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Expert advice for Covafem Tablet
For oral contraceptive pill: Take your pill at the same time every day.
Do not take norethisterone tablets (for other uses):

If you have ever had a reaction to or been told that you are allergic to norethisterone or any of the other ingredients in the tablets.
If you are pregnant or suspect that you may be.
If you have missed any of the pills in a strip, and you do not bleed within 45 days of your last period, you may be pregnant. Stop taking norethisterone oral contraceptive pill and contact your doctor or family planning clinic, or do a pregnancy test yourself.
If you lose a pill, just take a pill from a spare strip. Then take all the other pills from your current strip as usual.
If you are sick or have very bad diarrhea or vomiting (within 3 hours of taking the pill), your body may not get its usual dose of hormones from that pill; just take a pill from a spare strip. Carry on taking your pills as normal if you can. You won’t need to use extra contraception.
If you have been sick more than 3 hours after taking the pill carry on taking your pills as normal and use extra contraception for 2 days after you are better.
If you are planning a baby, it’s best to use another method of contraception after stopping the pill until you have regular periods. However, it will not cause you or the baby any harm if you get pregnant straight away.

Do not take norethisterone tablets for any indication if you are pregnant or breastfeeding.

Q. Is Covafem safe?
Yes. Covafem is safe if used at prescribed doses for the prescribed duration as advised by the physician/ doctor.

Q. Is Covafem available over the counter?
No, Covafem is not an over the counter (OTC) drug. It belongs to a class of prescription drugs and is available only when prescribed by a doctor.

Q. Is Covafem available in India?
Yes, Covafem is available in India as a prescription medicine.

Q. How long can I take Covafem for?
The prescribed duration of Covafem varies depending on the condition. It is recommended to take Covafem for a duration which is prescribed by your doctor.

Q. Does Covafem cause miscarriage?
Covafem has not been reported to cause miscarriage. However, it is advisable to consult your doctor before using any medicine during pregnancy.

Q. Does Covafem make you tired?
Use of Covafem may make you feel tired (fatigue). Please talk to your doctor in case you experience this symptom while taking Covafem.

Q. Does Covafem cause acne?
Acne has been reported as a side effect of Covafem. Please consult your doctor in case you get lot of acne while taking Covafem.

Q. Does Covafem affect ovulation?
Covafem works by suppressing ovulation when given at particular doses by its effect on the brain.

Q. Does Covafem cause weight gain?
Weight gain has been reported as a side effect of Covafem.Please consult your doctor in case you experience excessive weight gain while taking Covafem.

Q. Does Covafem help in ovulation?
No, Covafem does not help in ovulation. Rather it works by suppressing ovulation (release of eggs) and hence decreasing the production of female hormones like estrogens and progesterone.

Q. Does Covafem cause cramps?
Yes, Covafem can cause cramps in calves at night as a side effect. Kindly talk to your doctor in case you experience excessive cramps while taking Covafem.

Q. Can I take Covafem with the levonorgestrel-releasing intrauterine system?
There are no reported drug-drug interactions between Covafem and levonorgestrel-releasing intrauterine system. However, Covafem belongs to a group of medicines called progestins which are female sex hormones and levonorgestrel is also a progestin. As both the medicines contain the similar chemical substance, it is advisable to consult your doctor before taking Covafem with a levonorgestrel-releasing intrauterine system.

Q. Can I take Covafem with etonogestrel implant?
There are no reported drug-drug interactions between Covafem and etonogestrel implant. However, Covafem belongs to a group of medicines called progestins which are female sex hormones and desogestrel is also a progestin. As both the medicines contain the similar chemical substance, it is advisable to consult your doctor before taking Covafem with etonogestrel implant.

Q. Can I take Covafem with levothyroxine?
Covafem can be taken with levothyroxine as there are no drug-drug interactions reported between the two medicines. Please consult your doctor before taking Covafem with levothyroxine.

Q. Can I take Covafem with amoxicillin?
Covafem can be taken with amoxicillin as no drug-drug interactions have been seen between the two medicines. However, it is advisable to consult your doctor before taking Covafem with amoxicillin.

Q. Can I take Covafem with desogestrel?
Covafem belongs to a group of medicines called progestins which are female sex hormones and desogestrel is also a progestin. As both the medicines contain the similar chemical substance, it is advisable to consult your doctor before taking Covafem with desogestrel.

Q. Can I take Covafem with paracetamol?
Yes, Covafem can be taken with paracetamol. No drug-drug interactions have been seen. However, interactions may occur. Please consult your doctor before taking Covafem with paracetamol.