Ortho Evra patch: Indications, Side Effects, Warnings. Generic Name: norelgestromin/ethinyl estradiol (NOR- el- JES- troe- min/ETH- i- nil ES- tra- DYE- ol)Brand Name: Examples include Ortho Evra and Xulane. Smoking cigarettes while using Ortho Evra patch increases the risk of serious heart problems. The risk increases with age (older than 3. Patients who use Ortho Evra patch are strongly advised not to smoke. Do not use Ortho Evra patch if you are older than 3. The contraceptive patch (Evra). Evra patches, also known as 'Ortho-Evra'. Long-term evaluation of the use of the transdermal contraceptive. The transdermal contraceptive patch, Ortho Evra. Female/adverse effects; Contraceptive. Women who use Ortho Evra patch may have a higher risk of side effects (eg, blood clots) than women who use birth control pills. Discuss any questions or concerns with your doctor. Ortho Evra patch is used for: Preventing pregnancy. It may also be used for other conditions as determined by your doctor. Ortho Evra patch is an estrogen/progestin combination. It works by preventing ovulation. It may also change cervical mucus to prevent the sperm from reaching the egg and change the lining of the uterus to prevent a fertilized egg from implanting in the uterus.
Do NOT use Ortho Evra patch if: you are allergic to any ingredient in Ortho Evra patchyou are pregnant or suspect you may be pregnant, have recently given birth, or are breast- feedingyou have blood clots (eg, in the legs, lungs, or eyes), are at risk for blood clots, or have a history of blood clotsyou have a history of blood vessel problems of the heart or brain (eg, heart attack, chest pain, stroke)you have a history of yellowing of the eyes or skin during pregnancy or previous hormonal birth control useyou have known or suspected cancer of the breast, uterus, cervix, or vagina; any cancer that is estrogen- dependent; or a history of breast canceryou have vaginal bleeding from an unknown causeyou have a liver tumor, liver cancer, or active liver disease; severe high blood pressure; diabetes with kidney, eye, nerve, or blood vessel complications; certain heart valve problems; or the blood disease porphyriayou have headaches with neurological symptoms or will be on bed rest for a long period following surgeryyou are taking birth control pills. Contact your doctor or health care provider right away if any of these apply to you. Before using Ortho Evra patch: Some medical conditions may interact with Ortho Evra patch. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you: if you are pregnant, planning to become pregnant, or are breast- feedingif you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplementif you have allergies to medicines, foods, or other substancesif you have high blood pressure; high cholesterol, triglycerides, or calcium levels; or pancreatitis or gallbladder problems; or you are very overweightif you have breast nodules, fibrocystic disease of the breast, an abnormal breast x- ray or mammogram, endometriosis or endometrial cancer, uterine fibroids, or irregular or scanty menstrual periodsif a member of your family has had breast cancerif you have a history of diabetes, a risk for diabetes, liver or kidney problems, heart problems, headaches, migraine headaches, epilepsy, or depressionif you smoke, weigh 1. Some MEDICINES MAY INTERACT with Ortho Evra patch. Tell your health care provider if you are taking any other medicines, especially any of the following: Azole antifungals (eg, ketoconazole), HMG- Co. A reductase inhibitors (eg, atorvastatin), or tranexamic acid because they may increase the risk of Ortho Evra patch's side effects. Aprepitant, azole antifungals (eg, itraconazole), barbiturates (eg, phenobarbital), bosentan, carbamazepine, clobazam, felbamate, griseofulvin, hydantoins (eg, phenytoin), modafinil, nonnucleoside reverse transcriptase inhibitors (NNRTIs) (eg, nevirapine, efavirenz), oxcarbazepine, penicillins (eg, amoxicillin), protease inhibitors (eg, ritonavir, telaprevir), rifamycins (eg, rifampin), rufinamide, St. John's wort, tetracyclines (eg, doxycycline), topiramate, or troglitazone because they may decrease Ortho Evra patch's effectiveness. Alternative forms of birth control are strongly recommended when taking any of these medicines along with this birth control medicine. Theophyllines (eg, aminophylline), tizanidine, or troleandomycin because the risk of their side effects may be increased by Ortho Evra patch. Lamotrigine, morphine, temazepam, or valproic acid because their effectiveness may be decreased by Ortho Evra patch. This may not be a complete list of all interactions that may occur. Ask your health care provider if Ortho Evra patch may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine. How to use Ortho Evra patch: Use Ortho Evra patch as directed by your doctor. Check the label on the medicine for exact dosing instructions. An extra patient leaflet is available with Ortho Evra patch. Talk to your pharmacist if you have questions about this information. Talk with your doctor about how you should start to use Ortho Evra patch. If you begin to use Ortho Evra patch during the first 2. If you begin to use Ortho Evra patch on the Sunday after your period starts, you will need to use an extra form of birth control for 7 days after you start taking Ortho Evra patch. If you are switching from a birth control pill to Ortho Evra patch, start Ortho Evra patch on the same day that would have started a new pack of your previous birth control pills. Talk with your doctor if you have any questions about how to switch from another form of hormonal birth control to Ortho Evra patch. Each patch should be worn for only 1 week as directed. Follow the dosing schedule carefully. Do not cut or alter the patch in any way. Cut or damaged patches may not work as well. Do not open the sealed pouch containing the patch until you are ready to use it. Open the pouch and remove the patch. Apply as directed to an area of clean, dry skin on the upper outer arm, abdomen, buttock, or back. Press the patch firmly against the skin for about 1. If the patch lifts, press down to reapply. Wear only 1 patch at any time. Do not place the patch on the breast. Make sure the application site is not oily, damaged, or irritated. Avoid applying to the waistline because tight clothing may rub the patch off. Do not put the patch on areas where sitting may loosen it. Do not apply the patch to a site that is exposed to sunlight or where the skin is red, irritated, or cut. Do not use creams, oils, powder, or makeup on your skin where you will put a patch or near a patch you are using because it may cause the patch to become loose. Contact with water while bathing, showering, or swimming will not affect the patch. When it is time to change the patch, remove it slowly. After removing the used patch, fold it in half with the sticky sides together. Discard the patch out of the reach of children and away from pets. Do not flush. Apply a new patch to a different area to prevent skin irritation. Use a different site when replacing the patch and do not repeat the same site for at least 1 week. If the area around the patch becomes red, itchy, or irritated, remove that patch. Apply a new patch at a different site until your next scheduled patch change. If the irritation continues or becomes worse, notify your doctor promptly. If the patch has become loose or has fallen off for less than 1 day, try to reapply it or apply a new patch immediately. No other contraceptive measures are necessary. If the patch has become loose or has fallen off for more than 1 day or if you are not sure how long it has been off, apply a new patch to begin a new cycle. In this case, you may not be adequately protected from pregnancy. You must use an additional form of birth control (eg, diaphragm, male condoms, spermicide) until the patch has been in place for 7 days in a row. Do not try to reapply a patch if it is no longer sticky, if it has become stuck to itself or another surface, if it has other material stuck to it, or if it has previously come loose or fallen off. Do not use any tapes or wraps to keep the patch in place. If you cannot reapply a patch, apply a new patch immediately. Do not skip patches even if you do not have sex very often. Do not skip patches if you are spotting, bleeding, or nauseated. If you have these side effects and they do not go away, check with your doctor. Check with your doctor before you eat grapefruit or drink grapefruit juice while you use Ortho Evra patch. Eating grapefruit or drinking grapefruit juice may increase the risk of Ortho Evra patch's side effects. If you forget to change your patch on the scheduled day, follow the directions in the additional patient leaflet that comes with Ortho Evra patch. You may need to use a backup form of birth control (eg, condoms). If you forget to change your patch on the scheduled day and you are not sure what to do, use an extra form of birth control (eg, condoms) and check with your doctor or pharmacist. Ask your health care provider any questions you may have about how to use Ortho Evra patch. Important safety information: Ortho Evra patch may cause dizziness. This effect may be worse if you take it with alcohol or certain medicines. Use Ortho Evra patch with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it. If you miss 2 periods in a row or if you miss 1 period when you have not used Ortho Evra patch as directed, contact your doctor. Also, if you have morning sickness or unusual breast tenderness, contact your doctor. You may be pregnant if any of these occur. Ortho Evra patch may cause dark skin patches on your face (melasma). Avoid the sun, sunlamps, or tanning booths until you know how you react to Ortho Evra patch. Use a sunscreen or wear protective clothing if you must be outside for more than a short time. Ortho Evra patch may increase the risk of stroke, heart attack, blood clots, high blood pressure, or similar problems. The risk may be greater if you smoke (especially in women older than 3.
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