Overview
Exemestane is a steroidal aromatase inhibitor approved for early and advanced breast cancer after menopause.
This listing is Zionova Aromasin (Exemestane) 20mg Tablets (20 mg, 30 tablets), photographed as we ship it and priced in Canadian dollars.
How it works
Exemestane binds aromatase and permanently disables it, so the body must make new enzyme before estrogen production recovers. It has a mild androgenic metabolite.
Clinical reference
The breast cancer label is 25 mg once a day after a meal. A dose-finding study in young men tested 25 to 50 mg a day.
Reference information from product labels and clinical literature only. It is not a recommendation or dosing advice for you; any use should be set and monitored by a doctor.
Measuring calculator
Type the amount from your prescription or clinician; the calculator only converts it. It does not suggest how much to take.
Combinations and interactions
- Alternative to anastrozole; both lower estradiol by different mechanisms.
- Interactions: estrogen products reduce its effect; strong CYP3A4 inducers such as rifampin lower its levels.
Risks and side effects
- Low estradiol. Joint aches, low libido, low mood.
- Bone thinning. With long-term use.
- Hot flushes and fatigue. Common in clinical use.
Do not use it if you are premenopausal, pregnant, or have osteoporosis.
Bloodwork to discuss with your doctor
- Estradiol
- Testosterone
- Lipid panel
Peer-reviewed papers behind the facts on this page, each linked to its PubMed record.
Chemistry

Research
Storage and handling
Keep the bottle tightly closed at room temperature, away from moisture, heat and children. Do not move tablets into unlabelled containers.
Canadian legal status
This is a prescription medicine in Canada. A doctor should assess whether it suits you, choose the dose and monitor you while you use it.
FAQ
What strength are the tablets?
The Zionova bottle lists 20 mg tablets, 30 to a bottle.
Should it be taken with food?
The label advises taking it after a meal for better absorption.
Why is it called suicidal?
It permanently disables aromatase molecules rather than blocking them temporarily.
How fast will it reach me?
Orders leave Vancouver by Canada Post Xpresspost and the tracking number arrives within 72 hours of your e-Transfer. Most provinces receive parcels 1 to 6 business days after that; the territories can take up to 10. Xpresspost is free on orders over $300, and a lost or seized parcel is reshipped at no charge.
Reviews
5.0 out of 5 from 1 review by customers.
Don’t leave home with out
Smart thinking, Brian. Having Aromasin on hand, used only when bloodwork calls for it, is the right approach.
1 review for Zionova Aromasin (Exemestane) 20mg Tablets
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Brian B. (verified owner) –
Don’t leave home with out
Steroids Canada (store manager) –
Smart thinking, Brian. Having Aromasin on hand, used only when bloodwork calls for it, is the right approach.