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I have been on exemestane for fifteen months and I don't have any side effects. I attribute my waking in the night to having to go to the bathroom if I drink tea. I attribute my joint pain in my hip to the fact that I had it before I started and I am getting older. I sometimes get a hot flash but it lasts for about 30 seconds. I do sometimes get tired but then again I am getting older and some days I am more tired than others. If this medication can keep me healthy then I would say that I have no side effects. I do take a calcium supplement and try to exercise most days. I am an otherwise healthy 66 year old woman who is thankful for this medication and the fact that my breast cancer was caught early.