Ortho Evra Patch

Active Ingredients: Ethinyl Estradiol and Norelgestromin Transdermal System
Representative Names: Ortho Evra Patch

Note: The below information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist, or other healthcare professional. It should not be construed to indicate that the use of ortho evra patch is safe, appropriate, or effective for you. Consult your healthcare professional before you buy ortho evra patch online.


What are Ortho Evra skin patches?
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.


What should i check before I use Ortho Evra Patch?
Please verify if you have or ever had any of these conditions: blood clots, blood sugar problems, like diabetes, cancer of the breast, cervix, ovary, uterus, vagina, or unusual vaginal bleeding that has not been evaluated by a health care professional, depression, fibroids, gallbladder disease, heart disease or circulation problems, high blood pressure, jaundice, liver disease, menstrual problems, migraine headaches, tobacco smoker, stroke, an unusual or allergic reaction to estrogens, progestins, other hormones, medicines, foods, dyes, or preservatives, pregnant or trying to get pregnant, breast-feeding.


How should I use my Ortho Evra Patches?
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.


What drug(s) may interact with my Ortho Evra Patches?
Aantibiotics or medicines for infections, especially rifampin, rifapentine or rifabutin, aprepitant, atorvastatin, barbiturate medicines for producing sleep or treating seizures (convulsions), bexarotene, bosentan, caffeine, carbamazepine, cimetidine, clofibrate, cyclosporine, dantrolene, exemestane, felbamate, griseofulvin, growth hormone, hydrocortisone, isoniazid INH, medicines for anxiety or sleeping problems, such as diazepam or temazepam, medicines for mental depression, medicines for diabetes including troglitazone and pioglitazone, medicines for mental depression, medicines for migraines, methotrexate, modafinil, mycophenolate, nefazodone, oxcarbazepine, phenytoin, prednisolone, ritonavir or other medicines for the treatment of the HIV virus or AIDS, selegiline, soy isoflavones supplements, St. John's wort, tamoxifen or raloxifene, theophylline, topiramate, troleandomycin, warfarin.

On the questionaire needed to buy Ortho Evra Patch, inform of all medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also include if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check before stopping or starting any of your medicines.


What side effects may I notice from taking Ortho Evra Patch?
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.


What should I watch for while taking Ortho Evra Patch?
Visit your health care provider for regular checks on your progress. You should have a complete check-up every 6 to 12 months. If you have any unusual vaginal bleeding contact your prescriber or health care professional for advice. If you miss a period, the possibility of pregnancy must be considered. See your prescriber or health care provider as soon as you can.

To ensure adequate protection, use an additional method of contraception (like condoms, diaphragm or spermicide) during the first cycle that you use this patch.

If you stop using this patch and want to get pregnant, a return to normal ovulation can take some time. You may not return to normal ovulation and fertility for 3 to 6 months. Discuss your pregnancy plans with your health care provider.

If you are taking hormone-based contraceptives for the treatment of acne, hirsutism (male-like hair growth), endometriosis or other hormone related problems, it may take several months of continued treatment to notice improvement in your symptoms or condition.

Tobacco smoking increases the risk of getting a blood clot or having a stroke while you are taking this medicine, especially if you are more than 35 years old. You are strongly advised not to smoke.

This contraceptive can increase your sensitivity to the sun and you may burn more easily. Use sunscreen and protective clothing during long periods outdoors. Tanning booths should be used with caution.

If you wear contact lenses and notice visual changes, or if the lenses begin to feel uncomfortable, consult your eye care specialist.

In some women, tenderness, swelling, or minor bleeding of the gums may occur. Notify your dentist if this happens. Brushing and flossing your teeth regularly may help limit this. See your dentist regularly and inform your dentist of the medicines you are taking.

You may get a vaginal yeast infection. If you have never had a yeast infection before, see your prescriber or other health care provider to confirm the problem. If you have had yeast infections in the past and are comfortable with self-medicating the problem, get and use a nonprescription medication to treat the yeast infection.

If you are going to have elective surgery, you may need to stop using this contraceptive patch one month beforehand. Consult your health care professional for advice prior to scheduling the surgery.

Using this contraceptive patch does not protect you against HIV infection (AIDS) or any other sexually transmitted diseases.


Can i overdose with Ortho Evra Patch?
If overdose is suspected, remove the patch. Contact your local poison control center or emergency room immediately. Symptoms of overdose may include severe nausea, vomiting, unusual vaginal bleeding, or irregular menstrual periods.


What if I miss a dose?
Try not to miss your weekly patch change; your risk of pregnancy increases with each day in a row you have missed your patch. If you do miss a patch change, it may be necessary to consult your health care professional for instructions. The instructions may vary depending on when you have missed the patch (weeks 1, 2 or 3) during your monthly cycle. In some cases, you will also need to use a back-up method of birth control. If you forget to remove the patch on week 4, take it off as soon as you remember. However, it is important to start the next month's patch cycle on the scheduled day; there should not be more than a 7-day patch-free interval. If there are more than 7 patch-free days, there is a risk you could become pregnant and you should use a back-up birth control method for 7 days.

If a patch is lost or falls off, it may be necessary to consult your health care professional for instructions. A replacement patch for your prescription may be needed to complete your monthly cycle and can be purchased from your pharmacist. In some cases, you will also need to use a back-up method of birth control if the patch has been off for more than 1 day.


Where can I keep my medicine?
Keep out of the reach of children.

Store unopened patches at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medicine after the expiration date.

Once removed, a used patch should be folded to stick to itself and discarded in a waste receptacle out of the reach of children and pets (do not flush in toilet).


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