Please click on a question to reveal the answer below:
You can wear ORTHO EVRA® on one of 4 areas of the body: upper outer arm, upper torso (front and back, excluding the breasts), abdomen, or buttock. The birth control patch should not be worn on any other areas of the body.
To ensure the effectiveness of ORTHO EVRA®, do not place the birth control patch on areas of your skin where makeup, lotions, creams, powders, or other products are or will be applied. In addition, do not place ORTHO EVRA® on skin that is red, irritated, or cut.
You have 2 options for starting the Patch. Choose which option is right for you:
Apply a new Patch on the same day each week (your Patch Change Day) for 3 weeks in a row. Make sure you have removed your old Patch prior to applying the new Patch.
During week 4, do not wear a Patch. Make sure you removed your old Patch. (Your period should begin during this week.)
Following week 4, repeat the same steps every 4 weeks.
Here are a few things to remember when using the Patch:
Follow these simple steps to put on the Patch:
Never cut, damage or alter the Patch in any way.
Do not wear more than one Patch at a time.
For detailed information on using the Patch, click here.
If you wish to move your "Patch Change Day" to a different day of the week:
Yes. The Patch may be placed on your upper outer arm, abdomen, buttock or back, in a place where it won't be rubbed by tight clothing; for example do not put the Patch under the waistband of your clothing.
It is not recommended that you move your birth control patch to a new location in the middle of the week. The Patch may not stick as well if you attempt to change its location.
If a small ring of adhesive is left on your skin when you remove the Patch on your "Patch Change Day," remove it by rubbing a small amount of baby oil on the area.
It is not recommended that you clean the edges of the Patch prior to removal on the "Patch Change Day." Lifting the edges of the Patch may cause it to become loose or fall off. Using lotions, creams, oils or powders near the Patch also may cause it to become loose.
The Patch must stick securely to your skin to work properly.
If a Patch edge lifts up:
If your Patch has been off or partially off:
Yes. The Patch adheres well to the skin, allowing you to perform your daily activities such as bathing, showering, swimming, and exercising without interruption. If the sticky surface of the Patch becomes wet, discard it and apply a new patch.
When removing your used patch, simply lift one corner and quickly peel it back. If a small ring of adhesive is left on your skin, remove it by rubbing a small amount of baby oil on the area.
The used patch still contains some active hormone. Before safely disposing of it in the trash, fold the used patch in half so it sticks to itself. Used patches should not be flushed down the toilet.
Simply follow these instructions to switch to ORTHO EVRA® from a birth control pill.
No. Each patch delivers the same amount of medication each week. Therefore, the patches can be used in any order. However, a new birth control patch must be applied on the same day of the week for 3 consecutive weeks. The fourth week is "patch free" — which is similar to the fourth week of birth control pill use, during which inactive pills or no pills are taken.
If you want to become pregnant, the first thing you should do is call your doctor or healthcare professional about steps you should take to ensure a healthy pregnancy. He or she can help you decide when to stop using the ORTHO EVRA® birth control patch.
What is ORTHO EVRA®?
IMPORTANT SAFETY INFORMATION
What is the most important information I should know about ORTHO EVRA®?
Do not use ORTHO EVRA® if you smoke cigarettes and are over 35 years old. Smoking increases your risk of serious cardiovascular side effects from hormonal birth control methods, including death from heart attack, blood clots, or stroke. This risk increases with age and the number of cigarettes you smoke.
Women 15 to 44 years of age who use ORTHO EVRA® may have an increased risk of blood clots compared to women who use certain birth control pills.
You will be exposed to about 60% more estrogen if you use ORTHO EVRA® than if you use a typical birth control pill containing 35 micrograms of estrogen. In general, increased estrogen may increase the risk of side effects, including blood clots.
Hormonal birth control methods help to lower the chances of becoming pregnant. They do not protect against HIV infection (AIDS) and other sexually transmitted infections.
Who should not use ORTHO EVRA®?
Do not use ORTHO EVRA® if you:
Hormonal birth control methods may not be a good choice for you if you have ever had jaundice (yellowing of the skin or eyes) caused by pregnancy or related to previous use of hormonal birth control.
Tell your healthcare professional if you have ever had any of the above conditions. Your healthcare professional may recommend another method of birth control.
What should I tell my healthcare professional before using ORTHO EVRA®?
Before you use ORTHO EVRA®, tell your healthcare professional:
Tell your healthcare professional about all medicines and herbal products that you take.
Some medicines and herbal products may make hormonal birth control less effective, including, but not limited to:
Use another birth control method (such as a condom and spermicide or diaphragm and spermicide) when you take medicines that may make the ORTHO EVRA® patch less effective.
Some medicines and grapefruit juice may increase your level of the hormone ethinyl estradiol if used together, including:
Hormonal birth control methods may interact with lamotrigine, an anti-seizure medicine used for epilepsy. This may increase the risk of seizures, so your healthcare professional may need to adjust the dose of lamotrigine.
If you are taking thyroid replacement therapy, your healthcare professional may need to increase your doses of thyroid hormone.
Know the medicines you take. Keep a list of them to show your doctor and pharmacist when you get a new medicine.
What are the possible side effects of ORTHO EVRA®?
See "What is the most important information I should know about ORTHO EVRA®?"
ORTHO EVRA® may cause serious side effects, including:
It is possible to die or be permanently disabled from a problem caused by a blood clot, such as a heart attack or a stroke. Some examples of serious blood clots are blood clots in the:
Call your healthcare professional right away if you have:
Other serious risks include:
What are the most common side effects of ORTHO EVRA®?
The most common side effects of ORTHO EVRA® are:
Some women have spotting or light bleeding, breast tenderness, or feel sick to their stomach during ORTHO EVRA® use. If these symptoms occur, do not stop using the ORTHO EVRA® patch. The problem will usually go away. If it doesn't go away, check with your healthcare professional.
Tell your healthcare professional about any side effect that bothers you or that does not go away. These are not all the possible side effects of
ORTHO EVRA®. For more information, ask your healthcare professional or pharmacist. Call your healthcare professional for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.
What should I know about my period when using ORTHO EVRA® ?
When you use ORTHO EVRA®, you may have bleeding and spotting between periods called unplanned bleeding. Such bleeding may be temporary and usually does not indicate any serious problems. It is important to continue using the patch on schedule. If the unplanned bleeding or spotting is heavy or lasts for more than a few days, you should discuss this with your healthcare professional.
What if I miss my scheduled period when using ORTHO EVRA® ?
Some women miss periods on hormonal birth control, even when they are not pregnant. However, if you go 2 or more months in a row without a period, or you miss your period after a month where you did not use all of your patches correctly, or you have symptoms associated with pregnancy, such as morning sickness or unusual breast tenderness, call your healthcare professional because you may be pregnant. Stop taking ORTHO EVRA® if you are pregnant.
How do I use ORTHO EVRA® after childbirth?
If you are not breastfeeding, wait 4 weeks before using ORTHO EVRA®.