|
Pronunciation |
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(kor
ee ON ik goe NAD oh troe
pin) |
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U.S. Brand
Names |
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A.P.L.®; Chorex®;
Choron®; Gonic®; Pregnyl®; Profasi®
HP |
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Generic
Available |
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Yes |
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Synonyms |
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CG; hCG |
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Pharmacological Index |
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Ovulation Stimulator |
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Use |
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Induces ovulation and pregnancy in anovulatory, infertile females; treatment
of hypogonadotropic hypogonadism, prepubertal
cryptorchidism |
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Pregnancy Risk
Factor |
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C |
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Contraindications |
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Hypersensitivity to chorionic gonadotropin or any component; precocious
puberty, prostatic carcinoma or similar neoplasms |
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Warnings/Precautions |
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Use with caution in asthma, seizure disorders, migraine, cardiac or renal
disease; not effective in the treatment of obesity |
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Adverse
Reactions |
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1% to 10%:
Central nervous system: Mental depression, fatigue
Endocrine & metabolic: Pelvic pain, ovarian cysts, enlargement of
breasts, precocious puberty
Local: Pain at the injection site
Neuromuscular & skeletal: Premature closure of epiphyses
<1%: Peripheral edema, irritability, restlessness, headache, ovarian
hyperstimulation syndrome, gynecomastia |
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Drug
Interactions |
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No data reported |
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Stability |
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Following reconstitution with the provided diluent, solutions are stable for
30-90 days, depending on the specific preparation, when stored at
2°C to 15°C |
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Mechanism of
Action |
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Stimulates production of gonadal steroid hormones by causing production of
androgen by the testis; as a substitute for luteinizing hormone (LH) to
stimulate ovulation |
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Pharmacodynamics/Kinetics |
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Half-life, biphasic: Initial: 11 hours; Terminal: 23 hours
Elimination: Excreted unchanged in urine within 3-4 days
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Usual Dosage |
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I.M.:
Prepubertal cryptorchidism: 1000-2000 units/m2/dose 3 times/week
for 3 weeks OR 4000 units 3 times/week for 3 weeks OR 5000 units
every second day for 4 injections OR 500 units 3 times/week for 4-6
weeks
Hypogonadotropic hypogonadism: 500-1000 units 3 times/week for 3 weeks,
followed by the same dose twice weekly for 3 weeks OR 1000-2000 units 3
times/week OR 4000 units 3 times/week for 6-9 months; reduce dosage to
2000 units 3 times/week for additional 3 months
Adults: Induction of ovulation: 5000-10,000 units one day following last dose
of menotropins |
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Administration |
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Give I.M. only |
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Reference Range |
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Depends on application and methodology; <3 mIU/mL (SI: <3 units/L)
usually normal (nonpregnant) |
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Mental Health: Effects
on Mental Status |
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May cause drowsiness or depression; rarely may cause restlessness or
irritability |
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Mental Health:
Effects on Psychiatric
Treatment |
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None reported |
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Dental Health: Local
Anesthetic/Vasoconstrictor
Precautions |
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No information available to require special precautions |
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Dental Health:
Effects on Dental Treatment |
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No effects or complications reported |
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Patient
Information |
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Discontinue immediately if possibility of pregnancy |
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Dosage Forms |
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Powder for injection (human origin): 200 units/mL (10 mL, 25 mL); 500
units/mL (10 mL); 1000 units/mL (10 mL); 2000 units/mL (10
mL) |
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