Request information

If you or someone you care about has metastatic breast cancer, you may be interested in receiving information about FASLODEX and other AstraZeneca products, programs, and services.

AstraZeneca respects your personal health information. The information you provide may be used to send you health-related materials and to develop products, services, and programs. AstraZeneca, or third parties working on our behalf, will not sell or rent personal health information. Please visit www.azprivacystatement.com to review our Privacy Statement.

If in the future you no longer want to receive this information, please call 1-800-236-9933.

Enter the following information and click "Submit."

The * indicates a required field.

Please select your preferences.

*Which of the following best describes you? Why?




What stage did your doctor tell you your breast cancer was/is in? Why?



What medication are you currently taking? Why?






Which medication(s) have you taken in the past? Why?






If you are currently taking FASLODEX, tell us when you first started. Why?

Month/Year





FASLODEX is a prescription medicine used to treat hormone receptor-positive breast cancer in women who have gone through menopause whose disease has spread after treatment with antiestrogen medicine.

IMPORTANT SAFETY INFORMATION: You should not receive FASLODEX if you have had an allergic reaction to any of the ingredients in FASLODEX. Symptoms of an allergic reaction to FASLODEX may include itching, swelling of your face, lips, tongue, or throat, or trouble breathing.

Click Here for
Additional Safety Information