Side Effects of Crinone progesterone Interactions Warnings

Side Effects of Crinone progesterone Interactions Warnings

Side Effects of Crinone (progesterone)

Crinone (intravaginal progesterone gel) is used to supplement or replace progesterone in infertile women with progesterone deficiency who are receiving treatment utilizing assisted reproductive technology (ART). Crinone intravaginal gel is also used to treat secondary amenorrhea (absence of menses).

Progesterone is a female hormone and is the principal progestational hormone. Progestational hormones prepare the uterus to receive and sustain a fertilized egg. Progesterone

  • promotes the development of the mammary glands,
  • causes changes in the endometrium which lines the uterus,
  • relaxes uterine smooth muscles,
  • blocks ovulation within the ovaries, and
  • maintains pregnancy.

Common side effects of Crinone include

  • bloating,
  • stomach pain or cramps,
  • dizziness,
  • drowsiness,
  • tired feeling,
  • headache,
  • nausea,
  • vomiting,
  • diarrhea,
  • constipation,
  • pain in the vaginal or rectal area,
  • pain during intercourse,
  • loss of interest in sex,
  • breast swelling or tenderness,
  • joint or muscle pain,
  • increased night-time urination,
  • vaginal discharge,
  • vaginal burning, and
  • vaginal itching.

Serious side effects of Crinone include

  • sudden headache,
  • numbness or weakness (especially on one side of the body),
  • shortness of breath, or problems with vision, speech, or balance;
  • chest pain or heavy feeling,
  • pain spreading to the arm or shoulder;
  • pain or swelling in one or both legs;
  • stomach pain,
  • loss of appetite,
  • dark urine, clay-colored stools, yellowing of the skin or eyes (jaundice);
  • swelling in your hands, ankles, or feet;
  • fever, chills, body aches, flu symptoms;
  • a breast lump; and
  • symptoms of depression (sleep problems, weakness, mood changes).
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There are no drug interactions listed for Crinone intravaginal gel. Crinone intravaginal gel has been used to support embryo implantation and to maintain pregnancies as part of an ART treatment regimen.

Progestins are secreted in breast milk. Consult your doctor before breastfeeding.

What are the important side effects of Crinone (progesterone)?

Crinone (progesterone) gel is a bioadhesive vaginal gel contained in single-use, one-piece polyethylene vaginal applicators. Crinone is indicated as treatment for infertile women with progesterone deficiency and women with secondary amenorrhea. Crinone is available as a generic drug.

Common side effects of Crinone include

  • bloating,
  • stomach pain,
  • dizziness,
  • drowsiness,
  • tired feeling,
  • headache,
  • nausea,
  • vomiting,
  • stomach cramps,
  • diarrhea,
  • constipation,
  • pain in your vaginal or rectal area,
  • pain during intercourse,
  • loss of interest in sex,
  • breast swelling or tenderness,
  • joint or muscle pain,
  • increased night-time urination,
  • vaginal discharge,
  • vaginal burning, and
  • vaginal itching.

Tell your doctor if you have serious side effects of Crinone including

  • sudden headache, numbness or weakness (especially on one side of the body):
  • shortness of breath, or problems with vision, speech, or balance;
  • chest pain or heavy feeling, pain spreading to the arm or shoulder;
  • pain or swelling in one or both legs;
  • stomach pain, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);
  • swelling in your hands, ankles, or feet;
  • fever, chills, body aches, flu symptoms;
  • a breast lump; or
  • symptoms of depression (sleep problems, weakness, mood changes).

Crinone (progesterone) side effects list for healthcare professionals

Assisted Reproductive Technology

In a study of 61 women with ovarian failure undergoing a donor oocyte transfer procedure receiving Crinone 8% twice daily, treatment-emergent adverse events occurring in 5% or more of the women are shown in Table 3.

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TABLE 3 – Treatment-Emergent Adverse Events in ≥ 5% of Women Receiving Crinone 8% Twice Daily Study COL1620-007US (n = 61)

Body as a Whole
Bloating 7%
Cramps NOS 15%
Pain 8%
Central and Peripheral Nervous System
Dizziness 5%
Headache 13%
Gastro-Intestinal System
Nausea 7%
Reproductive, Female
Breast Pain 13%
Moniliasis Genital 5%
Vaginal Discharge 7%
Skin and Appendages
Pruritus Genital 5%

In a second clinical study of 139 women using Crinone 8% once daily for luteal phase support while undergoing an in vitro fertilization procedure, treatment-emergent adverse events reported in ≥ 5% of the women are shown in Table 4.

TABLE 4 – Treatment-Emergent Adverse Events in ≥ 5% of Women Receiving Crinone 8% Once Daily Study COL1620-F01 (n = 139)

Body as a Whole
Abdominal Pain 12%
Perineal Pain Female 17%
Central and Peripheral Nervous System
Headache 17%
Gastro-Intestinal System
Constipation 27%
Diarrhea 8%
Nausea 22%
Vomiting 5%
Musculo-Skeletal System
Arthralgia 8%
Psychiatric
Depression 11%
Libido Decreased 10%
Nervousness 16%
Somnolence 27%
Reproductive, Female
Breast Enlargement 40%
Dyspareunia 6%
Urinary System
Nocturia 13%

Secondary Amenorrhea

In three studies, 127 women with secondary amenorrhea received estrogen replacement therapy and Crinone 4% or 8% every other day for six doses.

Treatment-emergent adverse events during estrogen and Crinone treatment that occurred in 5% or more of women are shown in Table 5.

TABLE 5 – Treatment-Emergent Adverse Events in ≥ 5% of Women Receiving Estrogen Treatment and Crinone Every Other Day Studies COL1620-004US, COL1620-005US, COL1620-009US

Estrogen + Crinone 4%
n = 62
Estrogen + Crinone 8%
n = 65
Body as a Whole
Abdominal Pain 3 (5%) 6 (9%)
Appetite Increased 3 (5%) 5 (8%)
Bloating 8 (13%) 8 (12%)
Cramps NOS 12 (19%) 17 (26%)
Fatigue 13 (21%) 14 (22%)
Central and Peripheral Nervous System
Headache 12 (19%) 10 (15%)
Gastro-Intestinal System
Nausea 5 (8%) 4 (6%)
Musculo-Skeletal System
Back Pain 5 (8%) 2 (3%)
Myalgia 5 (8%) 0 (0%)
Psychiatric
Depression 12 (19%) 10 (15%)
Emotional Lability 14 (23%) 14 (22%)
Sleep Disorder 11 (18%) 12 (18%)
Re
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