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clomiphene

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Brand names: Clomid, Serophene

Selective Estrogen Receptor Modulator (Fertility) Rx

Clomiphene citrate is a medicine that helps women ovulate. It is used to help women get pregnant.

Drug Pricing (NADAC)

Generic Price

$7.55/unit

Generic Available

Yes (6 manufacturers)

Pricing data from NADAC (CMS), effective December 18, 2024. Compare all drug costs →

What it does

Clomiphene citrate is used to treat women who have problems with ovulation and want to get pregnant.

Common side effects

Ovarian enlargement, Hot flashes, Abdominal or pelvic discomfort, bloating

Key warnings

Clomiphene citrate can cause ovarian hyperstimulation syndrome (OHSS).

How It Works

This medicine works by affecting estrogen levels in your body. It makes your body release hormones that cause your ovaries to release an egg. This can help you get pregnant.

How to Take It

Take clomiphene citrate exactly as your doctor tells you. Usually, you will take one 50 mg tablet daily for 5 days. Start on or around the 5th day of your menstrual cycle. Have sex around the time you expect to ovulate. Your doctor may adjust your dose based on how you respond.

Pregnancy & Breastfeeding

You should not take clomiphene citrate if you are pregnant. It can cause problems with the baby's development. Talk to your doctor if you become pregnant while taking this medicine.

Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule.

Storage

Store tablets at room temperature (59° to 86°F). Keep away from heat, light, and moisture.

Side Effects (from patient reports)

Based on 770 FDA adverse event reports.

Miscarriage
109
Baby exposed to drug during pregnancy
107
Feeling sick to your stomach
87
Head pain
80
Using the medicine for something it's not approved for
79
Exposure during pregnancy
73
Throwing up
64
Medicine not working
61
Feeling tired
57
Mother exposed to drug during pregnancy
53

Serious Warnings

Clomiphene citrate can cause ovarian hyperstimulation syndrome (OHSS). This is a serious condition where your ovaries get too large and fluid builds up in your body. Call your doctor right away if you have severe pelvic pain, nausea, vomiting, weight gain, or trouble breathing.

Common Questions

How long can I take clomiphene citrate?
Your doctor will likely limit your treatment to about six cycles.
What if I don't ovulate after the first course?
Your doctor may increase your dose for a second course of treatment.
Can clomiphene citrate cause twins?
Yes, clomiphene citrate increases the chance of having twins or other multiples.
What tests will I need while taking this medicine?
Your doctor may do blood tests or ultrasounds to check your hormone levels and ovaries.
When should I have sex while taking clomiphene citrate?
Have sex around the time you expect to ovulate, usually 5 to 10 days after finishing the medicine.
What if I don't get pregnant after taking clomiphene citrate?
Your doctor may recommend other fertility treatments.
Can clomiphene citrate cause mood changes?
Yes, some people experience mood changes, depression, or anxiety while taking this medicine.
What should I do if I have blurry vision?
Contact your doctor if you experience blurry vision or other visual symptoms.
Can I take clomiphene citrate if I have liver problems?
No, you should not take clomiphene citrate if you have liver disease.
Can I take clomiphene citrate if I have ovarian cysts?
No, you should not take clomiphene citrate if you have ovarian cysts, unless they are due to polycystic ovary syndrome.
What are the common side effects of clomiphene?
The most commonly reported side effects of clomiphene include Ovarian enlargement, Hot flashes, Abdominal or pelvic discomfort, bloating, Nausea, Vomiting. Based on 770 FDA adverse event reports. Always consult your healthcare provider about potential side effects.
What drug class is clomiphene?
clomiphene belongs to the Selective Estrogen Receptor Modulator (Fertility) drug class. It requires a prescription (Rx). Clomiphene citrate is used to treat women who have problems with ovulation and want to get pregnant.
Is clomiphene safe during pregnancy?
You should not take clomiphene citrate if you are pregnant. It can cause problems with the baby's development. Always consult your healthcare provider before using any medication during pregnancy or breastfeeding.

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What the FDA Data Shows for clomiphene

The FDA label for clomiphene (sold under brand names such as Clomid, Serophene) classifies it as a prescription-only medication in the Selective Estrogen Receptor Modulator (Fertility) class. Clomiphene citrate is used to treat women who have problems with ovulation and want to get pregnant. Official labeling lists 9 commonly reported side effects, including Ovarian enlargement, Hot flashes, Abdominal or pelvic discomfort, bloating.

Post-market surveillance from the FDA Adverse Event Reporting System (FAERS) captures real-world experience. For this drug, FAERS contains 770 voluntary reports. Interaction data is drawn directly from FDA-approved prescribing information. NADAC pricing from CMS shows a generic unit cost of $7.55.

Report counts do not establish causation — a FAERS entry documents a temporal association, not proof that the drug produced the outcome. Widely prescribed medications naturally accumulate more reports than niche therapies, so raw totals must be interpreted alongside total exposure. Shortage status, recall history, and patent information further shape supply and switching decisions. This page summarizes public FDA data for educational purposes only and is not a substitute for professional medical advice — always consult a licensed healthcare provider before starting, stopping, or changing any medication.

Data Sources

Drug labeling: FDA Drug Labels (SPL/DailyMed). Adverse events: FDA Adverse Event Reporting System (FAERS). Pricing: CMS National Average Drug Acquisition Cost (NADAC).

FAERS reports are voluntary and do not establish causation. Drug interactions are derived from FDA labeling and clinical references. Always consult a healthcare professional before making medication decisions.

Last updated: September 18, 2025

All federal data sources used on this page