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|Generic Name||Clomiphene Citrate|
Fertomid 50 mg is prescribed for the treatment of ovulatory failure in women who wish to become pregnant and whose husbands are fertile and potent. Properly timed sexual intercourse is especially important to increase the chances of conception. The likelihood of conception diminishes with each succeeding course of treatment. Your doctor will determine the need for continuing therapy after the first course. If you do not ovulate after 3 courses or do not become pregnant after 3 ovulations, your doctor will stop the therapy. No food or drug interactions have been reported.
Your doctor will evaluate you for normal liver function and normal estrogen levels before considering you for treatment with Fertomid 50 mg. Your doctor will also examine you for pregnancy, ovarian enlargement, or cyst formation prior to treatment with this drug and between each treatment cycle. He or she will do a complete pelvic examination before each course of this medication. Fertomid treatment increases the possibility of multiple births; also, congenital disabilities have been reported following treatment to induce ovulation with clomiphene, although no direct effects of the drug on the unborn child have been established. Because blurring and other visual symptoms may occasionally occur with clomiphene treatment, you should be cautious about driving a car or operating dangerous machinery, especially under conditions of variable lighting. If you experience visual disturbances, notify your doctor immediately. Symptoms of visual disturbance may include blurring, spots or flashes, double vision, intolerance to light, decreased visual sharpness, loss of peripheral vision, and distortion of space. Your doctor may recommend a complete evaluation by an eye specialist.
Ovarian hyperstimulation syndrome (or OHSS, enlargement of the ovary) has occurred in women receiving treatment with clomiphene. OHSS may progress rapidly and become serious. The early warning signs are severe pelvic pain, nausea, vomiting, and weight gain. Symptoms include abdominal pain, abdominal enlargement, nausea, vomiting, diarrhea, weight gain, difficult or labored breathing, and less urine production. If you experience any of these warning signs or symptoms, notify your doctor immediately. To lessen the risks associated with abnormal ovarian enlargement during treatment with clomiphene, the lowest effective dose should be prescribed. Women with the hormonal disorder, polycystic ovarian syndrome, may be unusually sensitive to certain hormones and may respond abnormally to usual doses of this drug. If you experience pelvic pain, notify your doctor. He may discontinue your use of clomiphene until the ovaries return to pre-treatment size. Because the safety of long-term treatment with clomiphene has not been established, your doctor will not prescribe more than about 6 courses of therapy. Prolonged use may increase the risk of a tumor in the ovaries.
Side effects occur infrequently and generally do not interfere with treatment at the recommended dosage of Fertomid 50 mg. They tend to occur more frequently at higher doses and during long-term treatment. More common side effects include abdominal discomfort, enlargement of the ovaries, hot flushes. Less common side effects of Fertomid are Abnormal uterine bleeding, breast tenderness, depression, dizziness, fatigue, hair loss, headache, hives, inability to fall or stay asleep, increased urination, inflammation of the skin, light-headedness, nausea, nervousness, ovarian cysts, visual disturbances, vomiting, weight gain.
Take Fertomid 50 mg tablet exactly as prescribed by your doctor. If you miss a dose, take it as soon as you remember. If it is time for your next dose, take the 2 doses together and go back to your regular schedule. If you miss more than 1 dose, contact your doctor. The recommended dosage for the first course of treatment is 50 milligrams (1 tablet) daily for 5 days. If ovulation does not appear to have occurred, your doctor may try up to 2 more times.
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