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Bravelle

What is infertility?

Infertility means not being able to get pregnant after one year of trying. Or, six months, if a woman is 35 or older. Women who can get pregnant but are unable to stay pregnant may also be infertile.

Pregnancy is the result of a process that has many steps. To get pregnant:

  • A woman must release an egg from one of her ovaries (ovulation).

  • The egg must go through a Fallopian tube toward the uterus (womb).

  • A man's sperm must join with (fertilize) the egg along the way.

  • The fertilized egg must attach to the inside of the uterus (implantation).

Infertility can happen if there are problems with any of these steps.

Is infertility a common problem?

Yes. About 10 percent of women (6.1 million) in the United States ages 15-44 have difficulty getting pregnant or staying pregnant, according to the Centers for Diseas...

Bravelle

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SIDE EFFECTS

The safety of Bravelle® (urofollitropin injection) was examined in four clinical studies that enrolled a total of 222 patients receiving Bravelle® (urofollitropin injection) including 72 for ovulation induction and 150 for IVF.

All adverse events (without regard to causality assessment) occurring ≥2% incidence in the clinical study patients receiving Bravelle® (urofollitropin injection) are listed in Table 6, (FPI FSH 99-03 study for ovulation induction) and Table 7 (FPI FSH 99-04, FPI FSH 99-05 and FPI FSH 2001 -01 studies for IVF).

Table 6. FPI FSH 99-03 Ovulation Induction Safety Profile

All Patients with Adverse Events ≥ 2%
Adverse Events (%) Bravelle® SC Bravelle® IM
N=35 N=37
Genitourinary/Reproductive
   OHSS 4 (11.4) 2 (5.4)
   Vaginal Hemorrhage 3 (8.6) 0 (0.0)
   Ovarian Disorder (Pain, Cyst) 1 (2.9) 3 (8.1)
   Urinary tract infection 0 1 (2.7)
   Cervix disorder 1 (2-9) 0
Gastrointestinal
   Nausea 2 (5.7) 0 (0.0)
   Enlarged Abdomen 1 (2.9) 1 (2.7)
   Abdominal Pain 1 (2.9) 2 (5.4)
   Vomiting 0 1 (2-7)
   Constipation 0 1 (2.7)
   Diarrhea 0 1 (2.7)
Metabolic/Nutritional
   Dehydration 0 1 (2.7)
   Weight gain 1 (2.9) 0
Skin/Appendages
   Acne 1 (2.9) 0
   Exfoliative dermatitis 0 1 (2.7)
Other Body Systems
   Headache 4 (11.4) 3 (8.1)
   Pain 2 (5.7) 0 (0.0)
   Neck pain 0 1 (2.7)
   Respiratory Disorder 2 (5.7) 0 (0.0)
   Hot Flashes 2 (5.7) 0 (0.0)
   Fever 0 1 (2.7)
   Hypertension 0 1 (2.7)
   Emotional lability 0 1 (2.7)
   Depression 0 1 (2.7)
   Accidental injury 0 1 (2.7)

Table 7. Integrated IVF Safety Profile

All Patients with Adverse Events ≥ 2%
Adverse Events (%) Bravelle® SC
N=150
Genitourinary/Reproductive
   Vaginal hemorrhage 7 (4.7)
   Post retrieval pain 12 (8.0)
   Pelvic pain/cramps 10 (6.7)
   OHSS 9 (6.0)
   Uterine spasms 4 (2.7)
   Vaginal spotting 4 (2.7)
   Urinary tract infection 5 (3.3)
   Ovarian disorder 3 (2.0)
   Breast tenderness 3 (2.0)
   Vaginal Discharge 4 (2.7)
   Infection fungal 3 (2.0)
Gastrointestinal
   Abdominal cramps 21 (14.0)
   Nausea 13 (8.7)
   Abdominal pain 7 (4.7)
   Abdominal fullness/enlargement 10 (6.7)
   Constipation 3 (2.0)
Other Body Systems
   Headache 19 (12.7)
   Pain 8 (5.3)
   Rash 4 (2.7)
   Respiratory disorder 6 (4.0)
   Sinusitis 3 (2.0)
   Injection site reaction 6 (4.0)
   Hot flash 6 (4.0)
   Emotional lability 3 (2.0)

The following medical events have been reported subsequent to pregnancies resulting from gonadotropin therapy in published clinical studies:

  1. Spontaneous Abortion
  2. Ectopic Pregnancy
  3. Premature Labor
  4. Postpartum fever
  5. Congenital abnormalities

The following adverse reactions have been previously reported during urofollitropin for injection, purified therapy:

  1. Pulmonary and vascular complications (see WARNINGS),
  2. Adnexal torsion (as a complication of ovarian enlargement),
  3. Mild to moderate ovarian enlargement,
  4. Hemoperitoneum,
  5. There have been infrequent reports of ovarian neoplasms, both benign and malignant, in women who have undergone multiple drug regimens for ovulation induction; however, a causal relationship has not been established.

Drug abuse and Dependence

There have been no reports of abuse or dependence with follitropins.

DRUG INTERACTIONS

No information provided.

Last reviewed on RxList: 11/18/2008
This monograph has been modified to include the generic and brand name in many instances.

Bravelle - User Reviews

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