Directory of Drugs: Ortho Evra - norelgestromin; ethinyl estradiol
What is Ortho Evra used for?
Ortho Evra is a contraceptive (birth control) skin patch used to prevent pregnancy. It is called 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.
Who should not take Ortho Evra?
Cigarette smoking increases the risk of serious adverse effects on the heart and blood vessels from the use of hormonal birth control methods. This risk increases with age and with heavy smoking (15 or more cigarettes per day) and is quite marked in women over 35 years of age. Women who use hormonal birth control methods should not smoke.
Ortho Evra should not be used by women who have a history of:
General Precautions with Ortho Evra:
For the majority of women, Ortho Evra can be used safely. But some women are at high risk of developing certain serious diseases that can be life threatening or may cause temporary or permanent disability or death. The risks associated with using Ortho Evra increase significantly if you:
Ortho Evra may be less effective in preventing pregnancy in women weighing more than 198 pounds.
What should I tell my healthcare provider?
Tell your healthcare provider:
What are some possible side effects of Ortho Evra? (This is NOT a complete list of side effects reported with Ortho Evra. Your healthcare provider can discuss with you a more complete list of side effects.)
Some common side effects with combination hormonal contraceptives like Ortho Evra are:
Ortho Evra may also cause skin irritation at the application site.
Reports of new information after Ortho Evra became available:
As a result of further analysis by the FDA and the manufacturer, it has been found that users of Ortho Evra are exposed to about 60% more total estrogen in their blood than if they were taking a typical birth control pill containing 35 micrograms of estrogen. However, the highest blood level of estrogen (peak blood levels) is about 25% lower with Ortho Evra than with typical birth control pills. In general, increased estrogen exposure may increase the risk of blood clots. However, it is not known whether women using Ortho Evra are at a greater risk of experiencing these serious side effects.
Date created: November 22, 2002, updated: September 20, 2006
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