Back to Famila-28 Tablet

Famila-28 Tablet Side Effects in Pakistan

A complete guide to the side effects of Famila-28. From common effects to serious warnings, including blood clot risk, everything you need to know is on this page.

Compiled by the PakVita Editorial Team · AI-assisted drafting with editorial review · Sourced from DRAP, WHO, BNF · Last updated:

Side Effects

Quick Answer

Common side effects of Famila-28 include nausea and headache. Serious effects such as blood clots (deep vein thrombosis or pulmonary embolism) require immediate medical attention, especially in smokers over 35 or those with clotting risk factors. Most patients tolerate Famila-28 well at the correct dose. Contact your doctor if any side effect persists or worsens.

Side Effects at a Glance

Common

  • Nausea
  • Headache
  • Breast tenderness

Serious — See a Doctor

  • Blood clots (deep vein thrombosis or pulmonary embolism)
  • Severe abdominal or chest pain
  • Sudden severe headache or vision changes

When to See a Doctor Immediately

  • Sudden leg swelling, pain, or warmth (possible sign of a blood clot)
  • Chest pain or sudden shortness of breath
  • Sudden severe headache, vision changes, or fainting

Famila-28 Tablet Side Effects (Nuksanat)

Famila-28 (Levonorgestrel + Ethinylestradiol) is generally well tolerated when taken at the correct dose. However, like all hormonal medicines, it can cause side effects in some patients.

Common Side Effects (Aam Nuksanat)

  • Nausea
  • Headache
  • Breast tenderness

These side effects are usually mild. If they continue, inform your doctor.

Serious Side Effects (Sanjeedah Nuksanat)

  • Blood clots (deep vein thrombosis or pulmonary embolism) — see a doctor immediately
  • Severe abdominal or chest pain — see a doctor immediately
  • Sudden severe headache or vision changes — see a doctor immediately

Blood clot risk is an important consideration with combined oral contraceptives, and is higher in smokers over the age of 35 and in those with other clotting risk factors. Your doctor will assess your personal risk before prescribing Famila-28.

When to See a Doctor (Kab Doctor Se Milna Zaroori Hai)

  • Sudden leg swelling, pain, or warmth (possible sign of a blood clot)
  • Chest pain or sudden shortness of breath
  • Sudden severe headache, vision changes, or fainting

Warnings and Precautions (Ihtiyat)

  • Don't use Famila-28 if you are allergic to Levonorgestrel, Ethinylestradiol, or any ingredient
  • Not recommended for women over 35 who smoke, due to increased risk of blood clots

Side Effects Summary Table

TypeSide EffectAction
CommonNauseaMonitor / inform doctor
CommonHeadacheMonitor / inform doctor
CommonBreast tendernessMonitor / inform doctor
SeriousBlood clots (DVT/pulmonary embolism)See a doctor immediately
SeriousSudden severe headache or vision changesSee a doctor immediately

Reporting Side Effects

If you notice any unexpected side effect, report it on the DRAP pharmacovigilance portal: https://www.dra.gov.pk/pharmacovigilance

The information in this guide is for educational purposes only. If you notice any side effect, contact your doctor or pharmacist.

Frequently Asked Questions

What are the most common side effects of Famila-28 Tablet?

The most commonly reported side effects of Famila-28 include nausea and headache. These are usually mild and go away on their own. Inform your doctor if they persist.

Does Famila-28 Tablet increase the risk of blood clots?

Yes, combined oral contraceptives like Famila-28 carry a small increased risk of blood clots (deep vein thrombosis or pulmonary embolism), particularly in smokers over the age of 35 or those with other clotting risk factors. Discuss your personal risk with your doctor before starting.

Can Famila-28 Tablet cause allergic reactions?

Yes, like all medicines, Famila-28 can cause allergic reactions in some people. Signs include rash, itching, swelling, or difficulty breathing. Stop use and seek medical help immediately if this happens.

What should I do if I experience side effects from Famila-28 Tablet?

For mild side effects, inform your pharmacist. For serious effects such as signs of a blood clot, stop the medicine and contact your doctor immediately or go to the nearest hospital.

Is Famila-28 Tablet safe to take for a long time?

Long-term safety depends on your individual health profile. Your doctor will periodically review your suitability and monitor for any signs of blood clot risk if continued use is needed.

Brand alternatives, same-class options, and other medicines used for the same conditions as Famila-28 Tablet.

Sources

  1. DRAP Registered Products Database Drug Regulatory Authority of Pakistan
  2. WHO Model List of Essential Medicines, 23rd ed. (2023) World Health Organization
  3. British National Formulary (BNF) BMJ Group & Pharmaceutical Press

Medical disclaimer

This page is for educational use only and does not replace professional medical advice. Always confirm diagnosis, dose, and interactions with a qualified doctor or pharmacist before starting or changing any medicine.