How to use Clomid_x000D__x000D_ Clomiphene must be taken by mouth exactly as directed by your doctor in order to be most effective. It is important to follow your dosing schedule carefully._x000D__x000D_ Your dosage is based on your medical condition and response to therapy. Do not take it more often or for a longer time than prescribed by your doctor. Long-term treatment with this medication is not recommended and should not be more than 6 cycles._x000D__x000D_ You may be directed to record your body temperature, perform ovulation tests, and properly time sexual intercourse for best results. Ask your doctor if you have any questions._x000D__x000D_ _x000D__x000D_ Before taking this medicine_x000D__x000D_ You should not use Clomid if you are allergic to clomiphene, or if you have:_x000D__x000D_ abnormal vaginal bleeding;_x000D__x000D_ an ovarian cyst that is not related to polycystic ovary syndrome;_x000D__x000D_ past or present liver disease;_x000D__x000D_ a tumor of your pituitary gland;_x000D__x000D_ an untreated or uncontrolled problem with your thyroid or adrenal gland; or_x000D__x000D_ if you are pregnant._x000D__x000D_ To make sure Clomid is safe for you, tell your doctor if you have:_x000D__x000D_ endometriosis or uterine fibroids._x000D__x000D_ FDA pregnancy category X. Do not use Clomid if you are already pregnant. Talk to your doctor if you have concerns about the possible effects of Clomid on a new pregnancy._x000D__x000D_ _x000D__x000D_ Clomiphene Citrate is typically prescribed for women to aid in ovulation. In men, the application of Clomid causes an elevation of follicle stimulating hormone and luteinizing hormone. As a result, natural testosterone production is also increased._x000D__x000D_ _x000D__x000D_ This effect is obviously beneficial to the athlete, especially at the conclusion of a steroid cycle when endogenous testosterone levels are subnormal. When an athlete discontinues the use of steroids, his testosterone levels will most likely be suppressed. If endogenous testosterone levels are not brought to normal, a dramatic loss in size and strength may occur. Clomid plays a crucial role in preventing this crash in athletic performance._x000D__x000D_ _x000D__x000D_ Bodybuilders find that a daily intake of 50-100 mg of clomiphene citrate over a two week period will bring endogenous testosterone production back to an acceptable level. Clomid will gradually raise testosterone levels over its period of intake. Since an immediate boost in testosterone is often desirable, athlete will commonly use HCG (human choronic gonadotropin) for a couple of weeks, and the continue treatment with Clomid._x000D__x000D_ _x000D__x000D_ Clomid is also effective as an anti-estrogen. Most athletes will suffer from an elevated estrogen level at the conclusion of a cycle. A high estrogen level combined with a low testosterone level puts an athlete in serious risk of developing gynocomastia. With the intake of Clomid, the athlete gets the dual effect of blocking out some of the effects of estrogen, while also increasing endogenous testosterone production._x000D__x000D_ See also: Pregnancy and breastfeeding warnings (in more detail)_x000D__x000D_ It is not known whether clomiphene passes into breast milk or if it could harm a nursing baby. This medication may slow breast milk production in some women. Tell your doctor if you are breast-feeding a baby._x000D__x000D_ Using Clomid for longer than 3 treatment cycles may increase your risk of developing an ovarian tumor. Ask your doctor about your specific risk._x000D__x000D_ _x000D__x000D_ Clomid is available in 50 mg tablets. Treatment of the selected patient should begin with a low dose, 50 mg daily (1 tablet) for 5 days; dose changes are made by the treating physician. The first dose should occur on the 5th day of the female’s ovulatory cycle and then subsequent doses at about the same time of day for a total of 5 days. Patients should be familiar with their ovulatory cycle so that properly timed coitus and ovulation stimulated by the drug occur. Long term therapy (past 6 cycles) is not recommended to avoid possible increases in cancer risk. Serious side effects of Clomid include shortness of breath, seizures, stroke, chest pain, vision changes, GI symptoms of pain and swelling. Ovarian hyperstimulation syndrome may occur (ovarian enlargement, severe GI symptoms, abdominal swelling, shortness of breath, pleural effusions, decreased urination). Patients should seek medical care if these serious symptoms develop. This drug is not for use in males or pediatric patients; studies on its excretion in breast milk have not been done.