Enclomiphene (Androxal), product photo
PCT & AI

Enclomiphene (Androxal)

The pure trans isomer of Clomifene. Antiestrogenic without the Zuclomifene portion - cleaner LH/FSH stimulus, fewer side effects.

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At a glance

Enclomiphene (Androxal) by the numbers

The key figures from our lexicon. Drag the point along the curve to see how much is left after one dose, by calculation.

Full lexicon entry

How long does it stay in the body?

Share left after one dose, calculated with a half-life of ~10 hours

Half-life ~10 hours
After 20 hours: 25 %
Hour 10 · 50 %Hour 20 · 25 %Hour 24, next dose · 18.9 %Hour 30 · 12.5 %Hour 50 · 3.1 %

Simplified model without an absorption phase, half-life from the TPD lexicon.

Class
SERM

pure trans-isomer of clomiphene

Half-life
about 10 hours
Use
Oral

1x per day

Sizes
12.5 to 25 mg

2 sizes in the shop

For research and educational purposes only. Values from the TPD lexicon, sources linked there.

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Knowledge

Everything about Enclomiphene (Androxal)

Description

Enclomifene (Androxal) is the pure trans stereoisomer of Clomifene. While commercial Clomifene citrate is a mixture of Enclomifene (62%) and Zuclomifene (38%), Enclomifene contains only the antiestrogen-acting component. Zuclomifene has weak estrogenic residual action and accumulates due to very long half-life (about 5 days) in the body - exactly this component is omitted in Enclomifene.

Per study reports Enclomifene exerts the same SERM mechanism as the parent product: blockade of estrogen receptors in the hypothalamus, removal of negative feedback, rise of LH/FSH and secondarily rise of endogenous testosterone production. The difference: cleaner stimulus without the slow-accumulating estrogen-like action of the Zuclomifene portion.

Repros Therapeutics took Enclomifene through Phase III studies for treatment of secondary hypogonadism in the 2010s. Data showed Enclomifene normalized testosterone levels without the fertility-suppressing effect of exogenous testosterone - the sperm-supportive action was preserved.

Pharmacokinetically orally bioavailable with about 10-hour half-life - substantially shorter than Zuclomifene-containing standard Clomifene. This enables more precise dosing. Known side effects are similar to Clomifene, but visual phenomena (halos, floaters) are reported substantially less in studies than under the standard product.

In the recreational community Enclomifene is often positioned as “TRT alternative” or “bridge compound” between cycles.

You can order Enclomifene as oral tablets in one bottle with 25mg per tablet.

This information is for research and educational purposes only. No medical recommendations.

Risks & Safety

Enclomifene sits in the mid range of the risk scale. As the pure trans isomer of Clomifene the compound is considered more cleanly tolerated in studies than the standard product, though the SERM profile remains.

Documented in studies and the literature:

  • Visual phenomena: halos and floaters are possible, but reported substantially less in the studies than under Zuclomifene-containing standard Clomifene.
  • Mood swings: described in the literature as a typical SERM accompanying effect.
  • Hot flashes: a possible accompanying effect of estrogen receptor modulation.
  • Shorter half-life: without the accumulating Zuclomifene portion, the action tapers off faster after discontinuation than with the standard product.

Monitoring via bloodwork is recommended. This classification does not replace medical advice. Risk and responsibility for any actual use lie entirely with the buyer.

Studies

Dosing

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More in the lexicon

FAQ

Frequently asked

Sources for every answer: lexicon entry

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Is enclomiphene approved?

No. Nine phase 3 trials in men with secondary hypogonadism have been completed, but ChEMBL lists it with phase 3 as the highest phase and no approval. Only clomiphene, the mixture of both isomers, is approved.

How does enclomiphene differ from clomiphene?

Clomiphene is a mixture of zuclomiphene and enclomiphene. Enclomiphene is the isolated trans isomer. In an analysis of 66 men who switched from clomiphene to enclomiphene testosterone rose similarly, estradiol rose less and side effects such as lower libido, lower energy and mood swings occurred less often. The odds ratio for side effects was 0.18.

How does enclomiphene raise testosterone?

It acts as a modulator at estrogen receptor alpha and blocks the feedback by estrogen in the hypothalamus. The pituitary releases more LH and FSH and the testes make more testosterone. In a 6-week trial the morning level with the highest dose was 604 ng/dl, with testosterone gel 500 ng/dl. The effect lasted at least one week after stopping.

What happens to sperm?

In two 16-week phase 3 trials sperm concentration stayed in the normal range with enclomiphene and fell markedly with testosterone gel. In a small trial in men who had used gel before, all 7 on enclomiphene were above 20 million per ml after 3 months, none of 5 on gel.

What does a meta-analysis say?

A meta-analysis of randomised trials with clomiphene or enclomiphene found on average 273.8 ng/dl more testosterone, 4.66 U/l more LH and 4.59 U/l more FSH than placebo. Compared with testosterone gel testosterone did not differ, LH and FSH were clearly higher.

Which side effects have been described?

The checked abstracts give no frequencies. In the 6-week trial thyroid, stress hormones, blood lipids and bone markers stayed unchanged, IGF-1 fell more than on gel. Compared with clomiphene side effects occurred less often in one analysis.

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