Clinical / Pharmaceutical

Cetrorelix

Cetrotide · cetrorelix acetate

GnRH antagonist FDA-approved to prevent premature LH surge in controlled ovarian stimulation. Cetrotide 0.25 mg is a lyophilized vial plus 1 mL sterile water in a prefilled syringe - mix and inject the contents. First dose is supposed to happen under medical supervision (anaphylaxis risk). This is a clinic kit, not a research-chem analog.

WADA (S2) - prohibited in sport at all times

Quick answer

What it is: GnRH antagonist FDA-approved to prevent premature LH surge in controlled ovarian stimulation.

Typical research dose: 0.25 mg SC once daily (Cetrotide kit) until hCG trigger

Reconstitution calculator ↓

Research summary, not medical advice.

Reviewed by Kymata Health Editorial Team
Last updated: August 2026Evidence: High1 peer-reviewed citation
Typical research dose
0.25 mg SC once daily (Cetrotide kit) until hCG trigger
Frequency
1× daily during stimulation (IVF)
Half-life
~5 h (0.25 mg single SC); longer with daily dosing (Cetrotide PI)
Common vials
0.25 mg
CAS
120287-85-6
Molecular weight
~1.43 kDa

Use-case scores

0–10 against the evidence we have, not a gym ranking. Hidden domains do not apply here.

  • Sexual / hormonal7/10

    Labeled to prevent premature LH surge in COS. Clinic kit. Not a testosterone protocol.

Compound card

Class
GnRH antagonist (Cetrotide IVF kit)
Formula
Cetrorelix acetate (decapeptide antagonist)
Status
FDA-approved
Dose it
0.25 mg + 1 mL BAC water → 0.25 mg/mL · 250 mcg ≈ 100 units (U-100)
Open in calculator

How it works

Cetrorelix is a GnRH-receptor antagonist. Cetrotide 0.25 mg is a lyophilized vial plus 1 mL sterile water in a prefilled syringe. Reconstitute with the supplied solvent, swirl (do not shake), inject the contents SC. First injection under medical supervision - anaphylaxis is a labeled risk.

Single 0.25 mg t½ ~5 hours; repeat daily dosing lengthens apparent t½. The 3 mg single-dose regimen is a different kit.

Source: Cetrotide PI (EMD Serono); DailyMed cetrorelix acetate

Use the kit solvent. Inject the vial.

Labeled math is 0.25 mg in 1 mL. You are not titrating mcg on an insulin syringe for the 0.25 mg kit - you deliver the reconstituted contents. Research bulk powder is a different product; this page defaults to the Cetrotide kit.

Research Use Cases

  • ✓IVF LH-surge blockade: High

Dosing

PhaseDoseFrequencyNotes
Cetrotide 0.25 mg (labeled multiple-dose)0.25 mg SCOnce daily from stim day 5 or 6 until hCGIVF only, specialist-prescribed.

Administration

Route / form
Subcutaneous (lower abdomen typical)
Timing
Same time daily as directed.
Empty stomach?
No - Food timing is not critical.

Timeline

Hours
LH suppression without agonist flare.

Who it is for

IVF LH-surge blockade

High

This is the labeled job. Not a research-chem GnRH toy.

Reconstitution

VialWaterConcentrationExample dose
0.25 mg lyophilized1 mL BAC0.25 mg/mL0.25 mg + 1 mL from the kit. Inject the contents. Not a multi-dose research cake.

Change vial size or water volume? Open the reconstitution calculator.

Safety & Considerations

Prescription. Pregnancy contraindicated. Hypersensitivity including anaphylaxis. OHSS is a stimulation-cycle risk. First dose supervised.

Regulatory & Legal Status

FDA Status (US)
Approved

FDA-approved as Cetrotide® for prevention of premature LH surge in COS/IVF

WADA Status (2026)
Prohibited (S2)

Competitive athletes subject to anti-doping controls should not use Cetrorelix.

Classification

Prescription Drug

US Compounding: Not eligible / not available

⚠️ This information is for educational purposes only and may not reflect the most current regulatory updates. Always verify with official FDA, WADA, and jurisdiction-specific sources before use.

Limits of current evidence

  • This site will not run IVF from a peptide page.

Verdict

Cetrorelix is Cetrotide. Mix the 0.25 mg kit as the insert says. First-dose anaphylaxis monitoring is on the label. Not a research-chem GnRH analog for gym use.

Interactions & Contraindications

Prescription. Pregnancy contraindicated. Hypersensitivity including anaphylaxis. OHSS is a stimulation-cycle risk. First dose supervised.

Frequently Asked Questions

How much water for Cetrotide 0.25 mg?▼
The 1 mL in the kit. Do not substitute BAC water unless a pharmacist has issued a different product.
Can I split the vial across days?▼
The 0.25 mg kit is a single daily dose, used immediately after mixing per SmPC/PI.

References

  1. EMD Serono “Cetrotide (cetrorelix acetate) prescribing information.” US PI (current).

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