PlainPill

Exemestane vs Tamoxifen for hormones

Short answer: For hormones, more users report improvement with Tamoxifen — 98% of 49 reports, versus 67% of 3 for Exemestane.

Tamoxifen has 479 meta-analyses and 1,597 randomized trials on PubMed; the other has not been graded.

Based on 30 reports about Exemestane and 298 about Tamoxifen. Not medical advice.

Exemestane
Medication
Tamoxifen
Medication
Users say it helped18%helped5 reports · few reports64%helped75 reports · medium confidence
Verdict
Mixed
Mostly positive
ResearchNot gradedAResearch: Strong
Meta-analyses / RCTs—479 / 1,597
Mainly used for
Hormones
% reporting improvement
67% (3)98% (49)
Libido
% reporting improvement
—57% (7)
Energy
% reporting improvement
—100% (5)
Common side effectsjoint pain, hair loss, joint problems, fatiguefatigue, depression, low libido, headache
Typical dose reportedNot listedNot listed
Exemestane
What a user said
“I've had good results from their latest batches of aromasin, enclomiphene, and taladafil.”
Full Exemestane profile →
Tamoxifen
Latest review conclusion

5 years of adjuvant tamoxifen safely reduces 15-year risks of breast cancer recurrence and death. ER status was the only recorded factor importantly predictive of the proportional reductions. Hence, the absolute risk reductions produced by tamoxifen depend on the absolute breast cancer risks (after any chemotherapy) without tamoxifen.

Lancet, 2011 ↗
What a user said
“Dosage 5 mg starting at week 2. I upped the dose to 10 mg mid cycle due to slightly feeling suppressed.”
Full Tamoxifen profile →

Related comparisons

Percentages come from first-hand user reports and are not clinical outcomes. Talk to a doctor before starting, stopping or combining anything. How we rate