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Clomiphene Citrate

Clomiphene citrate Prescription
Generic Name: clomiphene (KLOE mih feen)
Brand Names: Clomid, Serophene
Clomiphene is used to stimulate ovulation. Learn about side effects, interactions and indications.
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Clomiphene Citrate Drug Information:

Clomiphene is a non-steroidal fertility medicine. It causes the pituitary gland to release hormones needed to stimulate ovulation (the release of an egg from the ovary). Clomiphene is used to cause ovulation in women with certain medical conditions (such as polycystic ovary syndrome) that prevent naturally occurring ovulation. Clomiphene may also be used for purposes not listed in this medication guide. Do not use clomiphene if you are already pregnant. You should not use clomiphene if you have: liver disease, unexplained abnormal vaginal bleeding, an uncontrolled adrenal gland or Thyroid disorder, an ovarian cyst (unrelated to polycystic ovary syndrome), or if you are pregnant. Learn more

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Clomiphene Citrate Side Effects

For the Consumer

Applies to clomiphene: oral tablet

Side effects requiring immediate medical attention

Along with its needed effects, clomiphene may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur while taking clomiphene:

More common

  • Bloating
  • stomach or pelvic pain

Check with your doctor as soon as possible if any of the following side effects occur while taking clomiphene:

Less common or rare

  • Blurred vision
  • decreased or double vision or other vision problems
  • seeing flashes of light
  • sensitivity of eyes to light
  • yellow eyes or skin
Side effects not requiring immediate medical attention

Some side effects of clomiphene may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects.

Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

  • Hot flashes

Less common or rare

  • Breast discomfort
  • dizziness or lightheadedness
  • headache
  • heavy menstrual periods or bleeding between periods
  • mental depression
  • nausea or vomiting
  • nervousness
  • restlessness
  • tiredness
  • trouble in sleeping

For Healthcare Professionals

Applies to clomiphene: compounding powder, oral tablet

General

At recommended doses, this drug is well tolerated. Most side effects have been mild and transient and disappear promptly after treatment has stopped.

Genitourinary

Very common (10% or more): Ovarian enlargement (up to 13.6%), vasomotor flushes (10.4%)

Common (1% to 10%): Abdominal/pelvic discomfort/distention/bloating, breast discomfort, uterine bleeding abnormal, intermenstrual spotting, menorrhagia

Frequency not reported: Urinary frequency increased, urinary volume increased, vaginal dryness

Postmarketing reports: Endometriosis, ovarian hemorrhage, tubal pregnancy, uterine hemorrhage, reduced endometrial thickness, ovarian hemorrhage, tubal pregnancy, uterine hemorrhage, endometrial thickness reduced

Fetal/Neonatal Patients:

-Postmarketing reports: Hypospadias, cloacal exstrophy

Ocular

Common (1% to 10%): Blurred vision, lights, floaters, waves, unspecified visual complaints, photophobia, diplopia, scotomata, phosphenes

Postmarketing reports: Abnormal accommodation, cataract, eye pain, macular edema, optic neuritis, photopsia, posterior vitreous detachment, retinal hemorrhage, retinal thrombosis, retinal vascular spasm, temporary or prolonged loss of vision

Fetal/Neonatal Patients:

-Postmarketing reports: Eye malformed, lens malformed/cataract

Cardiovascular

Postmarketing reports: Arrhythmia, chest pain, hypertension, palpitation, phlebitis, tachycardia, thrombophlebitis

Fetal/Neonatal Patients:

-Postmarketing reports: Septal heart defect, muscular ventricular septal defect, patent ductus arteriosus, tetralogy of Fallot, coarctation of aorta

Endocrine

Postmarketing reports: Thyroid disorder

Fetal/Neonatal Patients:

-Postmarketing reports: Dwarfism

Oncologic

Frequency not reported: Ovarian cancer, ovarian tumor

Postmarketing reports: Ovarian cyst, hepatic hemangiosarcoma, liver cell adenoma, hepatocellular carcinoma, fibrocystic disease, breast carcinoma, endometrial carcinoma, astrocytoma, pituitary tumor, prolactinoma, neurofibromatosis, glioblastoma multiforme, brain abscess, ovary (luteoma of pregnancy, dermoid cyst of the ovary, ovarian carcinoma, hydatiform mole, choriocarcinoma, melanoma, myeloma, perianal cysts, renal cell carcinoma, Hodgkin's lymphoma, tongue carcinoma, bladder carcinoma

Fetal/Neonatal Patients:

-Postmarketing reports: Neuroectodermal tumor, thyroid tumor, hepatoblastoma, lymphocytic leukemia

Nervous system

Common (1% to 10%): Headache

Frequency not reported: Dizziness, lightheadedness

Postmarketing reports: Migraine headache, paresthesia, seizure, stroke, syncope

Fetal/Neonatal Patients:

-Postmarketing reports: Neural tube defect, anencephaly, meningomyelocele), microcephaly, hydrocephalus

Dermatologic

Frequency not reported: Dermatitis, rash, hair loss/dry hair

Postmarketing reports: Acne, allergic reaction, erythema, erythema multiforme, erythema nodosum, hypertrichosis, pruritus, urticaria

Gastrointestinal

Common (1% to 10%): Nausea, vomiting

Frequency not reported: Acute abdomen, constipation, diarrhea

Postmarketing reports: Pancreatitis

Fetal/Neonatal Patients:

-Postmarketing reports: Cleft lip/palate, imperforate anus, tracheoesophageal fistula, diaphragmatic hernia, omphalocele

Hematologic

Postmarketing reports: Leukocytosis

Hepatic

Postmarketing reports: Increased transaminases, hepatitis

Metabolic

Frequency not reported: Appetite increased, serum desmosterol levels increase

Postmarketing reports: Hypertriglyceridemia

Musculoskeletal

Postmarketing reports: Arthralgia, back pain, myalgia

Fetal/Neonatal Patients:

-Postmarketing reports: Abnormal bone development, skeletal malformations of skull/face/nasal passages/jaw/hand limb/foot/spine/joints

Other

Frequency not reported: Fatigue, vertigo, weight gain, weight loss

Postmarketing reports: Fever, tinnitus, weakness, edema

Fetal/Neonatal Patients:

-Postmarketing reports: Down's syndrome, ear abnormal, deafness

Psychiatric

Frequency not reported: Depression, insomnia, nervous tension

Postmarketing reports: Anxiety, irritability, mood changed, psychosis

Fetal/Neonatal Patients:

Postmarketing reports: Intellectual disability

Respiratory

Postmarketing reports: Pulmonary embolism, shortness of breath

Fetal/Neonatal Patients:

-Postmarketing reports: Lung tissue malformation

Renal

Fetal/Neonatal Patients:

-Postmarketing reports: Renal agenesis, renal dysgenesis

Editorial References and Review

Medically reviewed by USARx EDITORIAL TEAM Last updated on 1/1/2020.

Source: Drugs.com Clomiphene Citrate (www.drugs.com/clomiphene.html).