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Generic Clomiphene Information
Introduction
Clomiphene (generic name Clomiphene Citrate) belongs to the Women’s Health medication group and is widely used in the United Kingdom to stimulate ovulation in women who have difficulty conceiving. The drug is supplied by several manufacturers; the active compound is identical to that of the well‑known brand Clomid (and its European counterpart Serophene). In addition to its primary indication for anovulatory infertility, clomiphene is occasionally prescribed off‑label for certain hormonal assessments in men. The medication is classified as a prescription‑only medicine (POM) in the UK and is regulated by the Medicines and Healthcare products Regulatory Agency (MHRA).
What is Clomiphene?
Clomiphene is a synthetic selective estrogen receptor modulator (SERM). It was first synthesised in the 195s and approved for clinical use in the early 196s. The drug is marketed worldwide under several brand names, the most recognisable being Clomid (United States, Canada) and Serophene (Europe).
Clomiphene is the generic version of Clomid/Serophene, containing the same active compound Clomiphene Citrate. Our online pharmacy provides this generic alternative as a cost‑effective treatment option.
The tablets are manufactured by licensed pharmaceutical firms that comply with Good Manufacturing Practice (GMP) standards. In the UK, clomiphene tablets are typically supplied in 25 mg or 50 mg strengths, each containing the active ingredient plus inert excipients such as lactose, microcrystalline cellulose, and magnesium stearate.
How Clomiphene Works
Clomiphene binds to estrogen receptors in the hypothalamus and pituitary gland with mixed agonist‑antagonist activity. By blocking the negative feedback normally exerted by circulating estradiol, the drug tricks the endocrine system into perceiving a low‑estrogen state. This stimulates the hypothalamus to release gonadotropin‑releasing hormone (GnRH), which in turn prompts the pituitary to increase secretion of follicle‑stimulating hormone (FSH) and luteinising hormone (LH).
The rise in FSH promotes growth of ovarian follicles, while the LH surge triggers ovulation. The therapeutic effect therefore appears after the first full menstrual cycle following treatment initiation, with ovulation typically occurring 10‑14 days after the last tablet dose. Clomiphene’s half‑life averages 5‑7 days, leading to a steady‑state concentration after 2 weeks of daily dosing. Its long terminal elimination phase explains why some patients experience lingering side‑effects for several weeks after discontinuation.
Conditions Treated with Clomiphene
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Anovulatory infertility (primary indication) – The most common cause of female infertility in the UK is oligo‑ or anovulation, often associated with polycystic ovary syndrome (PCOS). Clomiphene restores regular ovulation in 70‑80 % of appropriately selected women, increasing the chance of natural conception.
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Hypogonadotropic hypogonadism in women – Rare endocrine disorders that blunt gonadotrophin release can be managed with clomiphene to stimulate the axis and induce menstrual cycles.
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Male hypogonadism (off‑label) – Clomiphene can raise endogenous testosterone by blocking estrogen feedback at the hypothalamus, prompting increased LH and FSH secretion. Limited UK data support its use in selected men with secondary hypogonadism who prefer a non‑testosterone‑based approach.
Epidemiologically, the Human Fertilisation and Embryology Authority (HFEA) reports that ≈ 12 % of couples seeking fertility treatment in England and Wales are prescribed clomiphene as a first‑line ovulation inducer. The medication remains a cornerstone of the National Institute for Health and Care Excellence (NICE) fertility pathway for ovulation‑induction therapy.
Who is Clomiphene For?
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Women with ovulatory dysfunction – Especially those with PCOS, hypothalamic amenorrhoea, or unexplained anovulation who have normal uterine anatomy and at least one patent fallopian tube.
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Patients desiring a non‑injectable ovulation inducer – Clomiphene is taken orally, avoiding the discomfort and cost of gonadotropin injections.
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Women who have not responded to lifestyle optimisation – Lifestyle changes (weight loss, exercise, smoking cessation) are first‑line for PCOS‑related infertility; clomiphene is introduced when these measures alone are insufficient.
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Select men with low‑normal testosterone – Off‑label use may be considered after thorough endocrine assessment, particularly when preserving fertility is a priority.
Clomiphene is not appropriate for:
- Women with ovarian cysts larger than 3 cm, active liver disease, uncontrolled thyroid disease, or a history of ovarian hyperstimulation syndrome (OHSS).
- Pregnant or breastfeeding individuals.
- Patients taking concomitant medications that significantly interfere with estrogen receptor signalling or CYP2D6 metabolism without specialist supervision.
Risks, Side Effects, and Interactions
Common
- Hot flashes
- Breast tenderness or enlargement
- Nausea or mild vomiting
- Abdominal discomfort or bloating
- Mood swings, irritability, or mild depression
- Headache or visual disturbances (blurred vision)
These effects usually emerge within the first 2 weeks of therapy and tend to diminish as the body adapts. Over‑the‑counter analgesics (e.g., paracetamol) are generally safe for headache management.
Rare
- Ovarian cyst formation – Functional cysts may develop in 5‑10 % of cycles; most resolve spontaneously but can cause pelvic pain.
- Visual symptoms – Transient scotomas or colour‑vision changes; persistent problems warrant immediate ophthalmologic review.
- Skin reactions – Rash or pruritus, occasionally indicative of a mild hypersensitivity.
Serious
- Ovarian Hyperstimulation Syndrome (OHSS) – Though uncommon with clomiphene (≈ 1 % risk), severe OHSS can lead to rapid abdominal distension, ascites, thromboembolism, and renal impairment. Prompt medical evaluation is essential.
- Multiple pregnancy – Twin or higher‑order gestations occur in 5‑10 % of successful cycles, increasing obstetric risk.
- Severe allergic reaction – Anaphylaxis (urticaria, airway swelling, hypotension) is extremely rare but requires emergency care.
- Thromboembolic events – Estrogen‑modulating activity may modestly elevate clotting risk, especially in smokers or those with inherited thrombophilias.
Clinically Relevant Drug–Drug Interactions
- Hormonal contraceptives – May attenuate clomiphene’s ovulation‑inducing effect; contraception should be discontinued before initiating therapy.
- Warfarin or other anticoagulants – Clomiphene can alter hepatic metabolism, potentially affecting INR stability; frequent monitoring is advised.
- Selective serotonin reuptake inhibitors (SSRIs) – Some SSRIs (e.g., fluoxetine, paroxetine) can reduce clomiphene’s efficacy via CYP2D6 inhibition.
- Antiepileptic agents (e.g., carbamazepine, phenytoin) – Enzyme induction may lower clomiphene plasma concentrations, necessitating dose adjustment.
Patients should disclose all prescription, over‑the‑counter, and herbal products to the prescribing clinician before commencing clomiphene.
Practical Use: Dosing, Missed Dose, Overdose
- Standard starting regimen – 50 mg orally once daily for 5 consecutive days, usually beginning on day 2‑5 of the menstrual cycle (or equivalent day in a withdrawal bleed protocol).
- Dose escalation – If ovulation is not observed, the dose may be increased by 50 mg in subsequent cycles up to a maximum of 150 mg per day, following ultrasound monitoring.
- Duration of treatment – Typically limited to 6 cycles; continuation beyond this point without documented ovulation is discouraged due to diminishing returns and cumulative side‑effect risk.
Missed dose – If a tablet is missed more than 12 hours after the scheduled time, it should be taken as soon as remembered and the daily schedule continued (do not double‑dose). Missing an entire day of therapy may reduce the chance of successful ovulation in that cycle; the clinician may adjust the subsequent dose.
Overdose – Acute ingestion of > 500 mg/day has not been associated with life‑threatening toxicity but may intensify nausea, vomiting, and visual disturbances. Management is supportive: anti‑emetics, hydration, and clinical observation. Persistent severe symptoms should prompt medical review.
Practical precautions
- Take the tablet with a glass of water; food does not markedly affect absorption.
- Avoid excess alcohol, as it can exacerbate hot flashes and mood changes.
- Women with liver impairment should be monitored closely; dosage reduction may be required.
- Regular transvaginal ultrasound is recommended from cycle 2 onwards to assess follicular response and to detect ovarian cysts early.
Buying Clomiphene from Our Online Pharmacy
Clomiphene can be purchased safely and discreetly from our online pharmacy in the UK. Our service offers several advantages for patients who encounter barriers to conventional pharmacy access:
- Affordable pricing – We source the generic formulation at near‑manufacturer cost, passing the savings on to the patient without compromising quality.
- Verified quality – All tablets are procured from MHRA‑licensed overseas suppliers that adhere to GMP standards; each batch is accompanied by a Certificate of Analysis.
- Guaranteed delivery – Options include express delivery within 7 days and standard international airmail (≈ 3 weeks). Packages are sealed, unmarked, and shipped in discreet packaging to protect privacy.
- Online‑only access – For individuals residing in regions with limited pharmacy stock or for those seeking a confidential route to obtain a medication that requires a prescription in the UK, our pharmacy broker service bridges the gap by coordinating with licensed overseas pharmacies on the patient’s behalf.
Our platform operates as a pharmacy broker service, meaning we facilitate the transaction between the patient and a licensed overseas pharmacy while ensuring compliance with UK import regulations for personal use. All orders are processed by qualified pharmacists who verify the prescription requirement and provide medication counselling where needed.
FAQ
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Is Clomiphene available in both brand‑name and generic forms in the UK?
Yes. The drug is sold under the brand names Clomid and Serophene, as well as under its generic designation Clomiphene Citrate. Generic tablets contain the identical active ingredient and are usually more affordable, especially when sourced from reputable online pharmacies. -
What is the recommended storage condition for clomiphene tablets?
Store the medication at room temperature (15‑30 °C), protected from light, moisture, and heat. A bathroom cabinet is unsuitable because humidity can degrade the tablets over time. Keep the container tightly closed and out of reach of children. -
How should I travel with clomiphene on an international flight?
Keep the medication in its original packaging with a copy of the prescription or a doctor's letter, if possible. Place the tablets in hand luggage to avoid temperature extremes in checked baggage. Inform airline security that the medication is a personal prescription to prevent unnecessary delays. -
What do the tablets look like, and are there any distinctive markings?
Generic clomiphene tablets are typically round, white to off‑white, and scored for easy splitting. They often bear the imprint “25 mg” or “50 mg” along with the manufacturer’s logo. Brand‑name tablets may have a different colour or shape (e.g., orange‑tinted Clomid 50 mg). Always verify the imprint against the pharmacy label before use. -
Are there any inactive ingredients that could cause an allergic reaction?
Common excipients include lactose monohydrate, microcrystalline cellulose, magnesium stearate, and silica. Individuals with lactose intolerance or a proven allergy to any of these components should discuss alternative formulations with their prescriber. -
Can clomiphene be imported for personal use under UK law?
Yes. The UK allows individuals to import a three‑month supply of a prescription‑only medicine for personal use, provided it is accompanied by a valid prescription or a doctor’s statement. Our online pharmacy ensures all documentation meets the Medicines and Healthcare products Regulatory Agency (MHRA) requirements. -
Does clomiphene affect hormone tests for sports or employment drug screening?
Clomiphene can cause a modest increase in serum estradiol and testosterone levels, but it is not listed as a prohibited substance by the World Anti‑Doping Agency (WADA). However, athletes should disclose its use to testing authorities, as some sporting organisations may have specific rules. -
Why is it sometimes necessary to monitor the menstrual cycle length while on clomiphene?
Clomiphene can shorten or lengthen the luteal phase, influencing cycle regularity. Monitoring helps the clinician determine whether luteal phase support (e.g., progesterone supplementation) is needed to optimise implantation chances and reduce miscarriage risk. -
How long after stopping clomiphene can a woman try to conceive naturally?
Because the drug’s terminal half‑life extends up to 10 days, most clinicians recommend waiting at least one full menstrual cycle after the final dose before attempting conception. This allows hormone levels to stabilise and provides a clear baseline for assessing pregnancy. -
Is there any evidence that clomiphene is less effective in certain ethnic groups?
Pharmacogenetic studies have shown that CYP2D6 polymorphisms, more prevalent in some Asian populations, can alter clomiphene metabolism, potentially reducing its efficacy. Clinicians may consider higher doses or alternative agents (e.g., letrozole) if a patient does not respond as expected. -
Can clomiphene be used in combination with letrozole for enhanced ovulation induction?
Combining two ovulation‑inducing agents is generally not recommended due to the increased risk of OHSS and multiple pregnancies. If clomiphene fails, a switch to letrozole is usually preferred rather than concurrent therapy.
Glossary
- Selective Estrogen Receptor Modulator (SERM)
- A class of compounds that act as estrogen agonists in some tissues (e.g., bone) and antagonists in others (e.g., hypothalamus), thereby modifying hormonal feedback loops.
- Ovarian Hyperstimulation Syndrome (OHSS)
- A potentially serious complication of ovulation induction characterised by enlarged ovaries, fluid shift into the abdomen, and, in severe cases, thromboembolic events or renal failure.
- Follicular Phase
- The portion of the menstrual cycle from the first day of menstruation until ovulation, during which ovarian follicles mature under the influence of FSH.
- Bioavailability
- The proportion of an administered dose that reaches systemic circulation in an active form; clomiphene’s oral bioavailability is approximately 70‑80 %.
⚠️ Disclaimer
The information provided about Clomiphene is for general knowledge only. It does not replace professional medical consultation. All treatment decisions should be made under the supervision of a qualified healthcare provider. We assume all readers are responsible adults capable of making informed decisions about their health. Our online pharmacy offers access to Clomiphene for individuals who may have limited availability through traditional pharmacies, prescription‑based insurance schemes, or who are seeking affordable generic alternatives. Always consult your doctor before starting, changing, or discontinuing any medication.