clomova 100mg/50mg tablet - Clomiphene (100mg) + Coenzyme Q10 (50mg) medicine

CCQ 100 Tablet: A Comprehensive Guide to Uses, Side Effects, and Safety

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🏭 Zogenix Healthcare 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 17, 2026
⚠️ Hepatotoxicity Risk 🤰 Pregnancy Category Clomiphene is not recommended during pregnancy. It is classified as Pregnancy Category X by the FDA, meaning it can cause harm to the fetus. If you become pregnant while taking this medicine, stop immediately and contact your doctor. 📋 Prescription Required 💊 Generic Available
Medically Reviewed
12 min read
Evidence: Moderate to well-established for ovulation induction; limited for coenzyme Q10 in fertility.
Reviewed by
SaathiMed Expert Panel | Oct 17, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Blurred vision, double vision, or seeing spots
  • Severe abdominal pain or bloating
  • Rapid weight gain
  • Difficulty breathing or chest pain
  • Swelling in one leg or calf
  • Yellowing of skin or eyes
  • Severe allergic reaction (swelling of face, lips, throat)

If experiencing severe symptoms, call emergency services immediately.

What is clomova 100mg/50mg tablet used for?

This medicine is a combination of clomiphene and coenzyme Q10 used to induce ovulation in women with fertility problems. It works by stimulating the release of hormones that trigger egg release from the ovaries. Coenzyme Q10 provides antioxidant support. It must be taken under a doctor's supervision.

  • Generic Name: Clomiphene + Coenzyme Q10
  • Manufacturer: Zogenix Healthcare
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 clomova 100mg/50mg tablet के बारे में (Hindi Summary)

उपयोग: यह दवा क्लोमीफीन और कोएंजाइम क्यू10 का संयोजन है, जिसका उपयोग महिलाओं में ओव्यूलेशन को प्रेरित करने के लिए किया जाता है। यह उन महिलाओं के लिए है जो नियमित रूप से ओव्यूलेट नहीं करती हैं और गर्भधारण करने में कठिनाई का सामना कर रही हैं। क्लोमीफीन मस्तिष्क में एस्ट्रोजन रिसेप्टर्स को अवरुद्ध करता है, जिससे फॉलिकल-स्टिमुलेटिंग हार्मोन और ल्यूटिनाइजिंग हार्मोन का स्तर बढ़ता है, जो अंडाशय को अंडे छोड़ने के लिए उत्तेजित करता है। कोएंजाइम क्यू10 एक एंटीऑक्सिडेंट है जो अंडे की गुणवत्ता में सुधार करने में मदद कर सकता है। यह दवा केवल एक योग्य प्रजनन विशेषज्ञ की देखरेख में ही लेनी चाहिए।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में गर्म चमक, पेट में सूजन या असुविधा, स्तन में कोमलता, मतली, सिरदर्द और मूड में बदलाव शामिल हैं। ये आमतौर पर हल्के होते हैं और उपचार चक्र समाप्त होने के बाद ठीक हो जाते हैं। कुछ महिलाओं को दृष्टि में धुंधलापन, डबल विजन या धब्बे दिखाई दे सकते हैं, जिसके लिए तुरंत डॉक्टर से संपर्क करना चाहिए। ओवेरियन हाइपरस्टिमुलेशन सिंड्रोम एक दुर्लभ लेकिन गंभीर जटिलता है जिसमें तेजी से वजन बढ़ना, गंभीर पेट दर्द, मतली, उल्टी और सांस लेने में कठिनाई हो सकती है। कई गर्भधारण (जुड़वां या अधिक) की संभावना भी बढ़ जाती है।

सुरक्षा सलाह: यह दवा केवल एक योग्य प्रजनन विशेषज्ञ की देखरेख में ही लेनी चाहिए। स्वयं दवा न लें और न ही दूसरों के साथ साझा करें। उपचार शुरू करने से पहले अपने डॉक्टर को अपनी सभी चिकित्सीय स्थितियों के बारे में बताएं, विशेष रूप से यकृत रोग, रक्त के थक्के विकार, या असामान्य योनि रक्तस्राव। अपने डॉक्टर के निर्देशानुसार ही दवा लें, आमतौर पर मासिक धर्म चक्र के एक विशिष्ट दिन से पांच दिनों तक। निर्धारित खुराक से अधिक न लें। यदि आपको दृष्टि संबंधी गड़बड़ी, गंभीर पेट दर्द, या तेजी से वजन बढ़ना महसूस हो, तो दवा बंद करें और तुरंत चिकित्सा सहायता लें। उपचार के दौरान बाधा गर्भनिरोधक का उपयोग करें जब तक कि आपके डॉक्टर अन्यथा सलाह न दें।

💡 Did You Know? The Indian pharmaceutical market is expected to reach $130 billion by 2030.

💊 clomova 100mg/50mg tablet Uses & Benefits

[{"condition":"Ovulation induction in anovulatory infertility","description":"This medicine is used to stimulate ovulation in women who do not ovulate regularly, often due to polycystic ovary syndrome or other hormonal imbalances.","evidence":"Well-established"},{"condition":"Unexplained infertility","description":"Sometimes prescribed to increase the number of eggs released, thereby improving the chance of conception in couples with unexplained infertility.","evidence":"Moderate"},{"condition":"Male infertility (off-label)","description":"Occasionally used in men with low sperm count or poor sperm motility, though evidence is limited and inconsistent.","evidence":"Limited"}]

Off-label uses: [{"condition":"Male hypogonadism","description":"Rarely used to boost testosterone levels in men with low testosterone, but this is not a standard practice.","evidence":"Limited"},{"condition":"Gynecomastia","description":"Sometimes used off-label to treat breast enlargement in men, but evidence is weak.","evidence":"Limited"}]

Primary treatment for: Infertility due to ovulation disorders

Also treats: Polycystic ovary syndrome, Unexplained infertility

📋 Drug Information

Generic Name(s)Clomiphene + Coenzyme Q10
Brand NameCCQ 100 Tablet
ManufacturerZogenix Healthcare
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassGYNAECOLOGICAL
Action ClassOvulation stimulant / Antioxidant
Route of AdministrationOral
StorageStore at room temperature between 15°C and 30°C (59°F to 86°F). Protect from light and moisture. Keep in the original container.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine exactly as prescribed by your fertility specialist, usually for five days starting on a specific day of your menstrual cycle.
2
Take the tablet with food to improve the absorption of coenzyme Q10 and reduce stomach upset.
3
Monitor for signs of ovulation, such as changes in cervical mucus or basal body temperature, and inform your doctor.
4
Report any visual disturbances, severe abdominal pain, or rapid weight gain immediately.
5
Use barrier contraception during treatment unless your doctor advises otherwise.
6
Keep all follow-up appointments for ultrasound and blood tests to monitor your response.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Irregular menstrual cycles
This medicine is commonly prescribed for ovulation induction in women with irregular cycles.
Likely Use
✅
Infertility
This medicine is used to treat infertility due to ovulation disorders.
Likely Use
❌
Fever
This medicine is not a primary fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionClomiphene is well absorbed from the gastrointestinal tract after oral administration. Coenzyme Q10 is absorbed slowly and poorly from the gut, and its absorption can be enhanced when taken with a fatty meal.
DistributionClomiphene is widely distributed in body tissues, with high concentrations found in the liver, bile, and fat. Coenzyme Q10 is distributed to various tissues, particularly those with high energy demands such as the heart, liver, and muscles.
Protein BindingClomiphene is highly bound to plasma proteins, particularly albumin. Coenzyme Q10 is transported in the blood bound to lipoproteins.
MetabolismClomiphene is extensively metabolized in the liver, primarily by cytochrome P450 enzymes. Coenzyme Q10 is metabolized in the liver and other tissues through similar pathways.
Half-LifeThe elimination half-life of clomiphene is approximately 5 to 7 days. The half-life of coenzyme Q10 is not well established but is thought to be several hours.
ExcretionClomiphene and its metabolites are mainly excreted in the feces via bile, with a small amount excreted in the urine. Coenzyme Q10 is primarily excreted in the bile and feces.
BioavailabilityThe oral bioavailability of clomiphene is approximately 90% in some studies, but it can vary. The bioavailability of coenzyme Q10 is low and variable, typically less than 10%.
Onset of ActionOvulation typically occurs 5 to 10 days after the last dose of clomiphene. The antioxidant effects of coenzyme Q10 may take several weeks to manifest.
Peak Plasma TimePeak plasma concentrations of clomiphene are reached within 6 hours after oral administration. Coenzyme Q10 peak levels occur 5 to 10 hours after ingestion.
Duration of ActionThe ovulation-inducing effect of clomiphene lasts for the duration of the treatment cycle. Coenzyme Q10's effects are cumulative with continued use.

How It Works

Clomiphene works by binding to estrogen receptors in the hypothalamus and pituitary gland, blocking the normal feedback inhibition by estrogen. This leads to increased secretion of gonadotropin-releasing hormone, which in turn raises the levels of follicle-stimulating hormone and luteinizing hormone. These hormones stimulate the ovaries to develop follicles and trigger ovulation. Coenzyme Q10 is a fat-soluble antioxidant that plays a key role in mitochondrial energy production and protects cells from oxidative damage. In the context of fertility, it is thought to improve egg and sperm quality by reducing oxidative stress, although the exact contribution to the overall effect of this combination is not fully established.

Mechanism Steps

1
Estrogen receptor blockade: Clomiphene binds to estrogen receptors in the hypothalamus and pituitary, preventing estrogen from exerting its negative feedback.
2
Increased GnRH secretion: The blockade leads to increased release of gonadotropin-releasing hormone from the hypothalamus.
3
Gonadotropin release: GnRH stimulates the pituitary to secrete more follicle-stimulating hormone and luteinizing hormone.
4
Ovarian stimulation: Elevated FSH and LH levels stimulate the ovaries to develop follicles and eventually release an egg (ovulation).
5
Antioxidant support: Coenzyme Q10 provides antioxidant protection to reproductive cells, potentially improving their quality.

💡 How to Take clomova 100mg/50mg tablet

Strength: Each tablet contains clomiphene 100 mg and coenzyme Q10 50 mg.

1Take the tablet by mouth with a glass of water.
2Take it at the same time each day, preferably with a meal to improve absorption and reduce stomach upset.
3Swallow the tablet whole; do not crush or chew.
4Follow the prescribed schedule exactly; do not skip doses.
5If you miss a dose, follow the missed dose instructions.

Dosage Information

Adult DosageThe usual adult dose of this medicine is one tablet taken orally once daily for five days, starting on the fifth day of the menstrual cycle, or as directed by your fertility specialist. The dose may be adjusted based on your response and the specific indication. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not take more than the prescribed dose.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageThis medicine is not intended for use in elderly patients. Fertility treatment is typically not appropriate for this age group.
Renal ImpairmentNo specific dose adjustment is provided for renal impairment. Use with caution and consult your doctor.
Hepatic ImpairmentThis medicine is contraindicated in patients with liver disease. No dose adjustment is possible.
Maximum Daily DoseThe maximum recommended daily dose is 100 mg of clomiphene and 50 mg of coenzyme Q10, as provided in this fixed-dose combination. Do not exceed the prescribed dose.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food
Take with meals
Improves absorption of coenzyme Q10 and reduces stomach upset.
Grapefruit
Avoid
May increase clomiphene levels and side effects.
High-fat meals
Take with food
Enhances coenzyme Q10 absorption.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of clomova 100mg/50mg tablet

✅ Common Side Effects

Hot flushes (Common (10-20%))
Usually resolves without treatment. Wear light clothing and avoid triggers.
Abdominal bloating or discomfort (Common (5-10%))
Take with food and stay hydrated. Consult doctor if severe.
Breast tenderness (Common (5-10%))
Wear a supportive bra and apply warm compresses if needed.
Nausea (Common (5-10%))
Take with a small meal or snack. Avoid fatty foods.
Headache (Common (5-10%))
Rest and stay hydrated. Use over-the-counter pain relief if approved by your doctor.
Mood swings (Common (5-10%))
Practice stress-reduction techniques. Consult doctor if persistent.

🚨 Serious Side Effects

Ovarian hyperstimulation syndrome (OHSS) (Rare (<1%))
Seek immediate medical attention if you experience rapid weight gain, severe abdominal pain, nausea, vomiting, or difficulty breathing.
Visual disturbances (Rare (<1%))
Stop the medicine and contact your doctor immediately if you notice blurred vision, double vision, or seeing spots.
Liver toxicity (Rare (<0.1%))
Report yellowing of skin or eyes, dark urine, or severe fatigue to your doctor immediately.
Blood clots (Rare (<0.1%))
Seek emergency care if you have chest pain, shortness of breath, or swelling in one leg.
Severe allergic reaction (Rare (<0.1%))
Call emergency services if you experience swelling of face, lips, or throat, or difficulty breathing.

⚠️ Rare Side Effects

Ovarian cysts
Report pelvic pain or bloating to your doctor. May require monitoring.
Hair thinning or loss
Usually reversible after stopping treatment. Consult doctor if concerned.
Dizziness
Avoid driving or operating machinery until you know how this medicine affects you.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
Rifampicin Major
Carbamazepine Major
Thyroid hormones Moderate
Statins Moderate
Antacids Minor

🚨 Major Interactions

  • Warfarin
  • Hepatic enzyme inducers (e.g., rifampicin, carbamazepine)

⚡ Moderate Interactions

  • Thyroid hormones
  • Statins

🍷 Alcohol Interaction

Alcohol may worsen some side effects of this medicine, such as dizziness, mood changes, and liver stress. It is best to avoid alcohol while taking this medicine, especially during fertility treatment.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Pregnancy","Liver disease","Unexplained abnormal vaginal bleeding","Ovarian cysts not due to polycystic ovary syndrome","History of blood clots","Hypersensitivity to clomiphene or coenzyme Q10"]

⚠️ Warnings & Precautions

["This medicine should only be used under the supervision of a fertility specialist.","Visual disturbances may occur and require immediate discontinuation.","Multiple pregnancies (twins or more) are possible.","Ovarian hyperstimulation syndrome is a rare but serious risk.","Use barrier contraception during treatment to avoid pregnancy.","Inform your doctor if you have a history of liver disease, blood clots, or thyroid disorders."]

🤱 Lactation Safety

It is not known whether clomiphene or coenzyme Q10 passes into breast milk. Because of the potential for serious adverse reactions in nursing infants, women should not breastfeed while taking this medicine. Consult your doctor for alternative feeding options.

💊 Overdose Management

Overdose of this medicine may cause severe nausea, vomiting, hot flushes, visual disturbances, and ovarian hyperstimulation. If you suspect an overdose, seek emergency medical attention immediately. Treatment is supportive and symptomatic.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember, unless it is almost time for your next dose. Do not double the dose to catch up. If you miss more than one dose, contact your doctor for advice.

Additional Safety Advice

General Safety

This medicine must only be taken under the supervision of a qualified fertility specialist. Do not self-medicate or share this medicine with others. Before starting treatment, inform your doctor about all your medical conditions, especially liver disease, blood clotting disorders, or any unusual vaginal bleeding. Your doctor will likely perform a pelvic examination and may order blood tests and an ultrasound before and during treatment. Take this medicine exactly as prescribed, usually for five days starting on a specific day of your menstrual cycle. Do not take more than the prescribed dose, as higher doses can increase the risk of side effects without improving results. If you experience visual disturbances, severe abdominal pain, or rapid weight gain, stop the medicine and seek medical help immediately. Use a barrier method of contraception during treatment unless your doctor advises otherwise, because this medicine can harm a developing baby if you become pregnant. Keep all follow-up appointments so your doctor can monitor your response and adjust the dose if needed.

👴 Special Considerations for Elderly

💡 For Patients Above 65

This medicine is not intended for use in elderly patients, as fertility treatment is not appropriate for this age group.

🤰 Pregnancy Planning (TTC)

This medicine is used to help you conceive, but it should not be taken if you are already pregnant. If you suspect you are pregnant, stop the medicine and contact your doctor immediately. Use barrier contraception during treatment cycles unless advised otherwise by your doctor.

🏥 Post-Surgery Considerations

If you are planning to undergo surgery, inform your surgeon and anesthesiologist that you are taking this medicine. It may need to be stopped before surgery due to the risk of blood clots. Follow your doctor's instructions.

🦷 Dental Procedures

Inform your dentist that you are taking this medicine before any dental procedure. There are no specific contraindications, but it is important for your dentist to know your complete medication history.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy weight to improve fertility outcomes.
🥗
Eat a balanced diet rich in antioxidants, including fruits and vegetables.
😴
Avoid smoking and excessive alcohol consumption, as these can affect fertility.
💧
Manage stress through yoga, meditation, or counseling.
🧘
Get adequate sleep to support hormonal balance.
🌞
Engage in regular moderate exercise, but avoid excessive strenuous activity.

🏋️ Exercise Considerations

Moderate exercise is generally safe while taking this medicine. However, if you experience dizziness or visual disturbances, avoid activities that require alertness, such as driving or operating machinery. Consult your doctor before starting any new exercise regimen.

🥗 Diet Recommendations

Include omega-3 rich foods like fish, flaxseeds, and walnuts.
Eat plenty of colorful fruits and vegetables for antioxidants.
Choose whole grains over refined carbohydrates.
Stay well hydrated by drinking plenty of water.
Limit caffeine and avoid alcohol.

💼 Impact on Daily Work & Life

This medicine may cause dizziness, visual disturbances, or mood swings, which can affect your ability to drive or operate machinery. It is advisable to avoid these activities until you know how the medicine affects you. Fertility treatment can be emotionally and physically demanding, so consider discussing work adjustments with your employer if needed.

🛑 When to Stop This Medicine

Stop taking this medicine and contact your doctor immediately if you experience visual disturbances, severe abdominal pain, rapid weight gain, difficulty breathing, or signs of an allergic reaction. Do not stop the medicine without consulting your doctor, as abrupt discontinuation may affect your treatment plan.

📅 Long-Term Use Effects

Long-term use of this medicine beyond the recommended duration is not advised without medical supervision. Prolonged use may increase the risk of ovarian cysts, liver problems, and visual disturbances. Regular monitoring of liver function and pelvic ultrasound is recommended. The coenzyme Q10 component is generally safe for long-term use, but its effects on fertility over extended periods are not well studied.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Letrozole

An aromatase inhibitor that can induce ovulation and may be used as an alternative to clomiphene.

Evidence: Well-established
Gonadotropins

Injectable hormones that directly stimulate the ovaries, used in more complex fertility treatments.

Evidence: Well-established
Lifestyle modifications

Weight loss, diet, and exercise can improve ovulation in women with PCOS.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

There are no known interactions between this medicine and vaccines. However, it is always best to inform your healthcare provider about all medicines you are taking before receiving any vaccine.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

When traveling, carry this medicine in its original packaging along with a copy of your prescription. Keep it in your carry-on luggage to avoid loss. Store at room temperature and protect from extreme heat or cold. If crossing time zones, continue taking the medicine at the same time each day according to your home schedule, or consult your doctor for adjustments. Check customs regulations for carrying prescription medicines.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 32-year-old woman with polycystic ovary syndrome struggling to conceive for two years.
She was prescribed this medicine by her fertility specialist. She took it for five days starting on day 5 of her cycle. After two cycles, she ovulated and conceived. She experienced mild hot flushes but no serious side effects. She emphasized the importance of taking the medicine with food and attending all monitoring appointments.
💡 Lesson: Consistent use under medical supervision and adherence to the prescribed schedule can lead to successful ovulation and pregnancy.
👤 A 28-year-old woman with irregular cycles and unexplained infertility.
She was started on this medicine after initial tests. She experienced mood swings and breast tenderness, which subsided after the treatment cycle. She did not conceive in the first cycle but continued for three more cycles under supervision. She eventually conceived on the fourth cycle. She advises other patients to be patient and follow their doctor's advice.
💡 Lesson: It may take multiple cycles to achieve pregnancy, and side effects are usually temporary. Patience and regular follow-up are key.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: Ovulation typically occurs 5 to 10 days after the last dose. It may take multiple cycles to achieve pregnancy.

Q: Can I take this medicine without a prescription?

A: No, this medicine is a prescription drug and must only be taken under the supervision of a fertility specialist.

Q: What should I do if I experience visual disturbances?

A: Stop the medicine immediately and contact your doctor right away, as visual disturbances can be a sign of a serious reaction.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for clomova 100mg/50mg tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine guarantees pregnancy.
    Fact: It improves the chance of ovulation and pregnancy but does not guarantee success.
  • Myth: It is safe to take without monitoring.
    Fact: It requires close monitoring by a fertility specialist due to potential serious side effects.
  • Myth: It can be used by anyone with infertility.
    Fact: It is specifically for ovulation disorders and is not suitable for all causes of infertility.

🔄 Alternative Options

Generic Alternatives

  • Clomiphene 100 mg + Coenzyme Q10 50 mg tablet (generic)

Brand Alternatives

  • Fertyl Super 100 mg/50 mg Tablet
  • Ovafem Plus 100 mg/50 mg Tablet
  • Fertisure 100 mg/50 mg Tablet

📊 Comparison with Similar Medicines

[{"medicine":"This medicine","composition":"Clomiphene 100 mg + Coenzyme Q10 50 mg","use":"Ovulation induction","notes":"Combination product"},{"medicine":"Clomiphene 100 mg alone","composition":"Clomiphene 100 mg","use":"Ovulation induction","notes":"No antioxidant support"},{"medicine":"Letrozole 2.5 mg","composition":"Letrozole 2.5 mg","use":"Ovulation induction","notes":"Aromatase inhibitor, different mechanism"}]

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