Pajjiż: Kanada
Lingwa: Ingliż
Sors: Health Canada
CLOMIPHENE CITRATE
SANOFI-AVENTIS CANADA INC
G03GB02
CLOMIFENE
50MG
TABLET
CLOMIPHENE CITRATE 50MG
ORAL
50
Prescription
ESTROGEN AGONIST-ANTAGONISTS
Active ingredient group (AIG) number: 0102713001; AHFS:
CANCELLED POST MARKET
2020-07-15
_Page 1 of 23_ PRODUCT MONOGRAPH Pr CLOMID ® (clomiphene citrate USP) 50 mg Tablets Ovulatory Agent sanofi-aventis Canada Inc. 2905 Place Louis-R.-Renaud Laval, Quebec H7V 0A3 Date of Revision: August 9, 2013 Submission Control No.: 165671 _Page 2 of 23_ PRODUCT MONOGRAPH PR CLOMID ® (clomiphene citrate USP) 50 mg Tablets Ovulatory agent. ACTION AND CLINICAL PHARMACOLOGY CLOMID (clomiphene citrate) is an orally-administered, non-steroidal agent which may induce ovulation in anovulatory women in appropriately selected cases. 1-16 The ovulatory response to cyclic CLOMID therapy appears to be mediated through increased output of pituitary gonadotropins, which in turn stimulate the maturation and endocrine activity of the ovarian follicle and the subsequent development and function of the corpus luteum. The role of the pituitary is indicated by increased plasma levels of gonadotropins and by the response of the ovary, as manifested by increased plasma level of estradiol. Antagonism of competitive inhibition of endogenous estrogen may play a role in the action of CLOMID on the hypothalamus. CLOMID IS A DRUG OF CONSIDERABLE PHARMACOLOGIC POTENCY. ITS ADMINISTRATION SHOULD BE PRECEDED BY CAREFUL EVALUATION AND SELECTION OF THE PATIENT, AND MUST BE ACCOMPANIED BY CLOSE ATTENTION TO THE TIMING OF THE DOSE. WITH CONSERVATIVE SELECTION AND MANAGEMENT OF THE PATIENT, CLOMID HAS BEEN DEMONSTRATED TO BE A USEFUL THERAPY FOR THE ANOVULATORY PATIENT. Based on studies with 14C-labeled clomiphene, the drug is readily absorbed orally in humans, and is excreted principally in the feces. Cumulative excretion of the 14C-label averaged 51% of the oral dose after 5 days in 6 subjects, with mean urinary excretion of 8% and mean fecal excretion of 42%; less than 1% per day was excreted in fecal and urine samples collected from 31 to 53 days after 14C-labelled clomiphene administration. Since C-14 appeared in the feces 6 weeks after administration, available data suggested that the remaining drug/metabolites were being slowly excreted fr Aqra d-dokument sħiħ