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Dosage Of Clomid
The initial recommended dosage is 50 mg but it may be increased to 100 mg (or more) until the desired response is achieved. It is important to chart while taking clomid and some doctors will recommend using Ovulation Predictor Kits (OPKs) as well.
Daily doses range from 50 mg to 200 mg. A few doctors will prescribe as much 250 mg per day, but this is rare and goes against manufacturer's suggestions. The Merck Manual, a reputable sourcebook for health care professionals, suggests no more than 150 mg per day.
Treatment of the selected patient should begin with a low dose, 50 mg daily (1 tablet) for 5 days. The dose should be increased only in those patients who do not ovulate in response to cyclic 50 mg clomiphene citrate tablets USP. A low dosage or duration of treatment course is particularly recommended if unusual sensitivity to pituitary gonadotropin is suspected, such as in patients with potycystic ovary syndrome.
If ovulation does not appear to occur after the first course of therapy, a second course of 100 mg daily (two 50 mg tablets given as a single daily dose) for 5 days should be given. This course may be started as early as 30 days after the previous one after precautions are taken to exclude the presence of pregnancy, Increasing the dosage or duration of therapy beyond 100 mg/day for 5 days is not recommended.
Clomid Abuse
Too often, doctors give clomiphene to women with unexplained infertility before the couple has a fertility workup, or even after they have a workup, but there is no evidence of an ovulation disorder. This empiric therapy may create new problems, such as interfering with fertile mucus production, and often delays further evaluation that can lead to a specific diagnosis and proper treatment.
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