Ortho Evra is a contraceptive (birth
control) skin patch used to prevent
pregnancy. It is a combination hormonal contraceptive because
it contains two hormones, estrogen and
progestin. It does not protect against HIV infection (AIDS)
and other sexually transmitted diseases.
This birth control method uses a 28-day
(four week) cycle. One topical patch is
applied and kept in place for one week. A new topical
patch is applied each week for three weeks in a
row (21 total days). You should not apply a patch
during the fourth week (a one-week break). During the one-week
break, you should have your menstrual period. Every new
patch should be applied on the same day
of the week; this will be your 'Patch Change Day'. Follow
your healthcare provider's instructions regarding when to
start using Ortho Evra and whether back-up
contraception is needed temporarily. Clean and dry the area
of skin where the patch will be applied.
The patch can be placed on the
buttock, abdomen, upper outer arm, or upper torso
in a place where it won't be rubbed by tight clothing. Never
put the patch on the breasts. To avoid
skin irritation, apply each new patch to a different place
on the skin. Do not apply the patches to
skin that is red, irritated or cut. Do not use creams, oils,
powder, or makeup on the skin where you will put a patch
or near a patch your are wearing. It may cause the patch
to become loose. If a patch causes irritation,
it can be removed and a new patch may be applied to a new
location until the next 'Patch Change Day'. Only one patch
should be worn at a time.
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
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.
Possible Side Effects
Some common side effects with combination
hormonal contraceptives like Ortho Evra
are: -breast tenderness and enlargement -headache
-nausea -menstrual changes -abdominal cramps and bloating
Store at 25°C (77°F); excursions permitted to 15-30°C (59-86°F). Store patches in their protective pouches. Apply immediately upon removal from the protective pouch. Do not store in the refrigerator or freezer.
Used patches still contain some active hormones. Each patch should be carefully folded in half so that it sticks to itself before safely disposing of it in the trash. Used patches should not be flushed down the toilet.
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 large doses
of oral contraceptives were accidentally taken by young
children. 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.
Your health care professional will take a medical and
family history before prescribing Ortho Evra
and will examine you. The physical examination may be delayed
to another time if you request it and the health care professional
believes that it is a good medical practice to postpone
it. 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.
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. Bestdirectrx.com disclaims 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.