Ortho-Evra
Drug Uses
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 a baby.
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.
Some common side effects with combination
hormonal contraceptives like Ortho Evra are: -breast tenderness
and enlargement -headache -nausea -menstrual changes -abdominal
cramps and bloating -vaginal discharge.
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.
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