"Nov. 20, 2012 -- Oral contraceptives should be made available without a prescription to reduce unintended pregnancies, according to a newly published opinion by the American College of Obstetricians and Gynecologists (ACOG).
Ortho Evra Patient Information including How Should I Take
In this Article
- What is ethinyl estradiol and norelgestromin (Ortho Evra)?
- What are the possible side effects of this medication (Ortho Evra)?
- What is the most important information I should know about this medication (Ortho Evra)?
- What should I discuss with my healthcare provider before taking this medication (Ortho Evra)?
- How should I take this medication (Ortho Evra)?
- What happens if I miss a dose (Ortho Evra)?
- What happens if I overdose (Ortho Evra)?
- What should I avoid while taking this medication (Ortho Evra)?
- What other drugs will affect this medication (Ortho Evra)?
- Where can I get more information?
What should I discuss with my healthcare provider before taking this medication (Ortho Evra)?
This medication can cause birth defects. Do not use if you are pregnant. Tell your doctor right away if you become pregnant, or if you miss two menstrual periods in a row. If you have recently had a baby, wait at least 4 weeks before using this medication.
You should not use this medication if you have:
- untreated or uncontrolled high blood pressure;
- heart disease (coronary artery disease, uncontrolled heart valve disorder, history of heart attack, stroke, or blood clot);
- a blood-clotting disorder or circulation problems;
- problems with your eyes, kidneys or circulation caused by diabetes;
- a history of hormone-related cancer such as breast or uterine cancer;
- unusual vaginal bleeding that has not been checked by a doctor;
- liver disease or liver cancer;
- severe migraine headaches (with aura, numbness, weakness, or vision changes), especially if you are older than 35;
- a history of jaundice caused by pregnancy or birth control pills; or
- if you smoke and are over 35 years old.
To make sure you can safely use this medication, tell your doctor if you have any of these other conditions:
- high blood pressure, varicose veins;
- high cholesterol or triglycerides, or if you are overweight;
- a history of depression;
- underactive thyroid;
- gallbladder disease;
- seizures or epilepsy;
- a history of irregular menstrual cycles;
- tuberculosis; or
- a history of fibrocystic breast disease, lumps, nodules, or an abnormal mammogram.
The hormones in this medication can pass into breast milk and may harm a nursing baby. This medication may also slow breast milk production. Do not use if you are breast-feeding a baby.
Your risk of serious blood clot may be higher with the use of birth control skin patches than with the use of birth control pills.
How should I take this medication (Ortho Evra)?
Use exactly as prescribed by your doctor. Do not use more skin patches or wear them for longer than recommended by your doctor. You will apply your first patch on the first day of your period or on the first Sunday after your period begins (follow your doctor's instructions).
Place the patch on your skin and press it into place firmly for 10 seconds. Make sure the edges stick well. You will wear the patch for a full week.
Apply the patch to clean, dry skin on any of these areas: the outside of your upper arm, your stomach, your buttocks, or your upper back. Do not apply the patch to skin that is broken or irritated, or to a skin area that may be rubbed by tight clothing (such as a waistband).
Remove the patch and apply a new one on the same day each week for three weeks in a row. At the end of the third week, remove the patch and do not apply a new one for 7 full days. Your period should start during this time Do not allow more than 7 days to pass before starting your next 3-week patch cycle..
You may have breakthrough bleeding, especially during the first 3 months. Tell your doctor if this bleeding continues or is very heavy.
Check your patch every day to make sure it is sticking well. If a patch comes loose or falls off, throw it away and apply a new one. You may need to use back-up birth control, such as condoms or a spermicide, if a patch has been off for more than 24 hours. Follow your doctor's instructions.
After removing a skin patch fold it in half, sticky side in, and throw it away in a place where children and pets cannot get to it. Do not flush a used patch down the toilet.
If you need surgery or medical tests or if you will be on bed rest, you may need to stop using this medication for a short time. Any doctor or surgeon who treats you should know that you are using this medication.
While using this medication, you will need to visit your doctor regularly.
Store the skin patches at room temperature away from moisture and heat. Do not freeze or refrigerate. Keep each patch in its foil pouch until you are ready to apply it.
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