Indications & Dose:
Female: Anovulatory infertility , unresponsive to clomophene. Multifollicular stimulation in superovulation for IVF, GIFT, and ZIFT in conjuction with Lh for severe LH and FSH deficiency..
Male: In conjunction with HCG therapy to stimulate spermatogenesis in hypogonadotrophic hypogonadism.
DOSAGE:
Female Adult: An ovulation; initially usually 75150 in daily by SC Inj. Monitor response. Super ovulation: Usually 150-225 in daily by SC inj. Starting on day 2 or 3 of cycle usually 2 weeks after starting GnRH agonist treatment. Monitor response. .
Male: 150 in three times a week by SC inj for a minimum of 4 months. Monitor semen samples after 4-6 months; treatment for 18 months or more may be necessary.
Contraindications:
Female: Pregnancy and lactation. Pituitary or hypothalamus tumors. Ovarian, uterine or mammary carcinoma. Ovarian cyst or enlargement not associated with PCOD.
Male: Primary testicular insufficiency
Side Effects:
Ovarian hyperstimulation. Multiple pregnancy. Allergic reactions.
Male: Gynaecomastia, acne, weight loss.
Cautions:
Precautions:
Female: Exclude anatomical abnormalities. Monitor ovarian size and oestrogenresponse to avoid hyperstimulation.
Interaction:
Warnings:
Adverse Effects:
Lactations:
Special Precautions:
Counselling:
Side Effects Or Adverse Reactions:
Patient And Carer Advice:
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