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Drug Safety-related Labeling Changes (SrLC)

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CLOMID (NDA-016131)

(CLOMIPHENE CITRATE)

Safety-related Labeling Changes Approved by FDA Center for Drug Evaluation and Research (CDER)

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12/18/2017 (SUPPL-28)

Approved Drug Label (PDF)

5 Warnings and Precautions

PRECAUTIONS

(Additions and/or revisions are underlined)

Metabolism Disorders: Cases of hypertriglyceridemia have been reported. Preexisting or family history of hyperlipidemia and use of higher than recommended dose and/or longer duration of treatment with CLOMID are associated with a risk of hypertriglyceridemia. Periodic monitoring of plasma triglycerides is recommended in patients with preexisting or family history of hyperlipidemia. Pretreatment screening of triglyceride levels is recommended in patients initiating Clomid therapy.

Gastrointestinal Disorders: Cases of pancreatitis have been reported.

6 Adverse Reactions

Postmarketing Adverse Events

(Additions and/or revisions are underlined)

Gastrointestinal: Pancreatitis

Genitourinary: Endometriosis, ovarian cyst (ovarian enlargement or cysts could, as such, be complicated by adnexal torsion), ovarian hemorrhage, tubal pregnancy, uterine hemorrhage, reduced endometrial thickness

Metabolism Disorders: Hypertriglyceridemia, in some cases with pancreatitis