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Buy Clomid Mexico

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Additional information

Masters Swimming Lane Etiquette
This is a check on your own bad habits!- Make sure you are not part of any problems in your lane.
Brent’s requirement- Everyone MUST bring water or an energy drink to every workout…..He will be checking!
Also read and heed Brent’s occasional handouts on related health and nutrition issues.
Pre-swim:

Arrive Early; Do stretches;Read the workout and get your appropriate equipment; Help with lane set-up, lane rope removal and equipment return

One that matches your pace and level; Change lanes if you are taking it easy; Move lanes if asked to even up lane numbers; Check with coach if you are unsure of which workout you should do.

Starting Practice
Begin the workout together on time; If you arrive late, join workout where your lane is, not at the start; No diving at the start of workout, only when your whole lane is doing starts.

Even lanes swim up the left; Odd lanes swim up the right; Practice doing turns in both directions, so you can change lanes when needed.

Leading a Lane
Fastest person for the set should lead(adjust for kicking and change of strokes); Make sure you understand the set, pace time, and that everyone else does; Choose an appropriate pace time for everyone in the lane (if the pace is too slow, move up a lane); Leave 5 seconds between swimmers when starting ( 10 if long course); Slower swimmers should shorten the set ( 350 for a 400) or change lanes.

Overtaking
Touch the slower swimmer’s foot; The slower swimmer moves over to the lane rope or side of pool, the faster swimmer passes in the middle of the lane; If near the wall, the slower swimmer should stay to the same lane side, stop and let the faster swimmer go to the other side of the lane and do a proper turn.

Turns
Move to the other side of the lane and push off straight

Finishes
If you have stopped, move to the lane rope to keep the wall free for the other swimmer’s to do proper turns; When finishing the set the first 2 swimmers in the lane should hang on the wall closest to the side
of the lane you start on, the rest of the swimmers should move off the wall so everyone in your lane can touch the wall to finish.

Breaks
If you leave for a break, rejoin the set in progress; Do not start where you left off.

Feedback
Try to give constructive feedback to the coaches; The coaches will give you feedback on your strokes.

Miscellaneous
Yelling, handling and aggression are not tolerated; If someone has done something wrong, talk to the coach to have them speak to the other
swimmer; No yelling at the other swimmers, as everyone does make mistakes; If you have made contact with another swimmer, make sure they are alright and apologize. as soon as possible; If you have medication, please have it on deck and let the coaches know where it is before practice;
Keep a positive attitude and encourage your fellow swimmers; Remember that we come here for FUN, FITNESS, FELLOWSHIP and PARTICIPATION!

Clomiphene 50MG 30 TAB (Generic CLOMID/OMIFEN)

Patient Education – English

What is the most important information I should know about clomiphene?

Do not use clomiphene if you are already pregnant.

You should not use clomiphene if you have: liver disease, abnormal vaginal bleeding, an uncontrolled adrenal gland or thyroid disorder, an ovarian cyst (unrelated to polycystic ovary syndrome), or if you are pregnant.

What is clomiphene?

Clomiphene is a non-steroidal fertility medicine. It causes the pituitary gland to release hormones needed to stimulate ovulation (the release of an egg from the ovary).

Clomiphene is used to cause ovulation in women with certain medical conditions (such as polycystic ovary syndrome) that prevent naturally occurring ovulation.

Clomiphene may also be used for purposes not listed in this medication guide.

Off-label use in the treatment of male hypogonadism

Clomifene citrate has been found very effective in the treatment of secondary male hypogonadism in many cases. This has shown to be a much more attractive option than testosterone replacement therapy (TRT) in many cases because of the reduced cost and convenience of taking a pill as opposed to testosterone injections or gels. Unlike traditional TRT it also does not shrink the testes and as a result can enhance fertility. Traditional TRT has the risk of inducing a chemical gonadectomy, although with monitoring and low-dose hCG as adjunct, this is usually preventable and reversible. Because clomifene citrate has not been FDA approved for use in males it is prescribed off-label. Due to the fact that Clomifene is now a generic medication in most markets, it is unlikely that a drug company would pursue FDA approval for use in men now because of limited profit incentive, mostly due to the relatively small market potential. However, the single isomer of clomifene, enclomiphene under the brand name Androxal, is currently under phase 3 trials for use in men.

Recreational use

Clomifene is commonly used by male users to bind the estrogen receptors in their bodies, thereby blocking the effects of estrogen, such as gynecomastia. It also restores the body’s natural production of testosterone. It is included on the World Anti-Doping Agency list of illegal doping agents in sport.

What should I discuss with my healthcare provider before taking clomiphene?

You should not use clomiphene if you are allergic to it, or if you have:

• abnormal vaginal bleeding;
• an ovarian cyst that is not related to polycystic ovary syndrome;
• past or present liver disease;
• a tumor of your pituitary gland;
• an untreated or uncontrolled problem with your thyroid or adrenal gland; or
• if you are pregnant.

To make sure clomiphene is safe for you, tell your doctor if you have:

• endometriosis or uterine fibroids.

FDA pregnancy category X. Do not use clomiphene if you are already pregnant. Talk to your doctor if you have concerns about the possible effects of clomiphene on a new pregnancy.

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.

Using clomiphene for longer than 3 treatment cycles may increase your risk of developing an ovarian tumor. Ask your doctor about your specific risk.

Fertility treatment may increase your chance of having multiple births (twins, triplets). These are high-risk pregnancies both for the mother and the babies. Talk to your doctor if you have concerns about this risk.

How should I take clomiphene?

Your doctor will perform medical tests to make sure you do not have conditions that would prevent you from safely using clomiphene.

Follow all directions on your prescription label. Your doctor may occasionally change your dose to make sure you get the best results. Do not take this medicine in larger or smaller amounts or for longer than recommended.

Clomiphene is usually taken for 5 days, starting on the 5th day of your menstrual period. Follow your doctor’s instructions.

You will need to have a pelvic examination before each treatment cycle. You must remain under the care of a doctor while you are using clomiphene.

You will most likely ovulate within 5 to 10 days after you take clomiphene. To improve your chance of becoming pregnant, you should have sexual intercourse while you are ovulating.

Your doctor may have you take your temperature each morning and record your daily readings on a chart. This will help you determine when you can expect ovulation to occur.

If ovulation occurs but you do not get pregnant after 3 treatment cycles, your doctor may stop treatment and evaluate your infertility further.

In most cases, clomiphene should not be used for more than 3 treatment cycles.

Store at room temperature away from moisture, heat, and light.

What happens if I miss a dose?

Call your doctor for instructions if you miss a dose of clomiphene.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

What should I avoid while taking clomiphene?

This medication may cause blurred vision. Be careful if you drive or do anything that requires you to be alert and able to see clearly.

What are the possible side effects of clomiphene?

Get emergency medical help if you have any of these signs of an allergic reaction. hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Some women using this medicine develop a condition called ovarian hyperstimulation syndrome (OHSS), especially after the first treatment. OHSS can be a life threatening condition. Call your doctor right away if you have any of the following symptoms of OHSS:

• stomach pain, bloating;
• nausea, vomiting, diarrhea;
• rapid weight gain, especially in your face and midsection;
• little or no urinating; or
• pain when you breathe, rapid heart rate, feeling short of breath (especially when lying down).

Stop using clomiphene and call your doctor at once if you have:

• pelvic pain or pressure, enlargement in your pelvic area;
• vision problems;
• seeing flashes of light or “floaters” in your vision;
• increased sensitivity of your eyes to light; or
• heavy vaginal bleeding.

Common side effects may include:

• hot flashes;
• headache;
• breast pain or tenderness;
• mild stomach discomfort; or
• breakthrough bleeding or spotting.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect clomiphene?

Other drugs may interact with clomiphene, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell each of your health care providers about all medicines you use now and any medicine you start or stop using.

Where can I get more information?

Your doctor or pharmacist can provide more information about clomiphene.

Patient Education – Spanish

¿Cuál es la información más importante que debo saber sobre clomiphene?

No use clomiphene si usted está ya esta embarazada.

Usted no debe usar clomiphene si tiene: enfermedad del hígado, sangrado vaginal anormal, un trastorno no controlado de la glándula suprarrenal o tiroides, in quiste ovárico (no relacionado con el síndrome de ovario poliquístico), o si usted está embarazada.

¿Qué es clomiphene?

Clomiphene es una medicina no- esteroide para la fertilidad. Hace que la glándula pituitaria libere las hormonas necesarias para estimular la ovulación (la liberación de un óvulo desde el ovario).

Clomiphene se usa para causar la ovulación en mujeres con ciertas condiciones médicas (como el síndrome de ovario poliquístico) que impiden la ovulación que ocurre naturalmente.

Clomiphene puede también usarse para fines no mencionados en esta guía del medicamento.

¿Qué debería discutir con el profesional del cuidado de la salud antes de tomar clomiphene?

Usted no debe usar clomiphene si es alérgico a éste, o si usted tiene:

• sangrado vaginal anormal;
• in quiste ovárico que no está relacionado con el síndrome de ovario poliquístico;
• enfermedad del hígado en el pasado o en el presente;
• un tumor en la glándula pituitaria;
• un trastorno no tratado o no controlado de la glándulas tiroidea o suprarrenal; o
• si usted está embarazada.

Para asegurarse que clomiphene es seguro para usted, dígale a su médico si usted tiene:

• endometriosis o fibromas uterinos.

Categoría X del embarazo por la FDA. No use clomiphene si usted está ya embarazada. Hable con su médico acerca de los posibles efectos de clomiphene en un nuevo embarazo.

No se sabe si clomiphene pasa a la leche materna o si le puede hacer daño al bebé lactante. Este medicamento puede hacer lenta la producción de leche materna en algunas mujeres. Dígale a su médico si está dando de amamantar a un bebé.

Usar clomiphene por mas de 3 ciclos de tratamiento puede aumentar su riesgo de desarrollar un tumor en los ovarios. Pregúntele a su médico sobre su riesgo específico.

El tratamiento para la fertilidad le puede aumentar la posibilidad de tener gemelos, trillizos, etc (nacimientos múltiples). Estos son embarazos de alto riesgo para ambos, la madre y los bebés. Hable con su médico si usted tiene preocupaciones sobre este riesgo.

¿Cómo debo tomar clomiphene?

Su médico va a realizarle exámenes sanguíneos para asegurarse que usted no tenga condiciones que le impidan usar clomiphene de forma segura.

Siga todas las instrucciones en la etiqueta de su prescripción. Tal vez su médico en ocasiones cambie su dosis para asegurarse de que está obteniendo los mejores resultados. No tome esta medicina en cantidades mayores o menores, o por más tiempo de lo recomendado.

Clomiphene usualmente se toma durante 5 días, comenzando en el 5to día de su ciclo menstrual. Siga las instrucciones de su médico.

Usted va a necesitar un examen pélvico antes de cada ciclo de tratamiento. Usted debe permanecer bajo el cuidado de su médico mientras está usando clomiphene.

Es muy probable que usted ovule entre 5 y 10 días después de tomar clomiphene. Para aumentar las posibilidades de un embarazo usted debe tener relaciones sexuales mientras esta ovulando.

Su médico puede necesitar tomar su temperatura cada mañana y registrarla en un gráfico. Esto le ayudará a determinar cuando se puede esperar que ocurra la ovulación.

Si la ovulación ocurre pero usted no queda embarazada después de 3 ciclos de tratamiento, su médico va a suspender la medicina y evaluar más a fondo su infertilidad.

En la mayoría de los casos, clomiphene no debe usarse por más de 3 ciclos de tratamiento.

Guarde a temperatura ambiente fuera de la humedad, el calor, y la luz.

¿Qué sucede si me salto una dosis?

Llame a su médico para recibir instrucciones si se salta una dosis de clomiphene.

¿Qué sucedería en una sobredosis?

Busque atención médica de emergencia o llame a la línea de Poison Help al 1-800-222-1222.

¿Qué debo evitar mientras tomo clomiphene?

Este medicamento puede causar visión borrosa. Tenga cuidado al manejar o hacer otras actividades que demanden esté alerta y sea capaz de ver claramente.

¿Cuáles son los efectos secundarios posibles de clomiphene?

Busque atención médica de emergencia si usted tiene alguno de estos síntomas de una reacción alérgica. ronchas; dificultad para respirar; hinchazón de la cara, labios, lengua, o garganta.

Algunas mujeres que usan esta medicina desarrollan una condición llamada síndrome de hiperestimulación del ovario (OHSS), especialmente después del primer tratamiento. El OHSS puede ser una condición fatal. Llame a su médico de inmediato si usted tiene los siguientes síntomas de OHSS:

• dolor de estómago, distensión;
• náusea, vómitos, diarrea;
• ganancia rápida de peso, especialmente en su cara y sección media del cuerpo;
• orinar poco o nada; o
• dolor al respirar, latido cardíaco rápido, sensación de que le falta el aire al respirar (especialmente cuando se acuesta).

Deje de usar clomiphene y llame a su médico de inmediato si usted tiene:

• dolor o presión pélvica, ampliación en el área pélvica;
• problemas con la visión;
• ver resplendores de luz o “manchas flotantes” en su visión;
• aumento de sensibilidad de sus ojos a la luz; o
• sangrado vaginal abundante.

Efectos secundarios comunes pueden incluir:

• sensación súbita de calor;
• dolor de cabeza;
• dolor o sensibilidad en las mamas;
• leve molestia abdominal; o
• sangrado o manchado intermenstrual.

Esta lista no menciona todos los efectos secundarios y puede ser que ocurran otros. Llame a su médico para consejos médicos relacionados a efectos secundarios. Usted puede reportar efectos secundarios llamando al FDA al 1-800-FDA-1088.

¿Qué otras drogas afectarán a clomiphene?

Otras drogas pueden interactuar con clomiphene, incluyendo medicinas que se obtienen con o sin receta, vitaminas, y productos herbarios. Dígale a cada uno de sus proveedores de salud acerca de todas las medicinas que usted esté usando ahora, y cualquier medicina que usted comience o deje de usar.

¿Dónde puedo obtener más información?

Su médico o farmacéutico le puede dar más información acerca de clomiphene.

Adult Dosing .

Special Note

[uses, dosing may vary] Info: refer to institution protocols and pkg insert prior to prescribing

ovulation induction

[50 mg PO qd x5 days] Start: day 5 of menstrual cycle if spontaneous or induced bleeding; Max: 100 mg/day; Info: may repeat up to 6 cycles

*spermatogenesis induction

[25 mg PO qd x25 days, off x5 days] Alt: 25 mg PO qod; 50 mg PO qd

renal dosing

hepatic dosing

[see below] hepatic impairment: contraindicated

Peds Dosing .

Peds dosing is currently unavailable or not applicable for this drug.

Contraindications/Cautions .

• hypersens. to drug/class/compon.
• pregnancy
• hepatic dz
• hepatic impairment hx
• abnormal uterine bleeding
• ovarian cysts, non-PCOS-related
• adrenal dysfxn, uncontrolled
• thyroid dz, uncontrolled
• intracranial lesion, organic
• pituitary tumor
• endometrial CA

Drug Interactions .

Overview

selective estrogen receptor modulator (SERM)

Adverse Reactions .

Serious Reactions

• thromboembolism
• ovarian hyperstimulation syndrome
• multiple pregnancy
• visual disturbance, severe
• ovarian CA risk (long-term use)

Common Reactions

• ovarian enlargement
• vasomotor flushing
• abdominal distension
• nausea
• vomiting
• breast tenderness
• blurred vision
• scintillating scotoma
• headache
• abnormal uterine bleeding
• pelvic pain

Safety/Monitoring .

Monitoring Parameters
pregnancy test, pelvic exam prior to each course

Look/Sound-Alike Drug Names
[from www.usp.org]

Clomid confused with: clomiPRAMINE

Pharmacology .

Metabolism: liver; CYP450: unknown

Excretion: feces 42.4%, urine 7.8%; Half-life: 5-7 days

Mechanism of Action
binds to estrogen receptors, producing estrogenic and anti-estrogenic effects

Manufacturer/Pricing .

Manufacturer: sanofi-aventis U.S. LLC

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