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The majority of patients who are going to ovulate will do so after the first course of therapyIf ovulation does not occur after three courses of therapyfurther treatment with clomiPHENE citrate is not recommended and the patient should be reevaluatedIf three retin a micro deals. ovulatory responses occurbut pregnancy has not been achievedfurther treatment is not recommendedIf menses does not occur after an ovulatory responsethe patient should be reevaluatedLong-term cyclic therapy is not recommended beyond a total of about six cyclessee PRECAUTIONS
The following adverse events have been reported in fewer than 1of patients in clinical trialsAcute abdomenappetite increaseconstipationdermatitis or rashdepressiondiarrheadizzinessfatiguehair loss/dry hairincreased urinary frequency/volumeinsomnialight-headednessnervous tensionvaginal drynessvertigoweight gain/loss.
You may not be able to take clomipheneor you may require a lower dose or special monitoring if you have any of the conditions listed above.
1Estrogen LevelsPatients should have adequate levels of endogenous estrogenas estimated from vaginal smearsendometrial biopsyassay of urinary estrogenor from bleeding in response to progesteroneReduced estrogen levelswhile less favorabledo not preclude successful therapy.
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