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Generic Raloxifene Information
Introduction
Raloxifene is a selective estrogen‑receptor modulator (SERM) that is primarily prescribed for the prevention and treatment of osteoporosis in post‑menopausal women. It is marketed under the women's‑health therapeutic group and is relevant to Hong Kong’s ageing female population, where more than one‑third of women over 60 years have low bone mineral density. Raloxifene is produced by several manufacturers; the original brand name is Evista (GSK). The active compound is raloxifene, and the medication is also used off‑label for breast‑cancer risk reduction in women with established osteoporosis.
What is Raloxifene?
Raloxifene is the generic version of the branded product Evista, containing the same active compound — raloxifene. Our online pharmacy provides this generic alternative as a cost‑effective treatment option. It belongs to the class of selective estrogen‑receptor modulators (SERMs) that exhibit tissue‑specific estrogenic and anti‑estrogenic actions.
The molecule was developed in the 199s by the pharmaceutical company GSK and received regulatory approval in the United States, European Union, and several Asian jurisdictions for osteoporosis‑related indications. In Hong Kong, raloxifene is listed in the Drug Formulary for post‑menopausal women who require bone‑protective therapy and for those at elevated breast‑cancer risk.
How Raloxifene Works
Raloxifene binds to estrogen receptors (ERα and ERβ) and behaves as a partial agonist in bone while acting as an antagonist in breast and uterine tissue.
- Bone: The drug stimulates osteoblast activity and reduces osteoclast‑mediated resorption, leading to a net increase in bone mineral density (BMD). Clinical trials have shown a 2–3 % rise in lumbar spine BMD after 12 months of therapy.
- Breast/Uterus: By blocking estrogen‑driven proliferation, raloxifene lowers the incidence of estrogen‑dependent tumours. This anti‑estrogenic effect is the basis for its breast‑cancer‑risk‑reduction label.
Pharmacokinetic profile: after oral ingestion, raloxifene is rapidly absorbed (peak plasma concentration ≈ 3–4 h). It is extensively metabolised by CYP3A4 to glucuronide conjugates, and its elimination half‑life is approximately 28 hours, supporting once‑daily dosing. Steady‑state concentrations are achieved within 7 days of continuous therapy.
Conditions Treated with Raloxifene
| Indication | Clinical relevance in Hong Kong | Reason for effectiveness |
|---|---|---|
| Post‑menopausal osteoporosis | The Hong Kong Osteoporosis Society estimates 30–40 % prevalence among women ≥ 60 years. Fracture burden (hip, vertebrae) strains the health system. | Raloxifene improves BMD, reduces vertebral‑fracture risk by ≈ 30 % compared with placebo (multiple phase III trials). |
| Osteopenia with high fracture risk | Early BMD loss is common in Chinese‑heritage women approaching menopause; early intervention can prevent progression to osteoporosis. | By stabilising bone remodelling, raloxifene delays conversion to osteoporosis. |
| Breast‑cancer risk reduction (high‑risk post‑menopausal women) | Breast cancer incidence in Hong Kong women is rising; selective chemoprevention is an emerging public‑health strategy. | Anti‑estrogenic activity blocks estrogen‑driven breast‑cell proliferation, decreasing invasive carcinoma incidence in long‑term studies (≈ 7 % relative risk reduction). |
Raloxifene is not approved for men, children, or pregnant women because the balance of estrogenic/anti‑estrogenic effects differs in these groups.
Suitable Candidates for Raloxifene Treatment
- Post‑menopausal women (≥ 50 years) with a T‑score ≤ –2.5 or with a T‑score between –1. and –2.5 together with documented risk factors (previous fracture, chronic corticosteroid use, low BMI).
- Women with osteopenia and a FRAX® 10‑year major osteoporotic fracture probability ≥ 20 %.
- Women ≥ 60 years who have undergone surgical or natural menopause and who are not on systemic hormone‑replacement therapy (HRT).
- High‑risk breast‑cancer patients (e.g., having a previous estrogen‑receptor‑positive tumour, or a strong familial predisposition) where HRT is contraindicated.
Contra‑indications include:
- Known or suspected breast, uterine, or endometrial cancer.
- Pregnancy or lactation (risk of fetal‑exposure).
- Active or history of venous thrombosis, deep‑vein thrombosis, or stroke.
- Severe hepatic impairment (due to altered metabolism).
Risks, Side Effects, and Interactions
Common Adverse Events
- Hot flushes – transient vasomotor symptoms, usually mild and self‑limiting.
- Leg cramps – more common during the first 3 months; can be reduced by adequate hydration and electrolytic balance.
- Nausea / dyspepsia – generally improve with continued therapy.
Rare Adverse Events
- Dizziness or light‑headedness – may be associated with orthostatic changes.
- Skin rash or pruritus – an allergic‐type response; requires discontinuation if severe.
Serious Adverse Events
- Venous thromboembolism (VTE) – including deep‑vein thrombosis and pulmonary embolism; incidence ≈ .5 % per year, higher in women with previous VTE history.
- Stroke (ischemic) – risk correlates with VTE‑prone populations and uncontrolled hypertension.
- Severe hypersensitivity reactions – anaphylaxis, angio‑edema; immediate medical attention needed.
Clinically Relevant Drug–Drug Interactions
| Interaction partner | Effect on raloxifene exposure | Clinical implication |
|---|---|---|
| CYP3A4 inhibitors (ketoconazole, itraconazole, clarithromycin) | ↑ ↑ Raloxifene plasma levels (up to 2‑fold) | May increase risk of VTE; monitor for signs. |
| CYP3A4 inducers (rifampicin, carbamazepine, phenytoin) | ↓ ↓ Raloxifene plasma levels (30‑40 % reduction) | Potential loss of therapeutic benefit; consider dose adjustment. |
| Estrogen‑containing therapies (HRT, certain oral contraceptives) | Antagonistic effect in breast/uterus, possible additive hot‑flush burden | Generally contraindicated together. |
| Anticoagulants / antiplatelet agents (warfarin, clopidogrel) | No major pharmacokinetic interaction, but additive bleeding risk if a VTE event occurs. | Monitor coagulation parameters when VTE is suspected. |
| Lipid‑lowering agents (statins) | No clinically relevant interaction reported. | No dosage change required. |
Patients should disclose all over‑the‑counter products, herbal preparations, and dietary supplements before initiating raloxifene.
Practical Use: Dosing, Missed Dose, Overdose
Standard dosing – 60 mg oral tablet taken once daily, with or without food. The tablet should be swallowed whole; crushing or splitting may affect absorption.
Missed dose – If a dose is remembered within 24 hours, take the missed tablet immediately and resume the regular schedule the following day. Do not double the dose to compensate for a missed tablet.
Overdose – The therapeutic index of raloxifene is wide; however, acute overdose may produce gastrointestinal upset, hypotension, or increased thrombotic risk. Management is supportive:
- Monitor vital signs and cardiac rhythm.
- Obtain a complete history of co‑administered drugs (especially CYP3A4 modulators).
- Treat symptomatic manifestations (e.g., IV fluids for hypotension, antihistamines for allergic reactions).
Precautions –
- Alcohol – Excessive intake (> 3 units/day) may exacerbate hot flushes and increase VTE risk.
- Food – High‑fat meals can reduce oral bioavailability by up to 20 %; patients should be consistent in taking the medication with the same type of meal (or fast).
- Comorbidities – Active cardiovascular disease, uncontrolled hypertension, or prior VTE necessitate a risk‑benefit assessment before initiating therapy.
Buying Raloxifene from Our Online Pharmacy
Raloxifene can be purchased directly from our online pharmacy in Hong Kong. Our service offers:
- Affordable pricing – Generic tablets are sold at near‑manufacturer cost, providing savings of up to 50 % compared with brand‑name retail.
- Verified quality – All stock is sourced from licensed overseas manufacturers that hold valid GMP certifications and are inspected by independent third‑party auditors.
- Guaranteed delivery – Discreet, reliable shipping options include 7‑day express courier (for most regions) and a standard airmail service (approximately 3 weeks).
- Pharmacy‑broker model – We partner with overseas licensed pharmacies and verified suppliers, enabling a private, privacy‑first transaction that respects patient confidentiality.
Our platform therefore represents a safe, cost‑effective route for patients who have limited access to conventional brick‑and‑mortar pharmacies, face restrictive insurance formularies, or prefer the convenience of online ordering.
FAQ
-
Is raloxifene available in both brand‑name and generic forms in Hong Kong?
Yes. The original branded product is Evista (GSK). Generic formulations, such as the one supplied by our online pharmacy, contain the identical active ingredient and are generally less expensive. -
What is the recommended storage condition for raloxifene tablets?
Keep the tablets at room temperature (≤ 25 °C), away from direct sunlight, moisture, and heat sources. Do not store in bathrooms or near kitchen appliances that generate steam. -
Does raloxifene require a special packaging for international shipment?
The medication is packed in sealed, tamper‑evident blisters inside a sturdy box to protect against physical damage and environmental exposure. -
Can raloxifene be imported for personal use without a prescription in Hong Kong?
Personal import of prescription‑only medicines is subject to customs regulations. While a prescription is typically required, certain controlled‑import schemes may permit limited quantities for personal use under a medical‑necessity declaration. Patients should verify current customs guidelines prior to ordering. -
Are there any specific safety warnings for Asian populations taking raloxifene?
Clinical data do not show ethnicity‑specific safety signals; however, Asian women may have a higher baseline risk of VTE when using estrogen‑modulating agents. Individual risk assessment (e.g., history of thrombosis, obesity, smoking) remains essential. -
How does raloxifene differ from earlier SERMs such as tamoxifen?
While both are SERMs, tamoxifen exerts partial agonist activity in breast tissue, which can increase the risk of endometrial cancer, whereas raloxifene acts as a pure antagonist in breast and uterus, offering a more favorable profile for breast‑cancer risk reduction in post‑menopausal women. -
What are the main active and inactive ingredients in the Hong Kong generic tablets?
Each 60 mg tablet contains raloxifene hydrochloride as the active ingredient, with lactose, microcrystalline cellulose, magnesium stearate, and povidone as common excipients. No animal‑derived components are present. -
Is there a need to adjust raloxifene dose during travel across time zones?
No. Once‑daily dosing should continue at the same clock time regardless of time‑zone changes. If a dose is missed due to travel fatigue, follow the missed‑dose instructions above. -
Does raloxifene interfere with drug testing for employment or sports?
Raloxifene is not listed on standard prohibited‑substance panels (e.g., WADA) and does not generate a positive test for anabolic steroids. However, routine drug‑screening laboratories may detect the compound if specifically requested. -
Has raloxifene been evaluated in major clinical trials, and what were the key outcomes?
Large phase III studies—such as the Multiple Outcomes of Raloxifene Evaluation (MORE) trial—demonstrated a 30 % reduction in vertebral fracture incidence and a 3.5 % increase in lumbar spine BMD over 3 years, confirming both efficacy and safety in the target population.
Glossary
- Selective estrogen‑receptor modulator (SERM)
- A class of drugs that bind to estrogen receptors and act as agonists in some tissues (e.g., bone) while acting as antagonists in others (e.g., breast, uterus).
- Bone mineral density (BMD)
- A measurement of the amount of mineral content (mainly calcium) within a given volume of bone, expressed in g/cm²; used to assess osteoporosis risk.
- Venous thromboembolism (VTE)
- Formation of a blood clot in a vein, which can travel to the lungs (pulmonary embolism) or remain in the deep veins of the legs (deep‑vein thrombosis).
- Therapeutic window
- The range of drug concentrations in which the medication is effective without producing unacceptable side effects.
⚠️ Disclaimer
The information provided about Raloxifene is for general knowledge only. It does not replace professional medical consultation. All treatment decisions should be made under the supervision of a qualified healthcare provider. We assume all readers are responsible adults capable of making informed decisions about their health. Our online pharmacy offers access to Raloxifene for individuals who may have limited availability through traditional pharmacies, prescription‑based insurance schemes, or who are seeking affordable generic alternatives. Always consult your doctor before starting, changing, or discontinuing any medication.
Information about ordering Generic Raloxifene in online pharmacy asia
Please note that this medicine is a generic version of Raloxifene.One can buy Generic Raloxifene online by accepting the following conditions:
- Buyer is above or equal 18 years old;
- Buyer does't have any contraindications to raloxifene and fully familiar with medication Raloxifene;
- No paper instructions about side effect warnings or usage directions are sent with Generic Raloxifene medication. They are available online on our website for information purposes only;
- Ordered medication will be shipped in anonymous discreet package without disclosing its content;
Please note we may not guarantee worry free delivery to some countries where strict customs rules may apply. If you have questions please call us or use Live chat. After you place your order we may call you back for verification purposes. We may also call you back if we suspect that there may be a problems with delivery to your country. Please also refer to our FAQ page for more details. Below is a sample list of safe counties in Asia where delivery is usually worry free: Australia, New Zealand, Malaysia, Singapore, Philippines, Indonesia, Thailand, Japan, South Korea, China, Hong Kong, Pacific islands and many others outside of asia.