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Ganirelix

Aliases: Orgalutran · Fyremadel

Last verified: 2026-09-23

Approved drugStrong evidencePeptidesMedium interest

The short version

A GnRH antagonist for IVF — prevents premature ovulation during stimulation.

Identity & type

Molecular type
peptide
Origin
A GnRH antagonist for IVF — prevents premature ovulation during stimulation.

Mechanism of action

Competitive GnRHR blockade.

Dosing & routes

Official / clinical context

Approved drug — indications, dosing and warnings are defined by the official label. 0.25 mg SC daily.

Regulator-approved labeling and published study designs — never a recommendation.

Community-reported practice

0.25 mg SC daily. Same as cetrorelix — an IVF antagonist with reliable ovulation blockade; mild injection-site reactions.

Unverified self-reports. Not medical advice. Not endorsement.

Expected effects (community)

Same as cetrorelix — an IVF antagonist with reliable ovulation blockade; mild injection-site reactions.

Protocol — official vs community

Official / label

Orgalutran/Fyremadel (IVF): 0.25 mg SC once daily starting on stimulation day 5–6, continued daily until the day of hCG administration.

Duration: Days-long, covering the stimulation phase (typically 4–10 days).

Pharmacologically interchangeable with cetrorelix in practice; the choice between them is regional and commercial. Clinic-administered only.

Community (anecdotal)

Structured protocol data for this entry is coming.

Human evidence

Standard IVF.

Preclinical evidence

The preclinical phase was completed and submitted to regulators as part of registration; pharmacology and toxicology details are part of the official label.

Known risks

  • Local reactions, headache.characterized

Teal: characterized in clinical/labeling contexts. Amber: theoretical or reported outside controlled settings.

Unknowns & evidence gaps

  • Real-world data outside controlled trials

Frequently asked questions

References