Ortho Evra(Ethinyl Estradiol/Norelgestromin)
Ortho Evra Drug Information
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How Long Does It Take to Receive My Ortho Evra Order?
You can easily place an order on our website in under 5 minutes. First you need to set up an account with us, create a payment method, and send us your prescriptions. Alternatively, you can order by downloading our order form or by placing an order over the phone. Delivery can take approximately 2 weeks to North America, and 4 weeks to other countries.
Ortho Evra Overview
This patch contains combination hormone medication and is used to prevent pregnancy.a progestin (norelgestromin) and an estrogen (ethinyl estradiol). It works mainly by preventing the release of an egg (ovulation) during your menstrual cycle. It also makes vaginal fluid thicker to help prevent sperm from reaching an egg (fertilization) and changes the lining of the uterus (womb) to prevent attachment of a fertilized egg. If a fertilized egg does not attach to the uterus, it passes out of the body. Using Ortho Evra does not protect you or your partner against sexually transmitted diseases (such as HIV, gonorrhea, chlamydia).
Ortho Evra Warnings
Do not use Ortho Evra if you smoke cigarettes/use tobacco and are over 35 years old. Smoking raises your risk of stroke, heart attack, blood clots, and high blood pressure from hormonal birth control (such as the pill, patch, ring). The risk of these serious problems increases with age and with the number of cigarettes you smoke. Do not smoke or use tobacco. The amount of estrogen you receive when using the patch is higher than the amount from most birth control pills. This may increase the risk for blood clots or other side effects from the patch compared to oral contraceptives. Talk to your doctor for more details.
How to Use Ortho Evra
Read the Patient Information Leaflet provided by your pharmacist before you start using Ortho Evra and each time you get a refill. The leaflet contains very important information on how to properly use and dispose of the patch. If you have any questions, ask your doctor or pharmacist. Do not cut or damage the patch. Remove the patch from the foil pouch and apply as directed by the manufacturer to clean, dry skin on the upper outer arm, abdomen, buttock, or upper body where it will not be rubbed by tight clothing. Do not apply the patch to your breasts or on red/cut/irritated skin. Do not use lotions, creams, oils, powders, or make-up at the patch site, since it may not stick properly or may fall off. If this is your first time using Ortho Evra, apply the patch on the first Sunday following the beginning of your menstrual period or on the first day of your period. If your period begins on a Sunday, begin on that day. For the first cycle of use only, use an additional form of non-hormonal birth control (such as condoms, spermicide) for the first 7 days to prevent pregnancy until the medication has enough time to work. If you start using the patch on the first day of your period, you do not need to use back-up birth control the first week. Change the patch once a week on the same day. Remove the used patch before placing a new one. Apply the patch to a different area with each change to avoid skin irritation. After wearing patches for 3 weeks in a row, do not wear a patch during week 4. You should have your period during this time. After not wearing a patch for a week, apply a new patch whether or not you have your period. If you do not get your period, consult your doctor. Do not go longer than 7 days without a patch, since this will increase your chance of pregnancy. To help you remember, mark your calendar to remind yourself when to change or leave off patches. If the patch falls off, re-apply it or apply a new patch within 24 hours. If the patch is not replaced within 24 hours, or if you are not sure how long it has been off, start a new cycle by applying a new patch and use an additional form of non-hormonal birth control (such as condoms, spermicide) for the next 7 days to prevent pregnancy. After removing each patch, fold it in half so it sticks to itself, and discard in the trash away from children and pets. Do not flush the patch down the toilet. Ask your doctor or pharmacist about how to switch from other forms of hormonal birth control (such as birth control pills) to Ortho Evra. If any information is unclear, consult the Patient Information Leaflet or your doctor or pharmacist.
Ortho Evra Precautions
Before using Ortho Evra patch, tell your doctor or pharmacist if you are allergic to ethinyl estradiol or norelgestromin; or to other estrogens or progestins; or if you have any other allergies. Ortho Evra may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details. Before using Ortho Evra, tell your doctor or pharmacist your medical history,blood clots (for example, in the legs, eyes, lungs), blood clotting disorders (such as protein C or protein S deficiency), high blood pressure, abnormal breast exam, cancer (especially endometrial or breast cancer), high cholesterol or triglyceride (blood fat) levels, depression, diabetes, family or personal history of a certain swelling disorder (angioedema), gallbladder problems, severe headaches/migraines, heart problems (such as heart valve disease, irregular heartbeat, previous heart attack), history of yellowing eyes/skin (jaundice) during pregnancy or while using hormonal birth control (such as pills, patch), liver disease (including tumors), stroke, swelling (edema), thyroid problems, unexplained vaginal bleeding. If you weigh more than 198 pounds (90 kilograms), this patch may not work well for you. Make sure your doctor knows your current weight, and ask about which form of birth control will work best for you. If you have diabetes, Ortho Evra may affect your blood sugar. Check your blood sugar regularly as directed and share the results with your doctor. Tell your doctor right away if you have symptoms of high blood sugar such as increased thirst/urination. Your doctor may need to adjust your diabetes medication, exercise program, or diet. Tell your doctor if you just had or will be having surgery or if you will be confined to a bed or chair for a long time (such as a long plane flight). These conditions increase your risk of getting blood clots, especially if you are using hormonal birth control. You may need to stop Ortho Evra for a time or take special precautions. Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). Ortho Evra may cause blotchy, dark areas on your face and skin (melasma). Sunlight may worsen this effect. Limit your time in the sun. Avoid tanning booths and sunlamps. Use sunscreen and wear protective clothing when outdoors. If you are nearsighted or wear contact lenses, you may develop vision problems or trouble wearing your contact lenses. Contact your eye doctor if these problems occur. If you are going to have an MRI test, tell testing personnel that you are using this patch. Some patches may contain metals that can cause serious burns during an MRI. Ask your doctor whether you will need to remove your patch before the test and apply a new patch afterward, and how to do so properly. Ortho Evra must not be used during pregnancy. If you become pregnant or think you may be pregnant, tell your doctor right away. If you have just given birth or had a pregnancy loss/abortion after the first 3 months, talk with your doctor about reliable forms of birth control, and find out when it is safe to start using birth control that contains a form of estrogen, such as Ortho Evra. Ortho Evra may decrease breast milk production. A small amount passes into breast milk and may have undesirable effects on a nursing infant. Consult your doctor before breast-feeding.
Ortho Evra Misdose
If the patch comes off or if you forget to remove it at the proper time, refer to the product package information or How to Use section for instructions. You may need to use back-up birth control (such as condoms, spermicide) to prevent pregnancy. Ask your doctor or pharmacist if you have any questions. If you have trouble remembering to change your patch, or if the patch often comes off, contact your doctor to discuss switching to another form of birth control.
Ortho Evra Interactions
Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.aromatase inhibitors (such as anastrozole, exemestane), ospemifene, tamoxifen, tizanidine, tranexamic acid, certain combination products used to treat chronic hepatitis C (ombitasvir/paritaprevir/ritonavir with or without dasabuvir). Some drugs may cause hormonal birth control to work less well by decreasing the amount of birth control hormones in your body. This effect can result in pregnancy. Examples include griseofulvin, modafinil, rifamycins (such as rifampin, rifabutin), St. John's wort, drugs used to treat seizures (such as barbiturates, carbamazepine, felbamate, phenytoin, primidone, topiramate), HIV drugs (such as nelfinavir, nevirapine, ritonavir), among others. Tell your doctor when you start any new drug, and discuss if you should use additional reliable birth control. Also tell your doctor if you have any new spotting or breakthrough bleeding, because these may be signs that your birth control is not working well. Ortho Evra may interfere with certain laboratory tests (such as blood clotting factors, thyroid), possibly causing false test results. Make sure laboratory personnel and all your doctors know you use Ortho Evra.
Ortho Evra Side Effects
What are Ortho Evra side effects?
Side effects are physical, mental or emotional symptoms which occur in addition to or outside of the desired effect of a therapeutic treatment such as an over-the-counter or prescribed drug or medication. Side effects from Ortho Evra may occur at the beginning or at the end of treatment and may also depend on the length of time an individual remains on the treatment. Side effects, also known as adverse effects, are generally more likely to occur when starting treatment. Individuals may also experience side effects from Ortho Evra as a result of an interaction with other medications.
Side Effects of Ortho Evra
The side effects of Ortho Evra may vary in number and intensity for many different reasons. Factors such as age, weight, gender and ethnicity may influence the side effects of Ortho Evra. Also, an individual’s state of general physical health and seriousness of the disease or illness as well as an increase or decrease in dosage may lead to side effects. Further, side effects from Ortho Evra may also occur as a result of an interaction with certain herbal supplements, foods or drinks.
Prescription drug side effects can be serious and may cause patients to stop the treatment. However, when side effects from the use of a prescription drug, such as Ortho Evra, do occur a patient should consult their physician. A physician may prescribe an additional treatment in order to control the symptoms or an adjustment in the dosage may be made. In addition, changes to diet, exercise or other lifestyle activities may help to lessen the side effects of Ortho Evra.
By understanding side effects and the factors which may influence the occurrence of side effects patients are empowered to take an active role in their care. Patients who have specific questions about the side effects of Ortho Evra, or any other medication, should contact their physician. General information about Ortho Evra and the side effects associated with Ortho Evra are described in the following:
Common Ortho Evra Side Effects
- upper respiratory infection
- nipple discharge
- abnormal vaginal bleeding
- weight gain
- headache disorder
- acute abdominal pain
- treatment site sequelae
- mood changes
- skin irritation
- menstrual disorder
- symptoms of anxiety
Less Frequent Ortho Evra Side Effects
- change in corneal curvature
- vulvovaginal candidiasis
- vaginal discharge
- skin rash
- weight loss
- acne vulgaris
Rare or Very Rare Ortho Evra Side Effects
- benign hepatic cell adenoma
- retinal thrombosis
- acute myocardial infarction
- pulmonary thromboembolism
- hemorrhagic stroke
- cerebral thrombosis
- acute arterial thromboembolism
- venous thrombosis
- gastrointestinal irritation
- gallbladder disease
- obstructive hyperbilirubinemia
- dysplasia of cervix
- hypertensive crisis
- neoplasm of breast
- erythema multiforme
- erythema nodosum
- thromboembolic disorder
- seborrheic dermatitis
- female infertility
- lactation deficiency
- increased appetite
- pruritus of skin
- muscle spasm
- libido changes
- galactorrhea not associated with childbirth
- vaginal dryness
- contact dermatitis
- disorder of lipid metabolism
- skin photosensitivity
Ortho Evra Storage
Store in the protective pouches at room temperature away from light and moisture. Keep all medications away from children and pets. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard Ortho Evra when it is expired or no longer needed. (See also How to Use section.)
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