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Chorionic Gonadotropin

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Overview

What is Chorionic Gonadotropin?

Human chorionic gonadotropin (HCG), a polypeptide hormone produced by the human placenta, is composed of an alpha and a beta sub-unit. The alpha sub-unit is essentially identical to the alpha sub-units of the human pituitary gonadotropins, luteinizing hormone (LH) and follicle-stimulating hormone (FSH), as well as to the alpha sub-unit of human thyroid-stimulating hormone (TSH).  The beta sub-units of these hormones differ in amino acid sequence.  Chorionic gonadotropin is obtained from the human pregnancy urine. It is standardized by a biological assay procedure.

Chorionic Gonadotropin for Injection, USP is available in multiple dose vials containing 10,000 USP units with accompanying Bacteriostatic Water for Injection for reconstitution.  When reconstituted with 10 mL of the accompanying diluent each vial contains:

Chorionic gonadotropin                         10,000 units

mannitol                                                 100 mg

benzyl alcohol                                        0.9%

water for injection                                  q.s.

Buffered with dibasic sodium phosphate and monobasic sodium phosphate. Hydrochloric acid and/or sodium hydroxide may have been used for pH adjustment (6.0-8.0).  Nitrogen gas is used in the freeze drying process.



What does Chorionic Gonadotropin look like?



What are the available doses of Chorionic Gonadotropin?

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What should I talk to my health care provider before I take Chorionic Gonadotropin?

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How should I use Chorionic Gonadotropin?

HCG HAS NOT BEEN DEMONSTRATED TO BE EFFECTIVE ADJUNCTIVE THERAPY IN THE TREATMENT OF OBESITY.  THERE IS NO SUBSTANTIAL EVIDENCE THAT IT INCREASES WEIGHT LOSS BEYOND THAT RESULTING FROM CALORIC RESTRICTION, THAT IT CAUSES A MORE ATTRACTIVE OR ‘‘NORMAL’’ DISTRIBUTION OF FAT, OR THAT IT DECREASES THE HUNGER AND DISCOMFORT ASSOCIATED WITH CALORIE-RESTRICTED DIETS.

The dosage regimen employed in any particular case will depend upon the indication for use, the age and weight of the patient and the physician’s preference.  The following regimens have been advocated by various authorities.


What interacts with Chorionic Gonadotropin?

Sorry No Records found


What are the warnings of Chorionic Gonadotropin?

Sorry No Records found


What are the precautions of Chorionic Gonadotropin?

Sorry No Records found


What are the side effects of Chorionic Gonadotropin?

Headache, irritability, restlessness, depression, fatigue, edema, precocious puberty, gynecomastia and pain at the site of injection.


What should I look out for while using Chorionic Gonadotropin?

Precocious puberty, prostatic carcinoma or other androgen-dependent neoplasm, prior allergic reaction to HCG.

HCG should be used in conjunction with human menopausal gonadotropins only by physicians experienced with infertility problems who are familiar with the criteria for patient selection, contraindications, warnings, precautions and adverse reactions described in the package insert for menotropins.  The principal serious adverse reactions are: (1) Ovarian hyperstimulation, a syndrome of sudden ovarian enlargement, ascites with or without pain and/or pleural effusion, (2) Rupture of ovarian cysts with resultant hemoperitoneum, (3) Multiple births and (4) Arterial thromboembolism.

Anaphylaxis and other hypersensitivity reactions have been reported with urinary-derived HCG products.


What might happen if I take too much Chorionic Gonadotropin?

Sorry No Records found


How should I store and handle Chorionic Gonadotropin?

Storage and HandlingStore at room temperature; 20°C to 25°C (68°F to 77°F).Storage and HandlingStore at room temperature; 20°C to 25°C (68°F to 77°F).Chorionic Gonadotropin for Injection, USP, lyophilized, is supplied in two-vial packages including Bacteriostatic Water for Injection as diluent as follows:The product is assayed in accord with the USP method and potencies refer to USP units (International Units) defined in terms of the USP Chorionic Gonadotropin Reference Standard.Store at 20° to 25°C (68° to 77°F) [see USP Controlled Room Temperature].Chorionic Gonadotropin for Injection, USP, lyophilized, is supplied in two-vial packages including Bacteriostatic Water for Injection as diluent as follows:The product is assayed in accord with the USP method and potencies refer to USP units (International Units) defined in terms of the USP Chorionic Gonadotropin Reference Standard.Store at 20° to 25°C (68° to 77°F) [see USP Controlled Room Temperature].Chorionic Gonadotropin for Injection, USP, lyophilized, is supplied in two-vial packages including Bacteriostatic Water for Injection as diluent as follows:The product is assayed in accord with the USP method and potencies refer to USP units (International Units) defined in terms of the USP Chorionic Gonadotropin Reference Standard.Store at 20° to 25°C (68° to 77°F) [see USP Controlled Room Temperature].


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Clinical Information

Chemical Structure

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Clinical Pharmacology

The action of HCG is virtually identical to that of pituitary LH, although HCG appears to have a small degree of FSH activity as well.  It stimulates production of gonadal steroid hormones by stimulating the interstitial cells (Leydig cells) of the testis to produce androgens and the corpus luteum of the ovary to produce progesterone.  Androgen stimulation in the male leads to the development of secondary sex characteristics and may stimulate testicular descent when no anatomical impediment to descent is present. This descent is usually reversible when HCG is discontinued. During the normal menstrual cycle, LH participates with FSH in the development and maturation of the normal ovarian follicle, and the mid-cycle LH surge triggers ovulation. HCG can substitute for LH in this function.  During a normal pregnancy, HCG secreted by the placenta maintains the corpus luteum after LH secretion decreases, supporting continued secretion of estrogen and progesterone and preventing menstruation.  HCG HAS NO KNOWN EFFECT ON FAT MOBILIZATION, APPETITE OR SENSE OF HUNGER, OR BODY FAT DISTRIBUTION.

Non-Clinical Toxicology
Precocious puberty, prostatic carcinoma or other androgen-dependent neoplasm, prior allergic reaction to HCG.

HCG should be used in conjunction with human menopausal gonadotropins only by physicians experienced with infertility problems who are familiar with the criteria for patient selection, contraindications, warnings, precautions and adverse reactions described in the package insert for menotropins.  The principal serious adverse reactions are: (1) Ovarian hyperstimulation, a syndrome of sudden ovarian enlargement, ascites with or without pain and/or pleural effusion, (2) Rupture of ovarian cysts with resultant hemoperitoneum, (3) Multiple births and (4) Arterial thromboembolism.

Anaphylaxis and other hypersensitivity reactions have been reported with urinary-derived HCG products.

When given concurrently the following drugs may interact with thiazide diuretics:





































Induction of androgen secretion by HCG may induce precocious puberty in patients treated for cryptorchidism.  Therapy should be discontinued if signs of precocious puberty occur. 

Since androgens may cause fluid retention, HCG should be used with caution in patients with cardiac or renal disease, epilepsy, migraine or asthma.

Headache, irritability, restlessness, depression, fatigue, edema, precocious puberty, gynecomastia and pain at the site of injection.

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Reference

This information is obtained from the National Institute of Health's Standard Packaging Label drug database.
"https://dailymed.nlm.nih.gov/dailymed/"

While we update our database periodically, we cannot guarantee it is always updated to the latest version.

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Professional

Clonazepam Description Each single-scored tablet, for oral administration, contains 0.5 mg, 1 mg, or 2 mg Clonazepam, USP, a benzodiazepine. Each tablet also contains corn starch, lactose monohydrate, magnesium stearate, microcrystalline cellulose, and povidone. Clonazepam tablets USP 0.5 mg contain Yellow D&C No. 10 Aluminum Lake. Clonazepam tablets USP 1 mg contain Yellow D&C No. 10 Aluminum Lake, as well as FD&C Blue No. 1 Aluminum Lake. Chemically, Clonazepam, USP is 5-(o-chlorophenyl)-1,3-dihydro-7-nitro-2H-1,4-benzodiazepin-2-one. It is a light yellow crystalline powder. It has the following structural formula: C15H10ClN3O3 M.W. 315.72
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Interactions

Interactions

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