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Medically Approved

Letrozole oral tablet dosage: A detailed guide

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Doctors prescribe letrozole oral tablet to treat certain types of breast cancer after menopause. You take it by mouth, typically once per day.
Medically reviewed by Dena Westphalen, PharmD
Updated on

This article describes letrozole oral tablet’s dosage and strength and gives details on how to take it. You’ll also find information on cost savings and coupon options for letrozole.

If you want to know more about letrozole oral tablet, see this overview article. It covers details about the drug’s uses, its side effects, ways to save on cost, and more.

Letrozole oral tablet is a generic version of the brand-name drug Femara.

Form and strength of letrozole

Letrozole oral tablet comes as follows:

  • Form: oral tablet you take by mouth
  • Strength: 2.5 milligrams (mg)

Dosage of letrozole

This article describes the recommended dosage for letrozole oral tablet. The drugmaker provides the recommended dosage.

If your doctor prescribes this medication, you should follow the dosage they prescribe. Your doctor will determine the dosage that best meets your needs. Do not change your dosage of letrozole oral tablet without your doctor’s recommendation.

Usual recommended dosage of letrozole in adults

Letrozole is approved to treat certain types of breast cancer in adult females* who’ve gone through menopause. These types are:

  • early breast cancer, with a hormone receptor status of positive
  • early breast cancer that has been treated with the medication tamoxifen
  • advanced breast cancer confined to the breast or that has spread to other parts of the body, with a hormone receptor status of positive or unknown
  • advanced breast cancer that has progressed after antiestrogen therapy

* Sex and gender exist on spectrums. In this article, we use the term “female” to refer to a person’s sex assigned at birth.

Dosage for certain types of breast cancer

The dosage of letrozole for each of its approved uses for breast cancer is 2.5 milligrams (mg) once per day. This is the lowest dosage.

But if you have serious liver problems, your doctor may adjust your dosing schedule. In this case, they’ll prescribe 2.5 mg once every other day instead of daily. This helps lower your risk of side effects from the drug.

If you have questions about your dosage, talk with your doctor.

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Dosage adjustments for letrozole

Your doctor will prescribe a dosage of letrozole oral tablet based on several factors. These include:

  • the specific condition being treated
  • other medications you may be taking
  • other health conditions you may have

If you have serious liver problems, your doctor may adjust your dosage of letrozole.

Missed dose of letrozole

Talk with your doctor or pharmacist right away if you realize you forgot to take a dose of letrozole oral tablet. They may advise you to take the missed dose. Or they may advise you to skip it and take your next dose as scheduled.

For tips on how to plan your doses of letrozole oral tablet and avoid missing a dose, read this article. You could also try:

  • downloading a reminder app on your phone
  • setting an alarm
  • putting a note where you’ll see it, such as on your calendar, bathroom mirror, or bedside table

Frequently asked questions

Below are answers to some commonly asked questions about letrozole oral tablet and its dosage.

Can letrozole be taken for fertility or PCOS? If so, what is the dosage?

It might be. Letrozole isn’t approved for fertility or polycystic ovary syndrome (PCOS). So the drugmaker doesn’t provide a recommended dosage.

But letrozole might be taken off-label for fertility or PCOS. With off-label use, doctors prescribe a medication for a condition other than what it’s approved to treat.

PCOS may disrupt a normal menstrual cycle in females* and cause fertility problems. In this case, doctors might prescribe letrozole. They do so to increase ovulation, which is the release of an egg from the ovary. This may help with fertility.

If you have questions about this off-label use of letrozole, talk with your doctor. They can provide more information, including typical dosages.

* Sex and gender exist on spectrums. In this article, we use the term “female” to refer to a person’s sex assigned at birth.

Does letrozole oral tablet have a dose of 5 mg?

No, it doesn’t. The approved dosage of letrozole oral tablet for each of its approved uses for breast cancer is 2.5 milligrams (mg) once per day. Also, letrozole oral tablet comes only in a strength of 2.5 mg.  

Do not take a dosage of letrozole that’s higher than what your doctor has prescribed. This could increase your risk of serious side effects from the medication.

If you have questions about your dosage of letrozole, talk with your doctor or pharmacist.

Is letrozole taken long term?

Yes, doctors typically prescribe letrozole oral tablet as a long-term treatment. You and your doctor will determine whether it’s safe and effective for your condition. If you agree that it is, you’ll likely take it for 5 years. Your doctor will monitor you for any signs that the cancer is progressing.

But if letrozole isn’t working to treat your condition, your doctor may stop the medication. If so, they’ll discuss other treatment options with you.

If you have questions about how long you should take letrozole oral tablet, talk with your doctor.

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How letrozole is taken

You’ll swallow letrozole oral tablet once per day with or without food.

Your doctor or pharmacist can tell you whether there’s a particular time of day you should take letrozole.

Do not split, chew, or crush the tablet. If it’s hard for you to swallow tablets, view this article. It provides suggestions on how to swallow medications that come in pill form.

Also, be sure to talk with your doctor or pharmacist if you’re having difficulty taking your medication. They can offer recommendations about taking it.

Letrozole coupon

Visit this page to access Optum Perks coupons and get price estimates for letrozole when you use the coupons. These coupons can provide significant savings on your prescription costs. 

Note: Optum Perks coupons cannot be used with insurance copays or benefits.

Overdose of letrozole

It’s important that you do not take more letrozole oral tablet than your doctor prescribes. Doing so can lead to harmful effects.

What to do if you take too much letrozole

If you think you’ve taken too much letrozole, call your doctor or pharmacist right away. Or you could call 800-222-1222 to speak with someone at America’s Poison Centers. You can also use its online resource. If you have severe symptoms, call 911 or a local emergency number immediately. You can also go to the closest emergency room.

What to ask your doctor

This article describes the usual recommended dosage for letrozole oral tablet. If your doctor prescribes this medication, they’ll determine the dosage that’s best for you.

Do not change your dosage of letrozole oral tablet without your doctor’s recommendation. You should take letrozole oral tablet exactly as your doctor prescribes it. Let your doctor know if you have concerns or questions about your treatment plan.

Here’s a list of some possible questions you may want to ask your doctor:

  • If letrozole oral tablet isn’t working for me, will my dosage be increased?
  • Could taking letrozole oral tablet every other day lower my risk of side effects?
  • If I’m taking other medications for my condition, will I need a dosage adjustment of letrozole oral tablet?

Disclaimer: Optum Perks has made every effort to make certain that all information is factually correct, comprehensive, and up to date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or another healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.

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