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Letrozole Side Effects

The most commonly reported side effects of letrozole include fatigue, nausea, and neutropenia, based on 61,870 FDA adverse event reports from 2004 to 2025.

Letrozole side effects

Percentages show how often each reaction appears relative to total reports for letrozole.

1
Fatigue11.4%7,075
2
Nausea8.4%5,173
3
Neutropenia8.1%4,991
4
Diarrhoea7.2%4,457
5
Malignant Neoplasm Progression7.0%4,325
6
White Blood Cell Count Decreased6.0%3,742
7
Alopecia5.8%3,563
8
Arthralgia5.7%3,528
9
Neoplasm Progression4.7%2,898
10
Pain4.5%2,799
11
Asthenia4.5%2,789
12
Dyspnoea4.4%2,745
13
Vomiting4.2%2,620
14
Death4.0%2,452
15
Decreased Appetite3.7%2,310

These are voluntary reports and do not establish that letrozole caused these reactions.

Report severity

80.3%Serious49,678 reports
25.5%Hospitalizations15,803 reports
9.9%Fatal6,127 reports

Seriousness is determined by the reporter, not by OpenClaim.

Letrozole drug interactions

Other drugs that appear in adverse event reports alongside letrozole. Drugs flagged as a suspected cause appear in the first column. Drugs taken at the same time but not suspected appear in the second.

Also suspected

1
Palbociclib32.2%19,902
2
Ribociclib16.7%10,347
3
Zoledronic-acid5.5%3,379
4
Fulvestrant5.1%3,158
5
Trastuzumab5.1%3,143
6
Docetaxel4.7%2,934
7
Denosumab4.0%2,475
8
Capecitabine4.0%2,460
9
Paclitaxel3.9%2,417
10
Tamoxifen-citrate3.8%2,358
11
Exemestane3.7%2,259
12
Abemaciclib3.6%2,230
13
Anastrozole2.9%1,799
14
Everolimus2.6%1,608
15
Pertuzumab2.5%1,546

Taken alongside

1
Ergocalciferol7.1%4,406
2
Acetaminophen6.7%4,123
3
Levothyroxine-sodium6.3%3,893
4
Calcium4.8%2,992
5
Denosumab4.8%2,942
6
Aspirin4.7%2,892
7
Omeprazole4.6%2,818
8
Atorvastatin-calcium4.0%2,463
9
Amlodipine3.9%2,441
10
Ondansetron3.7%2,295
11
Metformin3.6%2,255
12
Zoledronic-acid3.2%2,001
13
Gabapentin3.2%1,988
14
Pantoprazole-sodium3.2%1,951
15
Furosemide3.1%1,921

Co-occurrence in adverse event reports does not establish a drug interaction. Patients often take multiple medications, and these lists reflect prescribing patterns rather than causal relationships. Consult a healthcare provider about potential drug interactions.

Who reports letrozole side effects

91.9% of letrozole adverse event reports involve female patients and 1.6% involve male patients. The largest age group is adult at 51%. These figures reflect who reports side effects, not underlying risk.

Sex

Female91.9%
Male1.6%
Unknown6.5%

Age group

< 20.3%
2–110.1%
12–170.3%
18–6451.5%
65+47.9%

What is letrozole used for

Conditions and purposes for which patients were taking letrozole when the adverse event was reported.

Abortion InducedAcute LeukaemiaAcute Lymphocytic LeukaemiaAcute Myeloid LeukaemiaAcute Myeloid Leukaemia RefractoryAcute Promyelocytic LeukaemiaAcute Undifferentiated LeukaemiaAdenocarcinomaAdenocarcinoma GastricAdjuvant TherapyAdrenal DisorderAdrenal Gland CancerAdrenal Gland Cancer MetastaticAdverse Drug ReactionAlbright^s Disease

Showing 15 of 704 indications

Letrozole brand names and reporting trend

Letrozole is sold under the brand name Femara.

Brand names

Femara53,031

Quarterly reports (20042025)

20052010201520202025

An upward trend reflects increased FAERS reporting overall, not necessarily increased risk.

Taking letrozole with another medication?

Ask OpenClaim about your specific drug combination. Get a sourced report using FDA data, drug labels, and medical literature.