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@cashemire

Thanks for posting this info and link! I would really like to find the original article with the clinical data. I came across a 1996 article, very small groups, also about dosing and am wondering about the 'below level of detection' difference betw .5 and 1 mg of Arimidex, but which is mentioned that result found 24 hrs after last dose...so doesn't explicitly mention if that was also the case during the 14-day testing period....(study funded by Zeneca, btw)

Arimidex (ZD1033): a selective, potent inhibitor of aromatase in postmenopausal female volunteers
RA Yates', M Dowsett2, GV Fisher', A Selen3 and PJ Wyld4 'Zeneca Pharmaceuticals, Alderley Park, Macclesfield, Cheshire SKIO 4TG, UK; 2Royal Marsden Hospital, Fulham Road, London, SW3 6JJ, UK; 3Zeneca Pharmaceuticals, 1800 Concord Pike, Wilmington, USA; 4Inveresk Clinical Research Ltd, Riccarton, Edinburgh, UK.
Summary
Two multiple-dose studies were conducted in healthy post-menopausal female volunteers to investigate the pharmacokinetics and effects on endocrinology of Arimidex (ZD1033). Volunteers in the first trial were dosed with 3 mg of ZD1033 daily over 10 days to assess the effects on endocrinology of ZD1033 and establish the pharmacokinetic profile. In the second trial volunteers received 14 daily doses of either 0.5 or 1.0 mg of ZD1033 to assess the pharmacokinetics of ZD1033 and the effects of low doses of ZD1033 on serum oestradiol concentrations. Following multiple dosing a significant reduction in the concentration of serum oestradiol of approximately 80% of baseline was obtained with all three doses; no recovery in oestradiol was apparent for up to 144 h after the last dose. There was no overall difference in the level of oestradiol suppression between the 0.5 or 1.0 mg doses of ZD1033. However, comparison of the number of volunteers with oestradiol concentrations below the limits of detection of the assay, 24 h after the last dose of ZD1033, suggested that 1.0 mg was the minimal dose required for maximal suppression of oestradiol.

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Replies to "Thanks for posting this info and link! I would really like to find the original article..."

Thank You for giving us this information. I find it helpful to ask the questions and then find some possible answers. Many women refuse these treatments due to being a one size fits all. I think it is very helpful to understand why it is this way.

My conclusion from this sentence in this study "There was no overall difference in the level of oestradiol suppression between the 0.5 or 1.0 mg doses of ZD1033." is that .5mg works just as well as 1.0mg. The only difference happens after the last dose. I've been on Arimidex since March 1st (I had bi-lateral breast cancer - stage 1, ER+ but HERC- in both breasts which were treated by lumpectomy and radiation). I have always been an athlete and eaten well. I have night sweats and terrible pains in my fingers from the Arimidex. I have played with taking it at different times of the day and with/without food as it made me really nauseous at first. I would like to see more studies about taking a half dose of Arimidex.