Choriofactor 5000 IU/vial (IM/SC Injection)

5000 IU vial: ৳ 2,300.00

Medicine Details

Indications

  • Ovulation induction in infertility due to anovulation or impaired follicle-ripening in females
  • Preparation of follicles for puncture in controlled ovarian hyperstimulation programs (ART) in females
  • Luteal phase support in females
  • Threatened and habitual abortion in females
  • Hypogonadotropic hypogonadism in males
  • Delayed puberty associated with insufficient gonadotropic pituitary function in males
  • Cryptorchidism treatment (not due to anatomical obstruction) in males
  • Treatment of oligospermia in males

Pharmacology

  • Highly Purified Human Chorionic Gonadotrophin has LH activity
  • LH indispensable in normal female and male gamete growth and maturation, and gonadal steroid production
  • Human Chorionic Gonadotrophin given as a substitute for the endogenous mid-cycle LH surge to induce the final phase of follicular maturation, leading to ovulation in females
  • Human Chorionic Gonadotrophin given as a substitute for endogenous LH during the luteal phase in females
  • Human Chorionic Gonadotrophin given to stimulate Leydig cells to promote the production of testosterone in males
  • Maximal Human Chorionic Gonadotrophin plasma levels reached approximately six hours after a single injection
  • Human Chorionic Gonadotrophin is approximately 80 percent metabolized, predominantly in the kidneys
  • Following intramuscular injection (IM) the apparent elimination half-life of Human Chorionic Gonadotrophin is about 2 days

Dosage & Administration

  • Reconstituted Human Menopausal Gonadotrophin solution should be slowly administered intramuscularly in females
  • Dosage regimen for ovulation induction and preparation of follicles for puncture ranges from 5000-10000IU Human Menopausal Gonadotrophin
  • Luteal phase support requires repeat injections of 2500 to 5000IU in females
  • Threatened & habitual abortion treatment involves giving 5000IU Human Menopausal Gonadotrophin as deep intramuscular injection twice weekly in females
  • Hypogonadotropic hypogonadism treatment involves 2500 to 5000 IU Human Menopausal Gonadotrophin, two times per week in males

Interaction

  • No interactions of clinical relevance are known

Contraindications

  • Known or suspected androgen-dependent tumors, such as prostatic carcinoma or breast carcinoma in males

Side Effects

  • Allergic reactions
  • Local reactions such as pain and rash at the injection site
  • Generalized reactions such as rash and fever
  • Unwanted ovarian hyperstimulation syndrome in females
  • Water and sodium retention occasionally seen in males
  • Aggravation or recurrence of latent or overt cardiac failure, renal dysfunction, hypertension, epilepsy or migraine
  • Premature epiphyseal closure or precocious sexual development in prepubertal boys

Pregnancy & Lactation

  • Pregnancy Category X: contraindicated in women who are or may become pregnant
  • Contraindicated for use during lactation

Precautions & Warnings

  • Increased risk of multiple births in pregnancies occurring after induction of ovulation with gonadotropic preparations
  • Unwanted ovarian hyperstimulation in females
  • Ultrasonic assessment of follicular development and estrogen level monitoring recommended prior to FSH-treatment
  • Discontinue FSH-containing preparation if unwanted ovarian hyperstimulation occurs
  • Estrogen levels may rise rapidly
  • Risk of mild to severe ovarian hyperstimulation syndrome, including life-threatening cases
  • Induction of precocious puberty in pediatric patients treated for cryptorchidism
  • Monitor skeletal maturation in prepubertal boys regularly

Use in Special Populations

  • Potential for induction of precocious puberty in pediatric patients treated for cryptorchidism
  • No clinical studies of Chorionic gonadotropin for injection included subjects aged 65 and over

Overdose Effects

  • Acute toxicity of urinary gonadotropin preparations shown to be very low
  • No symptoms of an acute parenteral overdose known in humans

Therapeutic Class

  • Female Sex hormones

Storage Conditions

  • Store at 2°C-8°C (in refrigerator). Do not freeze
  • Store below 25°C for a single period of not more than 3 months
  • Protect from light & keep in dry place

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