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The first endocrine event in response to a course of clomiPHENE citrate therapy is an increase in the release of pituitary gonadotropins. Once ovulation has been established, each course of clomiPHENE citrate therapy should be started on or about the 5th day of the cycle. Subsequent single-dose studies in normal volunteers showed that zuclomiPHENE (cis) has a longer half-life than enclomiPHENE (trans). Caution should be exercised when using clomiPHENE citrate in patients with uterine fibroids due to the potential for further enlargement of the fibroids. ClomiPHENE citrate may cause fetal harm in animals (see Animal Fetotoxicity). Although no causative evidence of a deleterious effect of clomiPHENE citrate therapy on the human fetus has been established, there have been reports of birth anomalies which, during clinical studies, occurred at an incidence within the range reported for the general population (see Fetal/Neonatal Anomalies and Mortality; ADVERSE REACTIONS).
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