Menopur

Menopur is part of the Assisted Reproduction Technology (ART) program, treating infertility in men and women. It is a combination of hormones (follicle-stimulating hormone (FSH) and luteinizing hormone (LH)) that stimulates ovaries to produce eggs for women and sperm production for men. Speak with your doctor if you might be pregnant or breastfeeding, have a thyroid problem, undiagnosed vaginal bleeding, ovarian cysts or enlargement, cancer or a tumor of the breast, ovary, uterus, hypothalamus, or pituitary gland, or any other serious or chronic medical illness. Make sure you are not pregnant, you can not use menopur if you are pregnant. Menopur increases the chances of multiple fetuses (ex. Twins, triplets, etc), make sure you speak with your doctor about the additional risks for both mother and fetuses.

Let your doctor know if you are taking any prescription or non-prescription medication, herbal preparation, or dietary supplements if you are allergic to medicines, foods, or other substances, and if you have liver or kidney problems, thyroid or adrenal gland problems, or bleeding problems (eg. Hemorrhage).

What I should know before taking Menopur?

If you are using Menopur with other medicines or with alcohol, avoid driving, operating any machinery, or do anything that could be dangerous until you know how you react to Menopur. Menopur may cause dizziness also, so avoid operating any machinery including driving is necessary. Menopur is an injection medication, do not reuse needles, syringes or any other materials used to prepare medication. Make sure all materials are disposed of properly after use. Confirm with your doctor that you are not pregnant before using Menopur, pregnancy must be ruled out before you use Menopur. Keep all doctor and lab appointments to closely monitor pregnancy tests and hormone levels. Elderly using Menopur should use with caution. You may be more sensitive to its side effects. It is not recommended for children to use Menopur because the safety and effectiveness of the medication have not been confirmed. Do not use the medication if the vial is cracked, damaged, or the medication is discolored or contains particles. Wash your hands thoroughly with soap and water before and after the preparation of medication.

How do I use Menopur?

Read the pamphlets and label on the medication and use medication as prescribed by your doctor. When your Menopur formula is intended for intramuscular injection (an injection into the muscle), do not inject it subcutaneously (under the skin) and vice versa. Do not inject medication if you are not sure how. Make sure a healthcare professional shows you how to use the medication properly. You can use medication at your doctor's office, hospital, clinic, or at home.

When using Menopur at home:

Draw up diluent into a syringe. Add the diluent to the powder by slowly pushing in the plunger of the syringe. Mix the solution by slowly rotating the container. Do not shake.

• Draw up the solution for injection. Use a different syringe or needle for the injection. Needles with a higher gauge (25 g or higher) are smaller and less painful to the patient. Be sure all air bubbles are tapped out of the syringe.
• Wipe the site with an alcohol swab and then insert the syringe through the skin at the appropriate injection site (usually the upper thigh or buttocks). While holding the syringe in place, pull back on the plunger of the syringe to be sure the needle is not in a vein.
• If the syringe begins to fill with blood, the needle is in a vein. If this happens, remove the needle from the skin, throw the syringe away, and start the procedure again using new materials (eg, medicine, syringes).
• After giving the injection, cover the site with a small bandage if necessary.
• If you miss a dose of Menopur, contact your doctor for instructions.

What are the side effects of Menopur?

Contact your doctor right away if you experience any of these severe side effects:

• Abdominal pain
• Back pain
• Breast enlargement
• Chills
• Dizziness
• Fever
• Flu-like symptoms
• Flushing
• General body discomfort
• Headache
• Menstrual changes
• Muscle or joint pain
• Pain or rash at the injection site

Contact your doctor if the following common side effects persist or become bothersome:

• Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue) Abdominal bloating
• Changes in speech or vision
• Chest pain
• Decreased urination
• Diarrhea
• Fast heartbeat
• Nausea
• One-sided weakness
• Severe abdominal pain
• Severe headache
• Shortness of breath
• Sudden leg pain
• Vomiting
• Weakness
• Weight gain
• Yellowing of the skin or eyes.

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