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Follistim or Gonal F

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  • WestiesMA WestiesMA's Avatar 08-25-06 | 08:52 PM
  • OK, here's my dilemma:

    Follistim is what worked for me before, however it is $82.50 per vial and I need at least 40 vials for a cycle. That's $3300. It can be injected IM.

    According to the nurse at Freedom Drug, Gonal F is the "same thing". I can get 450 IU's for $285, meaning that it would cost $1995 for the cycle. Plus, Sonoro (the Gonal F manufacturer) has this program for patients with no insurance coverage - buy two cycles get the third free. This is not recommended for IM injection; just subQ (although I have done IM shots with subQ meds before).

    Both drugs are recombinant manufactured FSH-only hormones. My RE has no problem with me going on Gonal F, but she says not everyone responds to every drug (I did not respond to Repronex or Bravelle). I know I respond to Follistim.

    What would you do? Would you try the cheaper Gonal F and see if it works or go with the pricey Follistim? I have had an absolutely terrible day and cannot even fathom having to make a decision right now. I am too sad about a lot of things.

    I don't know what these drugs cost at the phramacy in Tijuana - I am going to llame them manana.
  • Spencersmom Spencersmom's Avatar 08-26-06 | 02:32 PM
  • Oh honey I have no advice but what a choice between a rock and a hard place for sure
    I'm so sorry this is the type of stuff you have to deal with
  • TNBabyRN TNBabyRN's Avatar 08-26-06 | 07:06 PM
  • I've not done injectibles yet but from what I hear Gonal F and Follistem are very similar. I say try a cycle on the Gonal F and see how you respond. You could always change up if you aren't responding or go to the pricier Follistem the next cycle?? Either way it sucks. Let us know what you decide!
  • Saira Saira's Avatar 08-27-06 | 12:20 AM
  • I've been searching, trying to find something that says one works better than the other, but haven't found it yet. Everything says their the same. I'm wondering if the new formulations follow the same rules about SQ and IM injections? I ponder this because last time round my hcg trigger was IM, this time it's SQ. I think it's because this new version I'm using is more pure.

    As for the decision, if you think you've got 3 or 4 more cycles in you, I'd try the cheaper stuff. If you think you've got 1 or 2, I go with what works.
  • AMomInLove AMomInLove's Avatar 08-27-06 | 10:28 AM
  • We used in Canada we used Puregon...similar to Follistim though I believe. We also always did all our neds SUB-Q even hcg trigger..never IM...this was as our clinic directed too..does not make a difference in effectiveness of med simply how fast med is absorbed!


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