in advanced disease. It is not approved for men.

How much does anastrozole lower estradiol?

According to the label by about 70 percent after 24 hours and about 80 percent after 14 days of daily dosing. In a comparative study estradiol fell by 84.9 percent and whole-body aromatase was 97.3 percent inhibited. Letrozole reached 87.8 percent.

What do studies in men show?

In 37 older men with low testosterone, total testosterone rose by about two thirds (daily) or a third (twice weekly) in 12 weeks. Estradiol fell by about a third in both groups and stayed within the normal range. Lipids, inflammatory markers and insulin action did not change during this time.

What happens to bone?

In older men spine bone density fell by about 1.7 percent over one year, while it rose slightly with placebo. In ATAC women on anastrozole broke bones more often than on tamoxifen during treatment (2.93 versus 1.90 percent per year), but not after it ended.

What did the ATAC trial show?

More than 6,000 postmenopausal women with early breast cancer received anastrozole or tamoxifen. After 100 months the cancer recurred less often with anastrozole, after 9 years in 17.0 versus 21.8 percent. There was no difference in overall survival.

How long does anastrozole act?

The mean half-life is 50 hours and a steady level is reached after about 7 days of daily dosing. The lowering of estradiol lasted up to 6 days after stopping. Food delays absorption but does not change the amount.

Comparisons

How it compares

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