Indications
The search results suggest Ortho Evra is a type of contraceptive patch prescribed to be worn for 21 days out of a 28-day cycle. It is indicated for the prevention of pregnancy in women who elect to use it.
Each patch contains norelgestromin and ethinyl estradiol transdermal hormones. The patch is a form of hormonal contraception that works by delivering these hormones through the skin into the bloodstream to prevent ovulation.
Using it does not protect you or your partner against sexually transmitted diseases such as HIV (Human Immunodeficiency Virus), gonorrhea, chlamydia.
Use and Dosage
Ortho Evra 21 Day is applied to clean, dry skin on the abdomen, buttocks, upper torso (excluding breasts), or outer arm. Each patch should be worn continuously for 7 days before being replaced with a new patch. The patch needs to be changed once a week, on the same day. Remove the old patch before applying a new one to a different area of skin to prevent irritation. After 3 weeks (21 days), the patch should be removed for a patch-free week. A new cycle of patches should begin on the same day of the week that the previous cycle was started.
Avoid cutting or damaging it, and only apply it to clean, dry skin on areas of the body where tight clothing will not rub against it. It should not be placed on breasts or irritated skin. Additionally, do not use any lotions, creams, oils, powders, or makeup on the patch site, as this may cause it to loosen or fall off.
If a patch is missed or comes off, it should be replaced as soon as possible. If the patch has been off for more than 24 hours, a backup method of contraception should be used for the next 7 days.
Side Effects
Common Side Effects of Ortho Evra 21 Day (Norelgestromin/Ethinyl estradiol):
- Anxiety
- Breast tenderness or swelling
- Headache
- Irregular vaginal bleeding or spotting
- Itching
- Menstrual cramps
- Mood changes
- Nausea
- Redness
- Skin irritation
- Stomach pain
- Swelling where the patch was worn
Serious Side Effects of Ortho Evra 21 Day (Norelgestromin/Ethinyl estradiol):
- A breast lump
- A change in the pattern or severity of migraine headaches
- Chest pain or pressure
- Clay-colored stools
- Coughing up blood
- Dark urine
- Feeling, mood changes
- Itching
- Jaundice (yellowing of the skin or eyes)
- Loss of appetite
- Nausea
- Pain
- Pain spreading to your jaw or shoulder
- Problems with balance
- Rapid breathing
- Redness in one or both legs
- Sleep problems
- Slurred speech
- Sudden cough
- Sudden numbness or weakness (especially on one side of the body)
- Sudden severe headache
- Sudden vision loss
- Sweating
- Swelling in your hands, ankles, or feet
- Tired
- Tired feeling
- Upper stomach pain
- Warmth
- Weakness
- Wheezing
Forms and Strength
Ortho Evra 21 Day (Norelgestromin/Ethinyl estradiol) is available in the following forms and strength:
Ortho Evra 21 Day: Patches
- 200/35mcg
Cautions
- Ortho Evra may increase the risk of serious cardiovascular events, especially in women who smoke or have other risk factors for heart disease.
- The patch may increase the risk of blood clots, especially in women with a history of blood clots, stroke, or heart attack, or who have a family history of these conditions.
- Ortho Evra may increase the risk of certain types of cancer, such as breast cancer and cervical cancer.
- Ortho Evra may interact with other medications or supplements, so inform your healthcare provider about all the medications and supplements you are taking.
- The patch may cause skin irritation or other local reactions at the site of application.
- Ortho Evra may increase the risk of liver problems in women with a history of liver disease or liver tumors.
- Ortho Evra may affect glucose tolerance, so women with diabetes or a family history of diabetes should be closely monitored while using this contraceptive.
- Women who are pregnant or suspect they may be pregnant should not use the patch.
- Women who are breastfeeding should use caution when using the patch as it may affect milk production.
- The use of this contraceptive may mask the symptoms of certain medical conditions, such as a thyroid disorder.
- Use of this contraceptive may increase the risk of developing high blood pressure in some women.
- Ortho Evra 21 Day may interact with certain antibiotics and anticonvulsants, so consult with your healthcare provider before taking these medications while using the patch.
Frequently Asked Questions (FAQ)
Can I swim or bathe while wearing the Ortho Evra 21 Day patch?
Yes, the patch is designed to stay on during activities such as swimming and bathing. However, avoid using oils, lotions, or other products on the skin where the patch is applied, as this may affect the patch's ability to stay in place.
Is Ortho Evra 21 Day effective?
When used correctly, Ortho Evra 21 Day is up to 99% effective at preventing pregnancy. However, the patch may be less effective in women who weigh more than 198 pounds.
How can I get a prescription for Ortho Evra 21 Day?
A healthcare provider can prescribe Ortho Evra 21 Day after a thorough medical evaluation, which may include a review of medical history, physical exam, and laboratory tests.
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