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Arimidex vs. Clomid

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Anastrozole (Arimidex) and clomiphene (Clomid) are both oral medications that affect estrogen levels in the body, but they are used for different purposes. Anastrozole is an aromatase inhibitor used to treat breast cancer in postmenopausal women by lowering estrogen levels, which can help slow the growth of certain cancer cells. Clomiphene, on the other hand, is a selective estrogen receptor modulator (SERM) used to treat female infertility by tricking the body into thinking estrogen levels are low, which stimulates ovulation. Anastrozole is typically taken as a 1 mg tablet daily, while clomiphene is taken as a 50 mg tablet once a day for 5 days during the menstrual cycle. Both medications are available as a lower-cost generic. Anastrozole can cause side effects like hot flashes and bone weakening, while clomiphene can cause side effects like hot flashes and stomach pain. Anastrozole should not be taken with medications containing estrogen, and clomiphene should be avoided if you have liver problems, certain thyroid problems, or are pregnant.

Anastrozole

(Arimidex)

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Clomid

(clomiphene)

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Summary for Arimidex

Prescription only

Anastrozole (Arimidex) is prescription oral medication used to treat certain types of breast cancer, including both early and advanced or metastatic stages. It's FDA approved only for postmenopausal women, or those who have already gone through menopause. This medication belongs to a class called aromatase inhibitors, which works by lowering estrogen levels in the body. You take one tablet by mouth once a day, with or without food. Common side effects include hot flashes, weakness, and joint pain.

Indications for Arimidex

Pros and Cons for Arimidex

Pros

  • Oral tablet taken once a day
  • Can be taken with or without food
  • Helps reduce the risk of breast cancer coming back

Cons

  • Only FDA approved to treat postmenopausal women
  • Commonly causes hot flashes, joint pain, weakness
  • Typically need to take it for at least 5 years

Common Side Effects for Arimidex

Early breast cancer:

  • Hot flashes (36%)
  • Muscle and joint problems (36%)
  • Tiredness (19%)
  • Changes in mood (19%)
  • Nausea and vomiting (13%)
  • Bone fractures (10%)

Advanced or metastatic breast cancer:

  • Nausea and vomiting (34%)
  • Hot flashes (26%)

Advanced breast cancer that's worsened after tamoxifen treatment:

  • Nausea and vomiting (29%)
  • Hot flashes (13%)

Warnings for Arimidex

  • Heart disease
  • Bone loss
  • Rise in cholesterol levels
  • Harm to unborn baby

Summary for Clomid

Prescription only

Clomid (clomiphene) is a selective estrogen receptor modulator (SERM) used to treat infertility in people wanting to become pregnant. It works by causing ovulation, or egg release. You'll take a dose by mouth every day for 5 days, typically during your menstrual period. Some of the more common side effects include hot flashes, bloating, and stomach pain.

Indications for Clomid

Pros and Cons for Clomid

Pros

Cons

  • Typically only recommended for up to 3 cycles, not a long-term treatment
  • Can cause vision problems in some rare cases
  • Not safe if you have liver problems or certain thyroid problems

Common Side Effects for Clomid

  • Swollen ovaries (14%)
  • Hot flashes (10%)
  • Stomach pain, discomfort, or bloating (6%)

Warnings for Clomid

  • Vision changes
  • Ovarian hyperstimulation syndrome (OHSS)
  • Possible risk of harm to unborn baby

Prices with our coupons for Arimidex vs. Clomid

Price Card Drug Icon
Anastrozole90 tablets / 1mg
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Clomid30 tablets / 50mg
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