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Clomifene

Aromatase Inhibitor · Infertility agent

Also known as Clomifene citrate, Clomid, Serophene, Milophene

Aromatase InhibitorInfertility agent
CDSCO approvedSchedule H
EXCRETION
not curated
INTERACTIONS
1 major
SEVERE in our sources
PREGNANCY
Possible effects on fetal development. Exclude pregnancy before treatment.
FDA category + note
Top interactions
  • BexaroteneSevereDatabaseDDInter

Mechanism

Clomifene is an anti-estrogen. It acts as a pure antagonist in all tissues studied.

Indications

Treatment of infertility in anovulatory women

Dosing

Hepatic adjustment
Avoid in liver disease or history of liver dysfunction

Contraindications

  • Pregnancy
  • Liver disease or history of liver dysfunction
  • Sex hormone responsive conditions
  • Uterine fibroids

Side effects

Common
Abdominal distensionAlopeciaAnxietyBreast tendernessDizzinessFatigueHeadacheHot flushInsomniaMenstrual cycle irregularitiesMood alteredNauseaParaesthesiaSkin reactionsVertigoVision disordersVomiting
Serious
  • Angioedema
  • Cataract
  • Cerebral thrombosis
  • Depression
  • Disorientation
  • Hypertriglyceridaemia
  • Jaundice cholestatic
  • Neoplasms
  • Nervous system disorders
  • Optic neuritis
  • Ovarian and fallopian tube disorders
  • Palpitations
  • Pancreatitis
  • Psychosis
  • Seizure
  • Speech disorder
  • Stroke
  • Syncope
  • Tachycardia
  • Uterine disorders
  • Visual impairment

Pregnancy & lactation

Pregnancy

Possible effects on fetal development. Exclude pregnancy before treatment.

Lactation

May inhibit lactation

Drug interactions

Bexarotene
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

1 additional low-confidence interaction hidden — those rows lack a documented mechanism or management plan in our sources.

Related guidelines

Other Aromatase Inhibitor drugs

Ask House about Clomifene

Continue into a citation-backed clinical answer with the drug context already attached.

Sources: BNF·Verified: 2026-05-10 · House clinical team