Ortho Evra Patches
Chemical Name: NORELGESTROMIN (nor-el-JES-troe-min)
and ETHINYL ESTRADIOL (ETH-in-il
es-tra-DYE-ol)
Common Ortho Evra uses
This medicine is an estrogen and progestin
combination used to prevent pregnancy. It
may also be used to treat other conditions
as determined by your doctor.
Before using Ortho Evra
WARNING: Smoking cigarettes while using this
medicine increases your chance of having
heart problems. Do not smoke while using
this medicine. 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). Some
medicines or medical conditions may interact
with this medicine. INFORM YOUR DOCTOR OR
PHARMACIST of all prescription and
over-the-counter medicine that you are
taking. ADDITIONAL MONITORING OF YOUR DOSE
OR CONDITION may be needed if you are also
taking 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,
troglitazone. Inform your doctor of any
other medical conditions including high
blood lipid levels (hypercholesterolemia,
hypertriglyceridemia), depression, high
blood pressure, gallbladder problems,
thyroid problems, allergies, or
breast-feeding. DO NOT USE THIS MEDICINE if
you have any of the following conditions:
pregnancy, 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, 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), undiagnosed abnormal
vaginal bleeding, heavy tobacco use (if 35
years old or greater). Contact your doctor
or pharmacist if you have any questions or
concerns about taking this medicine.
Ortho Evra Directions
Follow the directions for using this
medicine provided by your doctor. THIS
MEDICINE COMES with a patient information
leaflet. Read it carefully. Ask your doctor,
nurse, or pharmacist any questions that you
may have about this medicine. Remove patch
from foil and peel off liner. Apply to area
of clean, dry skin on the abdomen, buttocks,
upper outer arm, or upper torso. Do not
apply at the waistline, breast, or other
place where it would be rubbed by tight
clothing. Press firmly in place for 10
seconds. The patch is worn for 7 days. DO
NOT APPLY THIS MEDICINE to skin that is
irritated or broken or over other topical
products such as make-up, creams, lotions,
or powders. DO NOT APPLY THIS MEDICINE TO
THE SAME SKIN SITE. Use a different site
each week. After 7 days, remove the old
patch and apply a new patch. Repeat this
weekly cycle for 3 weeks (3 patches over 3
weeks equal 1 cycle). After the 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
period does not begin during this week,
consult your doctor. After your fourth week,
begin a new patch cycle, even if you still
are experiencing some bleeding (still having
your period). Do not go longer than 7 days
without a patch. Doing so may make this
medicine less effective. IF YOUR PATCH
ACCIDENTALLY FALLS OFF, dry your skin and
reapply it. If you weigh more than 198
pounds (90 kg), this patch may not work as
well for you. Be sure your doctor knows your
current weight and ask your doctor about
which form of birth control may be best for
you. STORE THIS MEDICINE at room temperature
between 59 and 86 degrees F (15 and 30
degrees C), away from heat and light. DO NOT
REFRIGERATE or freeze. AFTER YOU REMOVE THE
USED PATCH, fold the sticky side together.
Discard out of the reach of children and
pets. IF YOU FORGET TO CHANGE THE PATCH AS
SCHEDULED follow the directions in the
patient information leaflet or consult your
doctor or pharmacist for a new schedule.
Ortho Evra Cautions
WHILE USING THIS MEDICINE, YOU MAY
EXPERIENCE absence of menstrual periods. If
you experience irregular menstrual periods,
contact your doctor. YOU SHOULD perform
regular self-examinations of your breasts.
If you have questions about how to do this,
ask your doctor, nurse, or pharmacist. KEEP
ALL DOCTOR AND LABORATORY APPOINTMENTS while
you are using this medicine. IF YOU HAVE
DIFFICULTY wearing contact lenses after you
begin using this medicine, check with your
doctor. BEFORE YOU BEGIN TAKING ANY NEW
MEDICINE, either prescription or
over-the-counter, check with your doctor or
pharmacist. THIS MEDICINE MAY CAUSE dark
skin patches on your face. Exposure to the
sun may make these patches darker. If
patches develop, use a sunscreen or
protective clothing when exposed to the sun,
sunlamps, or tanning booths. Some Laboratory
test results (e.g., thyroid function, liver
function) may be affected by this medicine.
SMOKING WHILE USING THIS MEDICINE may
increase your risk of stroke, heart attack,
blood clots, high blood pressure, or other
diseases of the heart and blood vessels. USE
OF THIS MEDICINE WILL NOT PREVENT HIV or the
spread of other sexually transmitted
diseases (STDs). DO NOT USE THIS MEDICINE if
you are pregnant. IF YOU SUSPECT THAT YOU
COULD BE PREGNANT, contact your doctor
immediately.
Possible Ortho Evra side effects
SIDE EFFECTS that may occur while taking
this medicine include nausea, vomiting,
headache, redness or itching at the patch
application site, dizziness, breast
tenderness, vaginal discomfort or
irritation, stomach cramping, or bloating.
If they continue or are bothersome, check
with your doctor. CHECK WITH YOUR DOCTOR AS
SOON AS POSSIBLE if you experience dark
patches on the skin (melasma), change in
appetite, weight changes (gain or loss),
problems wearing contact lenses, unusual
vaginal discharge, changes in vaginal
bleeding (e.g., spotting, breakthrough
bleeding, prolonged or complete stoppage of
bleeding), swelling, trouble sleeping, or
mental or mood changes. CONTACT YOUR DOCTOR
IMMEDIATELY if you experience pain in the
groin or lower legs, trouble breathing,
rash, chest pain, severe headache, stomach
pain, vision or eye problems, yellowing eyes
or skin, dark urine, one-sided weakness,
numbness in the arms or legs, lumps in the
breast. If you notice other effects not
listed above, contact your doctor, nurse, or
pharmacist.
Drug interactions
Drug interactions can result in unwanted
side effects or prevent a medicine from
doing its job. Use our drug interaction
checker to find out if your medicines
interact with each other.
Check drug interactions
If you take too much Ortho Evra
If
overdose is suspected, remove the patch.
Contact your local poison control center or
emergency room immediately. Symptoms of
overdose may include severe nausea,
vomiting, unusual vaginal bleeding, or
irregular menstrual periods.
Additional Ortho Evra information
DO
NOT SHARE THIS MEDICINE with others for whom
it was not prescribed. DO NOT USE THIS
MEDICINE for other health conditions. KEEP
THIS MEDICINE out of the reach of children.
IF USING THIS MEDICINE FOR AN EXTENDED
PERIOD OF TIME, obtain refills before your
supply runs out.
|