||Ethinyl Estradiol and Norelgestromin
|Typical Brand Names:
ETHINYL ESTRADIOL/NORELGESTROMIN (Ortho Evra™) is a skin patch that is effective as a contraceptive (birth control). This product combines natural or synthetic estrogens and progestins, similar to the natural sex hormones (estrogen and progesterone) produced in a woman's body.
Ethinyl estradiol is an estrogen and norelgestromin is a progestin. This patch keeps you from becoming pregnant by delivering continuous levels of these hormones through the skin and into the bloodstream. This patch can also help regulate menstrual flow, treat acne or may be used for other hormone-related problems in females.
|Ortho Evra 1 month supply - 3 Patches
|Ortho Evra 2 months supply - 6 Patches
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Ortho Evra Directions To Use
Ortho Evra™ patches are for use on the skin. Follow carefully the directions that come with the patches. Use exactly as directed. Remove the patch from the sealed pouch. Do not try to cut or trim the patch. Apply the patch to a clean, dry, intact healthy skin area on the buttock, abdomen, upper outer arm or upper torso, in a place where it won't be rubbed by tight clothing. Do not place on skin that is red, irritated or cut, and do not place on the breasts. To prevent problems with the stickiness of the patch, no makeup, creams, lotions, oils, powders or other topical products should be applied to the skin area where the patch is or will be placed. Using your palm, press the patch firmly in place for 10 seconds to make sure that there is good contact with your skin.
- Change the patch every 7 days on the proper 'patch change day', keeping to a regular schedule. When you apply a new patch, use a new area of skin. Wait at least 1 week before using the same area again.
- Keep an extra month's supply of your patches available to ensure that you will not miss the proper day you are to start your next cycle.
- Before starting this medication, read the paper on your prescription provided by your pharmacist. This paper will tell you about the specific product you are taking. Make certain you understand the instructions.
- Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed.
Ortho Evra Warnings and Side Effects
The risks associated with using Ortho Evra increase significantly if you: smoke, have high blood pressure, diabetes, or high cholesterol, have or have had clotting disorders, heart attack, stroke, chest pain (angina pectoris), and cancer of the breast or reproductive organs, jaundice, or malignant or benign liver tumors. Ortho Evra may be less effective in women weighing more than 198 lbs. (90 kg). Do not use Ortho Evra without first talking to your doctor if you weigh more than 198 lbs. (90 kg). Ortho Evra is in the FDA pregnancy category X. This means that Ortho Evra is known to cause birth defects in an unborn baby. Do not use Ortho Evra if you are pregnant. Ortho Evra may decrease milk flow and have other effects on milk composition. Do not use Ortho Evra without first talking to your doctor if you are breast-feeding a baby.
Severe side effects are relatively rare in women who are healthy and do not smoke while they are taking hormone-containing contraceptives. On average, more women have problems due to complications from getting pregnant than have problems with this contraceptive. Many of the minor side effects may go away as your body adjusts to the medicine. However, the potential for severe side effects does exist and you may want to discuss these with your health care provider.
The following symptoms or side effects may be related to blood clots and require immediate medical or emergency help: chest pain, coughing up blood, dizziness or fainting spells, leg or arm or groin pain, severe or sudden headaches, stomach pain (severe), sudden shortness of breath, sudden loss of coordination, especially on one side of the body, swelling of the hands, feet or ankles, or rapid weight gain, vision or speech problems, weakness or numbness in the arms or legs, especially on one side of the body.
Other serious side effects are rare. Contact your health care provider as soon as you can if the following side effects occur: breast tissue changes or discharge, changes in vaginal bleeding during your period or between your periods, headaches or migraines, increases in blood sugar, especially if you have diabetes, increases in blood pressure, especially if you are known to have high blood pressure, symptoms of vaginal infection (itching, irritation or unusual discharge), tenderness in the upper abdomen, vomiting, yellowing of the eyes or skin.
Side effects that usually do not require medical attention (report to your health care provider if they continue or are bothersome): breakthrough bleeding and spotting that continues beyond the 3 initial cycles, breast tenderness, mild stomach upset, mood changes, anxiety, depression, frustration, anger, or emotional outbursts, increased or decreased appetite, increased sensitivity to sun or ultraviolet light, nausea, skin rash, acne, or brown spots on the skin, tiredness, weight gain.
Ortho Evra Missed Dose
If you forget to change your patch:
- at the start of any patch cycle,
Week one (Day 1): If you forget to apply your patch, YOU COULD BECOME PREGNANT – you must use back-up contraception for one week. Apply the first patch of your new cycle as soon as you remember. You now have a new Patch Change Day and new Day 1.
- in the middle of your patch cycle,
Week two or week three: If you forget to change your patch for one or two days, apply a new patch as soon as you remember. Apply your next patch on your normal Patch Change Day. No back-up contraception is needed.
Week two or week three: If you forget to change your patch for more than two days, YOU COULD BECOME PREGNANT start a new four week cycle as soon as you remember by putting on a new patch. You now have a different Patch Change Day and a new Day 1. You must use back-up contraception for the first week of your new cycle.
- at the end of your patch cycle,
Week four: If you forget to remove your patch, take it off as soon as you remember. Start your next cycle on your normal Patch Change Day the day after Day 28. No back-up contraception is needed.
- at the start of your next patch cycle,
Day 1 (week one): If you forget to apply your patch, YOU COULD BECOME PREGNANT. Apply the first patch of your new cycle as soon as you remember. You now have a new Patch Change Day and new Day. You must use back-up contraception for the first week of your new cycle.
Ortho Evra Overdose
Ortho Evra is unlikely to cause an overdose because the patch releases a steady amount of the hormones. Do not use more than one patch at a time. Serious ill effects have not been reported when young children accidentally took large doses of oral contraceptives. Over dosage may cause nausea and vomiting. Vaginal bleeding may occur in females. In case of over dosage, contact your health care professional or pharmacist.
Ortho Evra More Information
Your health care professional will take a medical and family history before prescribing Ortho Evra and will examine you. You should be reexamined at least once a year. Be sure to inform your health care professional if there is a family history of any of the conditions listed previously in this leaflet. Be sure to keep all appointments with your health care professional, because this is a time to determine if there are early signs of side effects of hormonal contraceptive use. Do not use the drug for any condition other than the one for which it was prescribed. This drug has been prescribed specifically for you; do not give it to others who may want birth control. If you want more information about Ortho Evra, ask your health care professional or pharmacist.
Ortho Evra Disclaimer
This drug information is for your information purposes only, it is not intended that this information covers all uses, directions, drug interactions, precautions, or adverse effects of your medication. This is only general information, and should not be relied on for any purpose. It should not be construed as containing specific instructions for any particular patient. We disclaim all responsibility for the accuracy and reliability of this information, and/or any consequences arising from the use of this information, including damage or adverse consequences to persons or property, however such damages or consequences arise. No warranty, either expressed or implied, is made in regards to this information.