Ganirelix dosage in published studies and labels

These are the doses used for Ganirelix in FDA labelling and published clinical studies, reported as each source states them, one row per regimen. They describe what was studied or approved for a specific population. They are not a recommendation, and none of them is a dose for any individual.

Research and educational reference only. This is not medical advice, and no figure on this page is a dosing recommendation.

Last checked against primary sources:

Studied regimens and sources

Ganirelix has an FDA-approved human dosage for preventing a premature LH surge in women having controlled ovarian hyperstimulation. The label dose is 250 mcg under the skin once a day from the mid to late follicular phase, after FSH has been started on day 2 or 3 of the cycle, continued until the day of hCG.

FDA Approved
Dosage evidence summary for Ganirelix
Human dosing establishedYes
Studied dose range250 mcg once daily during ovarian stimulation, until the day of hCG
RouteSubcutaneous
FrequencyOnce daily
Duration studiedFrom the mid to late follicular phase until the day of hCG
Evidence levelFDA Approved
Last reviewed2026-11-07

Research-reported dosing

Doses as studied, one row per regimen. Different trials used different regimens; they are listed separately rather than averaged.

Research-reported dosing for Ganirelix, one row per studied regimen
Study / contextPopulationDoseRouteFrequencyDurationOutcome studiedSource
FDA label — Ganirelix Acetate Injection (Organon)FDA-approved label · FDA prescribing informationWomen undergoing controlled ovarian hyperstimulation250 mcgSubcutaneous (prefilled syringe)Once dailyMid to late follicular phase until the day of hCG administrationInhibition of premature LH surgesGanirelix Acetate Injection (Organon) — FDA prescribing information, DailyMed
FDA label — FYREMADEL (ganirelix acetate) injectionFDA-approved label · FDA prescribing informationWomen undergoing controlled ovarian hyperstimulation250 mcgSubcutaneous (prefilled syringe)Once dailyMid to late follicular phase until the day of hCG administrationInhibition of premature LH surgesFYREMADEL (ganirelix acetate) injection — FDA prescribing information (Ferring), DailyMed
Ganirelix dose-finding trial (de Jong et al., 2001)Clinical trial · Randomised controlled multicentre dose-finding trialWomen having IVF with recombinant FSH (n=329)0.0625, 0.125, 0.25, 0.5, 1.0 or 2.0 mg a dayNot stated in the indexed abstractDaily, from cycle day 7Not stated in the indexed abstractFollicle growth was similar across doses; late follicular LH, androstenedione and estradiol fell as the dose rosede Jong D et al. Dynamics of the development of multiple follicles during ovarian stimulation for in vitro fertilization using recombinant follicle-stimulating hormone (Puregon) and various doses of the gonadotropin-releasing hormone antagonist ganirelix (Orgalutran/Antagon). Fertil Steril. 2001.

Where sources disagree

  • Ganirelix is one part of an IVF protocol. The labels pair it with FSH from day 2 or 3 and hCG to trigger final follicle maturation, and say hCG should be withheld if the ovaries are abnormally enlarged.
  • Organon's product, the original ganirelix, is now labelled simply "Ganirelix Acetate Injection"; no DailyMed listing carries the older Antagon name. Several other companies list ganirelix with the same 250 mcg daily dose.
  • The labels say pregnancy must be excluded before treatment and report hypersensitivity reactions, including anaphylactoid reactions.