Summary of Contraindications
Gonal-f® RFF* Redi-ject® (follitropin alfa injection), Gonal-f® Multi-Dose (follitropin alfa for injection) and Gonal-f® RFF* 75 IU (follitropin alfa for injection) are contraindicated in patients with prior hypersensitivity to rhFSH or excipients, high levels of FSH indicating primary gonadal failure, pregnancy, uncontrolled thyroid, adrenal or pituitary disorders, sex hormone dependent tumors of the reproductive tract/accessory organs, tumors of pituitary gland or hypothalamus, abnormal uterine bleeding of undetermined origin and ovarian cyst or enlargement of undetermined origin.
Please scroll for IMPORTANT RISK INFORMATION and click for full Prescribing Information for Gonal-f® RFF* Redi-ject®, Gonal-f® Multi-Dose and Gonal-f® RFF* 75 IU and talk to your doctor.
* RFF: Revised Formulation Female
Important Risk Information for Gonal-f® RFF* Redi-ject® (follitropin alfa injection)
Do not use Gonal‐f® RFF* Redi‐ject® if you:
- are allergic to recombinant human FSH or any of the ingredients listed on the product carton or package insert
- have levels of FSH indicating primary gonadal failure
- are pregnant or think you may be pregnant due to the potential hazard to a fetus
- have uncontrolled thyroid, adrenal or pituitary problems
- have a tumor in your female organs, including your ovaries, breast, or uterus
- have a tumor in your brain, such as a tumor in your pituitary or hypothalamus
- have abnormal bleeding from your uterus or vagina
- have ovarian cysts or large ovaries with unknown cause, not due to polycystic ovary syndrome (PCOS)
Before using Gonal‐f® RFF* Redi‐ject®, tell your healthcare provider about your medical history including any prescription or over-the-counter medicines, vitamins and herbal supplements used, whether you have or have had asthma, abdominal surgery, ovarian cysts, polycystic ovarian disease, blood clots (thrombosis) or family history of blood clots, or are breastfeeding or plan to breastfeed.
Gonal‐f® RFF* Redi‐ject® may cause serious side effects, including:
- Severe or fatal allergic reactions. Stop using Gonal‐f® RFF* Redi‐ject® and go to the hospital right away if you have symptoms of an allergic reaction which can include shortness of breath, swelling of your face, itchy, red bumps or rash on your skin (hives).
- Stomach bloating or pain caused by enlargement of your ovaries, or fluid build-up in your stomach, chest and heart caused by ovarian hyperstimulation syndrome (OHSS). OHSS can require hospitalization and in rare cases has caused death. Call your healthcare provider right away if you have symptoms of OHSS, including trouble breathing, severe lower stomach (pelvic) area pain, decreased urine output, nausea, vomiting, weight gain, and diarrhea.
- Gonal-f® RFF* can also cause or worsen lung problems (including severe shortness of breath and asthma), blood and blood vessel problems (including clots and stroke) which in rare cases have caused death.
- Twisting of your ovary, which requires medical attention.
- Chances of having a baby with birth defects may increase in a baby born after an ART cycle and can be impacted by maternal age, paternal sperm problems, and genetic background associated with the egg and sperm.
- Use of Gonal‐f® RFF* Redi‐ject® can result in pregnancy with more than 1 baby and the birth of multiple babies.
- Ectopic pregnancy (pregnancy outside your womb).
- An increased risk of miscarriage.
- If you have used fertility medicines like Gonal‐f® RFF* Redi‐ject® before to get pregnant, you may have an increased chance of having tumors in your ovary(ies) (including cancer).
- Ultrasound and lab tests should be used to monitor treatment.
The most common side effects of Gonal‐f® RFF* Redi‐ject® include:
- In Ovulation Induction headache, abdominal pain, and ovarian hyperstimulation
- In ART - abdominal pain, nausea, abdominal enlargement, headache and injection site bruising
These are not all the possible side effects of Gonal‐f® RFF* Redi‐ject®. For more information, read the product labeling, and ask your healthcare provider or pharmacist.
Call your healthcare provider for medical advice about side effects. You may report side effects to FDA at 1‐800‐FDA‐1088.
Use Gonal‐f® RFF* Redi‐ject® as directed and do not change your dose unless directed. Do not share your Gonal‐f® RFF* Redi‐ject® and needles with another person; you may give another person an infection or get an infection from them.
Carefully review the Gonal‐f® RFF* Redi‐ject® Instructions for Use that comes with the Pen for information about the correct use of Gonal‐f® RFF* Redi‐ject® and follow all training and instruction provided by your healthcare provider.
Indications and Usage
Gonal‐f® RFF* Redi‐ject® (follitropin alfa injection) is a prescription medicine containing follicle‐stimulating hormone (FSH) used in infertile women to:
- help ovulation and pregnancy in women who are infertile due to a cause other than primary ovarian failure
- cause your ovaries to make multiple (more than 1) eggs as part of an Assisted Reproductive Technology (ART) program
Please see full Prescribing information here and talk to your doctor.
*RFF, Revised Formulation Female
Important Risk Information for Gonal-f® Multi-Dose (follitropin alfa for injection)
Do not use Gonal‐f® Multi-Dose if you:
- Are allergic to recombinant human FSH or any of the ingredients listed on the product carton or insert
- Have uncontrolled thyroid or adrenal problems
- Have a tumor in your female organs, including your ovaries, breast, or uterus or permanent damage to the male sex organs (testes)
- Have a tumor in your brain, such as a tumor in your pituitary
- Have abnormal bleeding from your uterus or vagina
- Have ovarian cysts or large ovaries, not due to polycystic ovary syndrome (PCOS)
- Are pregnant or think you may be pregnant
Before using Gonal‐f® Multi-Dose, tell your healthcare provider about your medical history including any prescription or over-the-counter medicines, vitamins and herbal supplements used, whether you have or have had asthma, abdominal surgery, ovarian cysts, polycystic ovarian disease, blood clots (thrombosis) or family history of blood clots, or are breastfeeding or plan to breastfeed.
Gonal‐f® Multi-Dose may cause serious side effects, including:
- Ovarian hyperstimulation syndrome (OHSS) is a serious side effect. OHSS can be mild, moderate or severe, and in rare cases, has caused death. Mild symptoms can progress to more serious symptoms and immediate evaluation by your doctor is necessary. Early signs of OHSS include trouble breathing, severe lower stomach (pelvic) area pain, nausea, vomiting, weight gain. Call your health care provider right away. Symptoms include stomach pain, stomach bloating, nausea, vomiting and diarrhea, enlargement of ovaries, difficulty breathing and a drop in urine output
- Gonal-f® Multi-Dose can also cause or worsen lung problems (including acute respiratory distress syndrome and asthma), blood and blood vessel problems (including clots and stroke) which in rare cases have caused death.
- Use of Gonal‐f® Multi-Dose can result in pregnancy with more than one baby and the birth of multiple babies.
- Stop using Gonal‐f® and go to the hospital right away if you have symptoms of an allergic reaction which can include shortness of breath, swelling of your face, itchy, red bumps or rash on your skin (hives).
Other serious side effects include:
- Gonal‐f® Multi-Dose can also cause or worsen lung problems (including asthma), blood and blood vessel problems (including clots and stroke), or twisting of your ovary, which require medical attention
- Miscarriage, or ectopic pregnancy (pregnancy outside your womb)
- Chances of having a baby with birth defects may increase in a baby born after an ART cycle and can be impacted by maternal age, paternal sperm problems, and genetic background associated with the egg and sperm.
- It is not known if this drug is excreted in human milk. Because of the potential for serious adverse reactions in the nursing infant from Gonal-f, a decision should be made whether to stop nursing or stop the drug, taking into account the importance of the drug to the mother.
The most common side effects of Gonal‐f® Multi-Dose include
- Headache
- Stomach pain
- Stomach bloating
- Bruising at the injection site
- Nausea
- Other side effects reported include sinus infections and ovarian cysts
In men, common side effects include
- Skin pimples
- Breast pain and growth
- Tiredness
These are not all the possible side effects of Gonal‐f®. For more information, read the product labeling, and ask your healthcare provider or pharmacist.
Call your healthcare provider for medical advice about side effects. You may report side effects to FDA at 1‐800‐FDA‐1088.
Use Gonal‐f® Multi-Dose as directed and do not change your dose unless directed. Do not share your Gonal‐f® Multi-Dose and needles with another person; you may give another person an infection or get an infection from them.
Carefully review the Gonal‐f® Multi‐Dose Patient Information Leaflet that comes with the product and follow all training and instruction provided by your healthcare provider. The injection syringes provided with the product should only be used with Gonal‐f® Multi‐Dose and should not be used to administer any other drug or hormone.
Indications for Gonal-f® Multi-Dose
Gonal‐f® Multi-Dose is a prescription medicine containing follicle‐stimulating hormone (FSH) used in infertile women to:
- Help ovulation and pregnancy in women who are infertile due to a cause other than primary ovarian failure
- Cause your ovaries to make multiple (more than 1) eggs as part of an Assisted Reproductive Technology (ART) program
Gonal‐f® Multi-Dose can also be prescribed to increase sperm production in men with a rare medical condition.
Important Risk Information for Gonal-f® RFF* 75 IU (follitropin alfa for injection)
Do not use Gonal‐f® RFF* 75 IU if you:
- are allergic to recombinant human FSH or any of the ingredients listed on the product carton or package insert
- have levels of FSH indicating primary gonadal failure
- have uncontrolled thyroid or adrenal problems
- have a tumor in your female organs, including your ovaries, breast, or uterus
- have a tumor in your brain, such as a tumor in your pituitary or hypothalamus
- have abnormal uterine bleeding of undetermined origin
- have ovarian cysts or large ovaries, not due to polycystic ovary syndrome (PCOS)
- are pregnant or think you may be pregnant
Before using Gonal-f® RFF* 75 IU, tell your healthcare provider about your medical history including any prescription or over-the-counter medicines, vitamins and herbal supplements used.
Gonal‐f® RFF* 75 IU may cause serious side effects, including:
- Severe or fatal allergic reactions. Stop using Gonal‐f® RFF* 75 IU and go to the hospital right away if you have symptoms of an allergic reaction which can include shortness of breath, swelling of your face, itchy, red bumps or rash on your skin (hives).
- Stomach bloating or pain caused by enlargement of your ovaries, or fluid build-up in your stomach, chest and heart caused by ovarian hyperstimulation syndrome (OHSS). OHSS can require hospitalization and in rare cases has caused death. Call your healthcare provider right away if you have symptoms of OHSS, including trouble breathing, severe lower stomach (pelvic) area pain, decreased urine output, nausea, vomiting, weight gain, and diarrhea.
- Gonal‐f® RFF* 75 IU can also cause or worsen lung problems (including asthma), blood and blood vessel problems (including clots and stroke), or twisting of your ovary, which require medical attention.
- Use of Gonal‐f® RFF* 75 IU can result in pregnancy with more than one baby and the birth of multiple babies.
- It is not known whether this drug is excreted in human milk. Because many drugs are excreted in human milk and because of the potential for serious adverse reactions in the nursing infant from Gonal-f® RFF* 75 IU, a decision should be made whether to discontinue nursing or to discontinue the drug, taking into account the importance of the drug to the mother.
The most common side effects of Gonal‐f® RFF* 75 IU include headache, stomach pain, stomach bloating, bruising at the injection site, and nausea. Other side effects reported include sinus infections and ovarian cysts.
These are not all the possible side effects of Gonal‐f® RFF* 75 IU. For more information, read the product labeling, and ask your healthcare provider or pharmacist.
Call your healthcare provider for medical advice about side effects. You may report side effects to FDA at 1‐800‐FDA‐1088.
Use Gonal‐f® RFF* 75 IU as directed and do not change your dose unless directed. Do not share your Gonal‐f® RFF* 75 IU and needles with another person; you may give another person an infection or get an infection from them.
Indications for Gonal‐f® RFF* 75 IU
Gonal‐f® RFF* 75 IU (follitropin alfa for injection) is a prescription medicine containing follicle‐stimulating hormone (FSH) used in infertile women to:
- help ovulation and pregnancy in women who are infertile due to a cause other than primary ovarian failure
- cause your ovaries to develop multiple (more than one) eggs as part of an Assisted Reproductive Technology (ART) program
*RFF, Revised Formulation Female
