Fertolast Tablet: Complete Guide to Uses, Side Effects, and Safety
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Severe abdominal pain or bloating
- Rapid weight gain over a few days
- Difficulty breathing or chest pain
- Blurred vision or floaters that do not go away
- Severe nausea or vomiting
- Yellowing of skin or eyes
- Decreased urine output
- Swelling of face, lips, or throat
If experiencing severe symptoms, call emergency services immediately.
What is qc 25 capsule used for?
This medicine is a combination of clomiphene 25 mg and coenzyme Q10 50 mg used to induce ovulation in women with fertility problems. It works by increasing pituitary hormones that stimulate egg release, while coenzyme Q10 provides antioxidant support. It must be taken under medical supervision.
- Generic Name: Clomiphene (25mg) + Coenzyme Q10 (50mg)
- Manufacturer: Karisca Healthcare Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 qc 25 capsule के बारे में (Hindi Summary)
उपयोग: यह दवा क्लोमिफीन 25 मिलीग्राम और कोएंजाइम क्यू10 50 मिलीग्राम का संयोजन है, जिसका उपयोग महिलाओं में ओव्यूलेशन को प्रेरित करने के लिए किया जाता है। यह उन महिलाओं के लिए है जो गर्भधारण करने की कोशिश कर रही हैं और जिनके अंडे नियमित रूप से नहीं बनते। यह दवा पिट्यूटरी ग्रंथि को उत्तेजित करके फॉलिकल-स्टिमुलेटिंग हार्मोन और ल्यूटिनाइजिंग हार्मोन का स्तर बढ़ाती है, जिससे अंडाशय में अंडे का विकास और रिलीज होता है। कोएंजाइम क्यू10 एक एंटीऑक्सिडेंट है जो प्रजनन कोशिकाओं को ऑक्सीडेटिव तनाव से बचाने में मदद करता है। यह दवा डॉक्टर की देखरेख में ही लेनी चाहिए और गर्भवती महिलाओं को नहीं लेनी चाहिए।
साइड इफेक्ट्स: इस दवा के अधिकांश दुष्प्रभाव हल्के और अस्थायी होते हैं। आम दुष्प्रभावों में गर्म लहरें, मूड में बदलाव, स्तनों में कोमलता, जी मिचलाना, पेट फूलना, सिरदर्द और धुंधली दृष्टि शामिल हैं। कुछ महिलाओं को ओव्यूलेशन के समय हल्का पेट दर्द हो सकता है। गंभीर लेकिन दुर्लभ दुष्प्रभावों में ओवेरियन हाइपरस्टिमुलेशन सिंड्रोम शामिल है, जिसमें तेजी से वजन बढ़ना, गंभीर पेट दर्द, उल्टी और सांस लेने में कठिनाई हो सकती है। अगर ऐसे लक्षण दिखें तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें, अपनी मर्जी से मात्रा न बढ़ाएं या घटाएं। अगर आपको धुंधली दृष्टि या आंखों के आगे धब्बे दिखें तो गाड़ी चलाना बंद कर दें और डॉक्टर को बताएं। तेजी से वजन बढ़ना, गंभीर पेट दर्द, उल्टी या सांस लेने में तकलीफ हो तो तुरंत अस्पताल जाएं। गर्भवती होने पर यह दवा न लें। नियमित जांच और अल्ट्रासाउंड कराते रहें। अन्य दवाओं और सप्लीमेंट्स के बारे में डॉक्टर को जरूर बताएं।
💊 qc 25 capsule Uses & Benefits
[{"condition":"Ovulatory dysfunction in women trying to conceive","description":"This medicine is used to induce ovulation in women with irregular or absent ovulation, including those with polycystic ovary syndrome, by stimulating the release of pituitary gonadotropins.","evidence":"Well-established"},{"condition":"Unexplained infertility","description":"Sometimes prescribed as part of a fertility workup to increase the number of eggs released per cycle, especially when combined with timed intercourse or intrauterine insemination.","evidence":"Moderate"},{"condition":"Male infertility support","description":"Coenzyme Q10 component may be used as an antioxidant supplement to support sperm quality, although the clomiphene component is not standard for male fertility.","evidence":"Limited"}]
Off-label uses: [{"condition":"Luteal phase defect","description":"Occasionally used to support the second half of the menstrual cycle in women with recurrent miscarriage, but evidence is not strong.","evidence":"Limited"},{"condition":"Male hypogonadism","description":"Clomiphene alone has been studied off-label to raise testosterone in men, but this combination product is not approved for that use.","evidence":"Limited"}]
Primary treatment for: Ovulatory dysfunction
Also treats: Polycystic ovary syndrome, Unexplained infertility
📋 Drug Information
| Generic Name(s) | Clomiphene (25mg) + Coenzyme Q10 (50mg) |
| Brand Name | qc 25 capsule |
| Manufacturer | Karisca Healthcare Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | GYNAECOLOGICAL |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C, away from direct sunlight and moisture. Keep in the original container. |
| Shelf Life | 24 months from the date of manufacture, or as printed on the pack. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
Clomiphene acts as a selective estrogen receptor modulator. It binds to estrogen receptors in the hypothalamus and pituitary gland, blocking estrogen's negative feedback. This leads to increased secretion of gonadotropin-releasing hormone, which in turn raises follicle-stimulating hormone and luteinizing hormone levels. Higher FSH drives ovarian follicle growth, and a mid-cycle LH surge triggers ovulation. Coenzyme Q10 is a fat-soluble antioxidant that participates in mitochondrial electron transport and helps reduce oxidative stress in reproductive tissues. Together, these actions aim to improve ovulatory function and support cellular energy metabolism in eggs and sperm.
Mechanism Steps
💡 How to Take qc 25 capsule
Strength: Immediate-release oral tablet containing clomiphene 25 mg and coenzyme Q10 50 mg.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is one tablet taken orally once daily, often starting on day 2, 3, 4, or 5 of the menstrual cycle and continuing for 5 days. The exact starting day and dose must be individualized by a qualified clinician based on the indication, age, weight, ovarian response, and renal and hepatic function. Some women may need a lower or higher dose, and treatment cycles may be repeated. Do not self-adjust the dose. Your doctor may monitor ovulation with ultrasound or blood tests and may change the plan if needed. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | This medicine is not intended for use in elderly women beyond reproductive age. Safety and effectiveness in this population are not established. |
| Renal Impairment | Dose adjustment may be needed in patients with kidney disease. Consult your doctor for individualized dosing. |
| Hepatic Impairment | This medicine is contraindicated in patients with liver disease. Consult your doctor for alternative options. |
| Maximum Daily Dose | The maximum recommended daily dose is one tablet of clomiphene 25 mg plus coenzyme Q10 50 mg, but the exact maximum must be determined by your clinician based on your response and tolerance. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of qc 25 capsule
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Warfarin | Major | |
| Gonadotropins | Major | |
| Thyroid hormones | Moderate | |
| Antidiabetic medicines | Moderate | |
| Grapefruit juice | Moderate | |
| Paracetamol | Minor | |
| Vitamin C | Minor | |
| St. John's wort | Moderate | |
| Ketoconazole | Moderate | |
| Rifampicin | Moderate |
🚨 Major Interactions
- Other fertility medicines
- Warfarin
⚡ Moderate Interactions
- Thyroid hormones
- Antidiabetic medicines
🍷 Alcohol Interaction
Alcohol may worsen mood swings, dizziness, 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
["Known pregnancy","Unexplained abnormal vaginal bleeding","Liver disease or history of liver tumors","Ovarian cysts not due to polycystic ovary syndrome","Hormone-sensitive cancers such as breast or endometrial cancer","Hypersensitivity to clomiphene or coenzyme Q10","Active thromboembolic disorders"]
⚠️ Warnings & Precautions
["This medicine should only be used under the supervision of a fertility specialist.","Visual symptoms such as blurred vision or floaters require immediate medical attention.","Ovarian hyperstimulation syndrome can occur and may be life-threatening if not treated.","Multiple pregnancies are more common with ovulation induction medicines.","Do not use this medicine if you are already pregnant.","Inform your doctor about all other medicines and supplements you take.","Avoid driving or operating machinery if you experience visual changes or dizziness."]
🤱 Lactation Safety
It is not known whether clomiphene passes into breast milk. Because this medicine is used for fertility treatment, it is not typically used during breastfeeding. Consult your doctor before using this medicine while breastfeeding.
💊 Overdose Management
Overdose of this medicine may cause severe nausea, vomiting, hot flushes, abdominal pain, visual disturbances, and ovarian hyperstimulation. If you suspect an overdose, contact your doctor or a poison control center immediately. Treatment is supportive and may include monitoring for ovarian hyperstimulation and fluid balance. There is no specific antidote.
⏰ 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 take two doses at the same time to make up for a missed dose. If you are unsure, contact your doctor or pharmacist for advice.
Additional Safety Advice
Take this medicine exactly as prescribed by your fertility specialist, and do not increase or decrease the dose on your own. Because this medicine can cause visual changes, avoid driving or operating heavy machinery if your vision becomes blurred or you see floaters. Report any rapid weight gain, severe pelvic or abdominal pain, vomiting, or difficulty breathing immediately, as these may be signs of ovarian hyperstimulation syndrome. Do not start this medicine if you are already pregnant or if pregnancy is suspected. Keep all scheduled monitoring appointments, including ultrasound scans and blood tests, because the dose may need to be adjusted based on your response. Inform your clinician about all other medicines, supplements, and herbal products you take, especially hormonal treatments. Store the tablet in its original packaging, away from moisture and direct sunlight, and keep it out of reach of children.
👴 Special Considerations for Elderly
💡 For Patients Above 65
This medicine is not intended for use in women beyond reproductive age. Safety and effectiveness in elderly patients are not established.
🤰 Pregnancy Planning (TTC)
This medicine is used to help you conceive. If you suspect you are pregnant, stop the medicine and consult your doctor immediately. Once pregnancy is confirmed, your doctor will advise you on appropriate prenatal care.
🏥 Post-Surgery Considerations
If you have recently had surgery, inform your doctor before taking this medicine. It may need to be temporarily stopped depending on the type of surgery and your recovery.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine before any dental procedure. No specific precautions are usually needed, but your dentist may want to know about all medicines you take.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Moderate exercise is generally safe while taking this medicine. However, if you experience pelvic pain or signs of ovarian hyperstimulation, avoid strenuous activity and consult your doctor.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause mood swings, hot flushes, or visual changes that could affect concentration. Avoid driving or operating heavy machinery if you experience visual disturbances or dizziness. Most women can continue their normal daily activities, but listen to your body and rest when needed.
🛑 When to Stop This Medicine
Stop taking this medicine and contact your doctor immediately if you experience visual changes, severe abdominal pain, rapid weight gain, difficulty breathing, or signs of an allergic reaction. Do not stop the medicine without consulting your doctor if you are in the middle of a treatment cycle, unless advised to do so.
📅 Long-Term Use Effects
Long-term use of this medicine is not typically recommended beyond a few cycles without careful evaluation. Prolonged use may increase the risk of ovarian hyperstimulation and visual disturbances. Regular monitoring of liver function and ovarian response is advised. If pregnancy does not occur after several cycles, your doctor may consider other fertility treatments.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Another oral ovulation induction medicine that may be used as an alternative.
Evidence: Well-establishedWeight loss, diet, and exercise can improve ovulation in women with PCOS.
Evidence: Well-establishedInjectable hormones used for ovulation induction in specialist settings.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no specific vaccine interactions with this medicine. However, it is advisable to be up to date with routine vaccinations before starting fertility treatment. Consult your doctor for personalized advice.
📦 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
Carry this medicine in its original packaging with a copy of your prescription. Keep it in your hand luggage to avoid temperature extremes. If you are traveling across time zones, continue taking your dose at the same interval as prescribed, but consult your doctor for specific advice. Store away from direct sunlight and moisture. Check customs regulations for carrying prescription medicines to your destination.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Ovulation usually occurs 5 to 10 days after the last dose of this medicine in a treatment cycle. Your doctor may monitor with ultrasound or blood tests to confirm ovulation.
A: No, this is a prescription medicine and must only be taken under the supervision of a fertility specialist.
A: Stop the medicine immediately and contact your doctor right away. Visual symptoms can be a sign of a serious side effect.
🤔 Common Patient Concerns
🔄 Substitutes for qc 25 capsule
View AllAlternative brands with exact same active ingredient:
-
ccliya max tablet 25 mg/50 mgZydus Cadila ₹250.00 41.9% CHEAPER
-
clofin 25 tabletHBC Lifesciences Pvt Ltd ₹275.00 36% CHEAPER
-
fertilix 25mg/50mg tabletInnovcare Lifesciences Pvt Ltd ₹295.00 31.4% CHEAPER
-
clomipreg q 25mg/50mg tabletRemedial Healthcare ₹315.60 26.6% CHEAPER
-
clomova 25mg/50mg tabletZogenix Healthcare ₹349.00 18.8% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine guarantees pregnancy.
Fact: It improves ovulation but does not guarantee pregnancy; many factors affect fertility. - Myth: It is safe to take without monitoring.
Fact: It requires medical supervision and monitoring to avoid complications. - Myth: More tablets mean better results.
Fact: Higher doses can increase side effects and do not always improve outcomes.
🔄 Alternative Options
Generic Alternatives
- Clomiphene 25 mg tablet
- Coenzyme Q10 50 mg capsule
Brand Alternatives
- Fertolast Tablet