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.
Why is Ortho Evra prescribed?
Ortho Evra Oral contraceptives (also known as "The Pill" Ortho Evra ) are highly effective means of preventing pregnancy. Ortho Evra Oral contraceptives consist of synthetic forms of two hormones produced naturally in the body: either progestin alone or estrogen and progestin. Estrogen and progestin regulate a woman's menstrual cycle, and the fluctuating levels of these hormones play an essential role in fertility. To reduce side effects,Ortho Evra oral contraceptives are available in a wide range of estrogen and progestin concentrations. Progestin-only products (such as Micronor) are usually prescribed for women who should avoid estrogens; however, they may not be as effective as estrogen/progestin contraceptives.
One variety of the Pill--the Ortho Evra Tri-Evra 28-day Dialpak--is also used in the treatment of moderate acne in women aged 15 and older. It is taken just as it would be for contraception.
Most important fact about Ortho Evra
Cigarette smoking increases the risk of serious heart-related side effects (stroke, heart attack, blood clots, etc.) in women who use oral contraceptives. This risk increases with heavy smoking (15 or more cigarettes per day) and with age. There is an especially significant increase in heart disease risk in women over 35 years old who smoke and use oral contraceptives.
How should you take Ortho Evra ?
Ortho Evra Oral contraceptives should be taken daily, no more than 24 hours apart, for the duration of the prescribed cycle of 21 or 28 days. Start the cycle according to package directions. Ideally, you should take your Ortho Evra pill at the same time every day to reduce the chance of forgetting a dose; with progestin-only contraceptives, taking the pill at the same time each day is essential. --If you miss a dose...If you neglect to take only one estrogen/progestin pill, take it as soon as you remember, take the next pill at your regular time, and continue taking the rest of the medication cycle. The risk of pregnancy is small if you miss only one combination pill per cycle. If you miss more than one tablet, check your product's patient information for instructions. Missing a single progestin-only tablet increases the chance of pregnancy. Consult your doctor immediately if you miss a single dose or if you take it 3 or more hours late, and use another method of birth control until your next period begins or pregnancy is ruled out. --Storage instructions...
To help keep track of your doses, use the original Ortho Evra container. Store at room temperature.
What side effects may occur with Ortho Evra ?
Ortho Evra Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking an oral contraceptive.
Ortho Evra Side effects may include:
Abdominal cramps, acne, appetite changes, bladder infection, bleeding in spots during a menstrual period, bloating, blood clots, breast tenderness or enlargement, cancer of the reproductive organs, cataracts, chest pain, contact lens discomfort, decreased flow of milk when given immediately after birth, depression, difficulty breathing, dizziness, fluid retention, gallbladder disease, growth of face, back, chest, or stomach hair, hair loss, headache, heart attack, high blood pressure, inflammation of the large intestine, kidney trouble, lack of menstrual periods, liver tumors, lumps in the breast, menstrual pattern changes, migraine, muscle, joint, or leg pain, nausea, nervousness, pancreatitis, premenstrual syndrome (PMS), secretion of milk, severe allergic reactions, sex drive changes, skin infection, skin rash or discoloration, stomach cramps, stroke, swelling, temporary infertility, unexplained bleeding in the vagina, vaginal inflammation or discharge, vaginal infections (and/or burning and itching), visual disturbances and loss of vision, vomiting, weight gain or loss, worsening of lupus, worsening of twitches or tics, worsening of varicose veins, yellow skin or whites of eyes
Why should Ortho Evra not be prescribed?
You should not take oral Ortho Evra if you have had an allergic reaction to them or if you are pregnant (or think you might be). Avoid them, too, if you suffer from migraine headaches preceded by an aura (visual disturbances such as pulsing lights and blind spots, temporary numbness, and similar symptoms). If you have ever had breast cancer or cancer in the reproductive organs or liver tumors, you should not take oral contraceptives. If you have or have ever had a stroke, heart disease, liver disease, angina (severe chest pain), or blood clots, you should not take oral contraceptives. They are not recommended for women with significant high blood pressure. Women who have had pregnancy-related jaundice or jaundice stemming from previous use of oral contraceptives should not take them. If you have undiagnosed and/or unexplained abnormal vaginal bleeding, do not take oral contraceptives.
In addition, if you have liver, kidney, or adrenal disease, you should avoid the Yasmin brand of oral contraceptive. It contains an ingredient that can increase potassium levels in the body, leading to serious problems if you have one of these diseases.
Special warnings about Ortho Evra
Ortho Evra Oral contraceptives should be used with caution if you are over 40 years old; smoke tobacco; have liver, heart, gallbladder, kidney, or thyroid disease; have high blood pressure, high cholesterol, diabetes, epilepsy, asthma, or porphyria (a blood disorder); or tend to be seriously overweight. Caution is also advised if you have blood circulation problems or have had a heart attack or stroke in the past. Be cautious, too, if you have problems with depression, migraine or other headaches, irregular menstrual periods, or visual disturbances. If you have a family history of breast cancer or other cancers, you might want to consider using a progestin-only product. The estrogen in combination oral contraceptives has been linked with a slight increase in the risk of breast cancer during use of the pill. If you do use a combination, choose one with a relatively low amount of estrogen. Take high-estrogen pills (0.05 milligrams of estrogen) only if your doctor feels it's necessary. You should also be aware that some experts think oral contraceptives may increase the risk of cervical cancer. This remains controversial, however. Many doctors think other factors are to blame. Since the blood's clotting ability may be affected by oral contraceptives, your doctor may take you off them prior to surgery. If bleeding lasts more than 8 days while you are on a progestin-only oral contraceptive, or if you have no period at all, be sure to let your doctor know. The risk of blood clots is greater with oral contraceptives that contain desogestrel, such as Ortho Evra -Cept. Oral contraceptives do not protect against HIV infection (AIDS) or any other sexually transmitted disease. If there is a danger of infection, use a latex condom and spermicide in addition to the pill. If you develop a migraine or severe headache that does not let up or keeps recurring while you are taking a progestin-only oral contraceptive, check with your doctor. You may need to switch to a different type of pill. If you miss a menstrual period but have taken your pills regularly, contact your doctor but do not stop taking your pills. If you miss a period and have not taken your pills regularly, or if you miss two consecutive periods, you may be pregnant; stop taking your pills and check with your doctor immediately to see if you are pregnant. Use another form of birth control while you are not taking your pills. If you are taking a progestin-only oral contraceptive and you have sudden or severe abdominal pain, call your doctor immediately. There is a higher risk of ectopic (outside the womb) pregnancy or ovarian cysts with this type of contraceptive.
You should also be aware that oral contraceptives have been know to cause rare cases of noncancerous--but dangerous--liver tumors. In people prone to high cholesterol and similar problems, oral contraceptives have been known to raise triglyceride levels, leading to pancreatitis.
Possible food and drug interactions when taking Ortho Evra
If Ortho Evra oral contraceptives are taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining oral contraceptives with the following:
Acetaminophen (Tylenol)
Amitriptyline (Elavil)
Ampicillin (Principen)
Aspirin
Atorvastatin (Lipitor)
Barbiturates (phenobarbital, Seconal)
Carbamazepine (Tegretol)
Chloramphenicol (Chloromycetin)
Clofibrate (Questran)
Clomipramine (Anafranil)
Cyclosporine (Neoral, Sandimmune)
Diazepam (Valium)
Doxepin (Sinequan)
Fluconazole (Diflucan)
Glipizide (Glucotrol)
Griseofulvin (Fulvicin, Gris-PEG)
HIV protease inhibitor drugs such as Crixivan
Imipramine (Tofranil)
Lorazepam (Ativan)
Metoprolol (Lopressor)
Modafinil (Provigil)
Morphine (MS Contin)
Oxazepam (Serax)
Penicillin (Veetids, Pen-Vee K)
Phenylbutazone
Phenytoin (Dilantin)
Prednisolone (Prelone, Pediapred)
Prednisone (Deltasone)
Primidone (Mysoline)
Propranolol (Inderal)
Rifabutin (Mycobutin)
Rifampin (Rifadin, Rimactane)
St. John's Wort
Sulfonamides (Bactrim, Septra)
Temazepam (Restoril)
Tetracycline (Sumycin)
Theophylline (Theo-Dur)
Topiramate (Topamax)
Troleandomycin (Tao)
Vitamin C
Warfarin (Coumadin) In addition, before using the Yasmin brand of oral contraceptive check with your doctor if you regularly take nonsteroidal anti-inflammatory drugs such as Motrin and Aleve, potassium supplements such as Micro-K, certain water pills such as Aldactone, and certain high blood pressure medications, including Avapro, Capoten, Cozaar, Diovan, Vasotec, and Zestril.
Remember, too, that oral contraceptives may affect tests for blood sugar levels and thyroid function and may cause an increase in blood cholesterol levels.
Special information if you are pregnant or breastfeeding when taking Ortho Evra
If you are pregnant (or think you might be), you should not use Ortho Evra oral contraceptives, since they are not safe during pregnancy. For safety's sake, switch to a nonhormonal method of contraception if you miss a period after forgetting a scheduled dose of the Pill. In addition, wait at least 4 weeks after delivery before starting an oral contraceptive.
Nursing mothers should not use most oral contraceptives, since these drugs can appear in breast milk and may cause jaundice and enlarged breasts in nursing infants. In this situation, your doctor may advise you to use a different form of contraception while you are nursing your baby. However, progestin-only oral contraceptives should not affect your milk or your baby's health.
Ortho Evra Overdosage
While any medication taken in excess can cause overdose, the risk associated with oral contraceptives is minimal. Even young children who have taken large amounts of oral contraceptives have not experienced serious adverse effects. However, if you suspect an overdose, seek medical help immediately.
Ortho Evra Symptoms of overdose may include:
Nausea, withdrawal bleeding in females
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