Ortho Evra Patch is a safe, effective and easy-to-use
birth control patch for women. It is the first birth control
patch approved by the U.S. FDA, and the first weekly form
of birth control that is as effective as the Pill. Ortho
Evra® is a small, thin patch, designed to be worn
under your clothes; it's easy to wear, and is more than
99% effective when used correctly.
COMMON
BRAND NAME(S): Ortho Evra
Ortho
Evra Patch
Women Health Drug general information
Uses
This combination hormone patch is used to prevent pregnancy.
It contains hormones similar to those in birth control
pills. The hormones release from the patch slowly over
time. Using this medication patch does not protect you
or your partner against HIV or other sexually transmitted
diseases (STDs).
How to UseOrtho Evra Patch
Review the Patient Information Leaflet. Follow all instructions
on how to use Ortho Evra patch patch and also the best
time (during your menstrual cycle) to start using the
patch. If any of the information is unclear, consult your
doctor or pharmacist. Open the patch container and apply
one patch to an area of clean, dry skin on the buttock,
abdomen, upper outer arm, or upper body (torso) exactly
as directed by your doctor. The patch is worn for 7 days.
Do not apply the patch to the breast(s), the area around
the breast(s); to red, cut, or irritated skin; or over
other topical products (e.g., make-up, creams, lotions,
powders). After 7 days, remove the old patch and apply
a new patch. Repeat this weekly cycle for 3 weeks (3 patches
equal 1 cycle). After your third patch is removed, you
will have one week without using the patch. Your menstrual
cycle (period) usually should start during the week when
you do not use the patch. If your menstrual cycle (period)
does not begin during this week, consult your doctor.
After your 4th week, begin a new patch cycle, even if
you still are experiencing some bleeding (still having
your period). Do not go longer than 7 days without a patch.
Doing so may make Ortho Evra patch less effective. If
the medication patch accidentally comes off, is removed,
or if it becomes detached, apply a new patch. If it is
detached or comes off for longer than 24 hours, or if
you are not sure how long the patch has been detached
or removed, use additional forms of birth control (e.g.,
condoms, spermicide) for at least 7 days and continue
with the same cycle. After removing each patch, fold the
patch in half so it sticks to itself and discard it in
a trash container. Do not discard or flush the patches
down a toilet. If you weigh more than 198 pounds (90 kg),
this patch may not work as well for you. Make sure your
doctor knows your current weight and ask about which form
of birth control is best for you. If any of this information
is unclear, consult the Patient Information Leaflet or
your doctor or pharmacist.
Overdose of Ortho Evra Patch Overdose with this product is highly unlikely.
If overdose is suspected, remove the patch (or patches)
and contact your local poison control center or emergency
room immediately. This medicine device may be harmful
if swallowed. Symptoms of overdose may include: severe
nausea, vomiting, unusual vaginal bleeding or irregular
menstrual periods.
Possible side effect of Ortho Evra
Patch
Nausea, vomiting, headache, redness or itching at the
patch application site, dizziness, breast tenderness,
vaginal discomfort/irritation, or stomach cramping/bloating
may occur. If any of these effects persist or worsen,
notify your doctor. Promptly tell your doctor if any of
these side effects occur: dark patches on the skin (melasma),
change in appetite, weight changes (gain or loss), problem
wearing contact lenses. Tell your doctor immediately if
any of these serious side effects occur: unusual vaginal
discharge, changes in vaginal bleeding (e.g., spotting,
breakthrough bleeding, prolonged or complete stoppage
of bleeding), swelling, severe headache, mental/mood changes.
Tell your doctor immediately if any of these unlikely
but serious side effects occur: pain in the groin or lower
legs, trouble breathing, rash, chest pain, stomach pain,
vision or eye problems. Tell your doctor immediately if
any of these highly unlikely but very serious side effects
occur: yellowing eyes or skin, dark urine, one-sided weakness,
numbness in the arms/legs, lumps in the breast. If you
notice other effects not listed above, contact your doctor
or pharmacist.
Precautions for taking Ortho Evra
Patch
Ortho Evra patch is not recommended for use if you have
the following medical conditions: blood circulation problems
(e.g., history of blood clots in the legs or groin), history
of heart disease or stroke, severe high blood pressure,
diabetes (especially affecting the circulation), severe
headaches, recent major surgery, long periods of sitting
or lying down (e.g., immobility such as being bedridden),
liver problems, history of yellowing eyes and skin (jaundice)
during pregnancy or while using birth control pills, cancer
(especially endometrial or breast cancer), undiagnosed
abnormal vaginal bleeding, currently pregnant, heavy tobacco
use (if 35 years old or greater). Tell your doctor your
medical history, especially of: high cholesterol or triglyceride
(fat) levels, depression, high blood pressure, gallbladder
problems, thyroid problems, any allergies. Do not smoke
cigarettes. Hormonal birth control (e.g., pills, injections,
devices) products combined with smoking cigarettes significantly
increase your risk for strokes, blood clots, high blood
pressure, and heart attacks; especially in women older
than 35 years of age. Ask your doctor or pharmacist or
consult the patient information leaflet that comes with
this product for more details. Before having surgery,
including dental surgery, tell the doctor(s) that you
are using this product. The drugs in this patch may cause
blotchy, dark areas on your skin (melasma) and sunlight
may intensify this effect. If this occurs, avoid prolonged
sun exposure, use a sunscreen, and wear protective clothing
when outdoors. If you are near-sighted or wear contact
lenses, you may develop vision problems or may have problems
wearing your contact lenses. Contact your eye doctor if
these problems occur. Ortho Evra patch device must not
be used in pregnancy. If you become pregnant or think
you may be pregnant, inform your doctor immediately. The
medication from this patch passes into breast milk and
may have undesirable effects on the nursing infant. Consult
your doctor before breast-feeding.
Drug Interactions
Tell your doctor of all prescription and nonprescription
medication you may use, especially: anti-seizure medicine
(e.g., carbamazepine, felbamate, phenobarbital, phenytoin,
topiramate), certain antibiotics (e.g., ampicillin, erythromycin),
HIV protease inhibitors (e.g., indinavir, ritonavir),
phenylbutazone, griseofulvin, atorvastatin, azole antifungals
(e.g., itraconazole, ketoconazole), rifampin, St John's
wort, cyclosporine, temazepam, prednisolone, morphine,
theophylline, ascorbic acid (vitamin C), acetaminophen,
aspirin, clofibric acid, modafinil, troglitazone. This
product can affect the results of certain lab tests (e.g.,
blood tests such as glucose, clotting factors, or thyroid).
Make sure laboratory personnel and your doctors know you
use this product. Do not start or stop any medicine without
doctor or pharmacist approval.
Notes
Do not share Ortho Evra patch patch with others. Keep
all appointments with your doctor and when having laboratory
tests performed. You should have a complete physical exam
including blood pressure, breast exams, pelvic exams,
and PAP smears at least once a year.
Important Note
The following 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 use of the drug is safe,
appropriate, or effective for you. Consult your healthcare
professional before using this drug.
Disclaimer
This information is not intended to substitute for professional
medical advice. Be sure to contact your physician, pharmacist
or other health care provider for more information about
this medication.
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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
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