Warn that visual symptoms may render such activities as driving a car or operating machinery more hazardous than usual, Clomifene Citrate, particularly under conditions of variable lighting see WARNINGS. The patient should be instructed to Clomid Fertility Drug the physician whenever any unusual visual symptoms occur. If the patient has any visual symptoms, treatment should be discontinued and complete ophthalmologic evaluation performed. To minimize the risks associated with ovarian enlargement, the patient should be instructed to inform the physician of any abdominal or pelvic pain, Clomid Fertility Drug gain, discomfort, or distention after taking Clomiphene citrate see WARNINGS. Metabolism Disorders: Cases of hypertriglyceridemia have been reported. Pretreatment screening of triglyceride levels is recommended in patients initiating Clomiphene citrate therapy. Multiple Pregnancy: Inform the patient that there is an increased chance of multiple pregnancy, including bilateral tubal pregnancy and coexisting tubal and intrauterine pregnancy, when conception occurs in Clomid to Clomiphene citrate therapy.