Short answer: Menotropins has a half-life of about 11 to 13 hours (FSH, repeated doses). Levels peak about 18 hours after one dose (8 hours with repeated doses) after a dose. People vary, so treat these as estimates.
Menotropins (human menopausal gonadotropin, hMG) is a purified mix of FSH and LH activity taken from urine. It is sold as Menopur (Ferring), a powder mixed with saline and injected under the skin to grow multiple egg follicles during IVF.
Also known as: Menopur, hMG, human menopausal gonadotropin.
Each Menopur vial holds 75 IU of FSH and 75 IU of LH activity as a powder, mixed with the supplied saline and used right away. More than one vial may be needed for a dose. The label allows mixing it with Bravelle (urofollitropin) in the same syringe.
The Menopur label approves menotropins to grow multiple follicles and achieve pregnancy in ovulatory women having assisted reproduction (ART). Label dosing starts at 225 IU once a day under the skin on cycle day 2 or 3, after GnRH agonist suppression. The dose is adjusted after 5 days by ultrasound and estradiol, then no more often than every 2 days and by no more than 150 IU at a time, up to 450 IU a day and no more than 20 days of treatment. It is for physicians experienced in infertility care.
The label has no boxed warning. Warnings cover ovarian hyperstimulation syndrome (OHSS), abnormal ovarian enlargement, lung and blood vessel complications, ovarian torsion, multiple births, and ectopic pregnancy and miscarriage. In IVF and ICSI trials of 434 women, belly pain (6.7%), headache (6.2%) and OHSS (6.2%) were the most common side effects. Full numbers are on the Menopur side effects, Menopur dosing schedule, missed Menopur dose and Menopur storage pages. Comparisons: Menopur vs Gonal-f and Follistim vs Menopur.
The Menopur label gives FSH a time to peak of 17.9 hours after a single 225 IU dose under the skin, and 8.0 hours during repeated daily doses. The elimination half-life of FSH during repeated doses was 11 to 13 hours, similar under the skin and into muscle.
Numbers shown are taken from the source above. Half-life varies from person to person.
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