Clomid (Clomiphene) Dosage and Side Effects
CLOMID is an ovulation stimulant used for some types of infertility, in women who desire pregnancy but who are not ovulating properly.
Proper Use of this medication
Always take CLOMID exactly as your doctor has told you. You should check with your doctor.
Taking this medication:
Take this medication by mouth
Swallow the tablets whole with a drink of water
Do not take more than two tablets in one day
Do not take the tablets for more than five days at a time
If you feel the medication is not working, do not change the dose yourself, but ask your doctor
Usual dose (for adult women only):
Treatment should begin with a low dose, 50 mg daily (1 tablet) for 5 days; dose changes will be made by your doctor. The first dose should be taken on the 5th day of your ovulatory cycle and the subsequent doses at about the same time of day for a total of 5 days. The tablet should be swallowed with a glass of water.
If you forget a dose, talk to your doctor as you may need to change your treatment cycle. Do not take a double dose to make up for a forgotten tablet.
Like all medications, CLOMID can cause side effects, although not everybody gets them.
The more common side effects include hot flashes, abdominal-pelvic discomfort (distention, bloating, pain, or soreness), ovarian enlargement, and visual blurring. The symptoms resembling menopausal “hot flashes” are not usually severe and disappear promptly after treatment is discontinued. Abdominal symptoms may be most often related to ovulatory or premenstrual phenomena, or to swollen ovaries.
Other less frequently reported symptoms during CLOMID (clomiphene citrate) therapy have included nausea or vomiting, appetite increase, constipation, diarrhea, increased nervous tension, depression, fatigue, dizziness or lightheadedness, insomnia, headache, breast soreness, abnormal uterine bleeding, heavier menses, intermenstrual spotting, vaginal dryness, urticaria or allergic dermatitis, vertigo, weight gain, and increased urinary frequency or volume. Moderate, reversible hair loss has been reported in a few patients, primarily on prolonged continuous therapy. Birth defects have been reported.
Tell your doctor or pharmacist if any of the following side effects get serious or lasts longer than a few days:
Increased pain with periods, heavy periods or bleeding between periods
Pain in the lower part of the stomach. This could be a sign of endometriosis or worsening of endometriosis, ovarian cancer or enlarged ovaries
Pain in the upper middle or upper left part of the abdomen. This could be a sign of hypertriglyceridemia (excess of fats in the blood)-induced pancreatitis (inflammation of the pancreas).
Cloudy lenses in the eye (cataracts)
Feeling tired or difficulty in sleeping (insomnia), depression or change in moods or behaviour
Skin rash or itching
Flushing of the skin
Swelling of the face, around the eyes, lips or tongue
Heart palpitations (sensation of rapid, pounding, or irregular heartbeat)
There have been rare reports of ovarian cancer with fertility drugs. Some studies suggest that prolonged use of clomiphene may increase this risk. Therefore the recommended duration of treatment should not be exceeded.
Warnings and Precautions
BEFORE you use CLOMID talk to your doctor or pharmacist if:
You have “fibroids” in your womb
You have “polycystic” ovaries
Your ovaries are swollen
You have hypertriglyceridemia (an excess of fats in the blood) or a family history of hypertriglyceridemia
You are pregnant or plan to become pregnant
You are breastfeeding or plan to breastfeed
Your doctor should check for any other causes of fertility problems before starting treatment with CLOMID.
The chances of multiple pregnancies are higher when you use CLOMID. You should be aware of the potential complications of multiple pregnancies before taking CLOMID.
Do not drive or use any tools or machines if you have a blurry vision from treatment with CLOMID.
Interactions with this medication
Please tell your doctor or pharmacist if you are taking or have recently taken any other medications. This includes medications you buy without a prescription, including herbal medicines. This is because CLOMID can affect the way some other medicines work. Also some medicines can affect the way CLOMID works.
Other related products
The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.