Before Buy Ortho Evra Patch
Ortho Evra 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.
Ortho Evra
Directions
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.
Ortho Evra Precautions
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.
Ortho Evra
Missed Dose
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.
Ortho Evra
Side Effects
Some common Ortho Evra side effects with combination
hormonal contraceptives like Ortho Evra are: -breast
tenderness and enlargement -headache -nausea
-menstrual changes -abdominal cramps and bloating
-vaginal discharge.
Ortho Evra
Storage
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
Overdose
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.
Ortho Evra
More Information
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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