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Safe and effective for the use for women, Ortho Evra is birth control patch. The hormonal combination prevents pregnancy. It contains hormones similar to those in birth control pills. The hormones release from the patch slowly over time. (Ortho Evra is one of the first birth control patch approved by the U.S. FDA.) Using Ortho Evra patch does not protect or prevent against HIV or other sexually transmitted diseases (STDs). It is the first weekly form of birth control that is as effective as the birth control pill Pill. (Ortho Evra is a small, thin patch, designed to be worn under your clothes. It is very easy to wear. Additionally, it is more than 99% effective when used correctly.)

Ortho Evra Prescribed

Follow all instructions of using Ortho Evra from your doctor’s prescription orders. Read all prescription on how to use the Ortho Evra 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. Never 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, notify your doctor. After your 4th week, begin a new patch cycle, even if you still are experiencing some bleeding (still having your period). If you go longer than 7 days without a patch. it can make this medication 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.



Adverse Effects

The side effects associated with Ortho Evra include: vomiting, nausea, headache, redness or itching at the patch application site, dizziness, breast tenderness, vaginal discomfort/irritation, or stomach cramping/bloating may occur. 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 any of these effects persist or worsen, notify your doctor. Immediately 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. Consult your doctor promptly if any of these serious adverse 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. If you notice other effects not listed above, contact your doctor or pharmacist.

Warning

Using Ortho Evra in combination with smoking cigarettes increases your chance of having heart problems. Do not smoke while using Ortho Evra. The risk of heart problems increases with age (women greater than 35 years of age) and with frequent smoking (15 cigarettes per day or greater).

Ortho Evra Interactions

Your physician should be notified of your medical history, including the following conditions: high cholesterol or triglyceride (fat) levels, depression, high blood pressure, gallbladder problems, thyroid problems, any allergies.Consult 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, troglitazoneOrtho Evra 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). Combining hormonal birth control (e.g., pills, injections, devices) products and smoking cigarettes significantly increases 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 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. The Ortho Evra patch 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 physicians know you use this product. Do not start or stop any medicine without doctor or pharmacist approval.

Special Notifications

Overdosing with the Ortho Evra is highly unlikely; however, symptoms of overdose may include: severe nausea, vomiting, unusual vaginal bleeding or irregular menstrual periods. Remove the patch (or patches) if overdose is suspected, and contact your emergency room immediately. This medicine device may be harmful if swallowed. Never share the Ortho Evra patch with others who it is not prescribed. You should have a complete physical exam including blood pressure, breast exams, pelvic exams, and PAP smears at least once a year