Why is Ortho Evra prescribed?

Ortho Evra, a combination of Ethinyl estradiol and Norelgestromin, is a transdermal patch used for contraception.

What does it do?

Ethinyl estradiol is classified as an Estrogen while Norelgestromin is a progestin. In combination, they work by preventing ovulation and changing the cervical mucus and uterine lining thus preventing conception.

How should I use it?

Ortho Evra is currently available as a 150mcg/20mcg transdermal patch applied to the skin along the buttocks, abdomen, upper outer arm, or upper torso. Follow the instructions included in the prescription and ask your doctor or pharmacist regarding the use of this product.

The dosage strength and frequency will vary depending on your condition. Do not self-medicate and only take this drug after consulting with your doctor or pharmacist to determine the best dosage and dosing schedule for the treatment of your condition.

What if I missed a dose?

Strictly follow your prescribed dosing schedule to achieve the desired effect of this drug. If you miss a dose, administer it immediately. However, if it’s close to the next scheduled dose, skip the missed dose and proceed with the regular dosing schedule. Do not administer a double dose to make up for a missed dose, unless told otherwise.

What are the special precautions before using Ortho Evra?

It is imperative that you inform your doctor about all the medications you are taking. Discuss your current and previous medical history and any allergic reactions to Ortho Evra, or any other ingredients included in the manufacture of this medication.

Inform your doctor if you had any form of surgery or if you are planning to get one.

For the drug label information of Ortho Evra, click here.

Does it have any side effects?

It is important to note that all drugs have corresponding side effects and adverse reactions. Additional information may be obtained when you ask your doctor or pharmacist.

Common side effects include:
• Breast enlargement or discharge
• Nausea
• Vomiting
• Weight changes
• Changes in appetite
• Brown or black skin patches
• Acne
• Hair loss
• Spotting between menstrual period
• Changes in menstrual flow
• Dysmenorrhea
• Vaginal changes (irritation, itching, or discharge)

Serious side effects include:
• Blisters, hives, itching, or rash
• Hoarseness, difficulty breathing or swallowing
• Swelling of any part of the eyes, face, or limbs
• Problems in speech
• Changes in vision
• Bulging eyes
• Chest pain
• Calf pain
• Abdominal pain
• Appetite changes
• Discoloration of the urine

Is it safe to use it with another drug?

Some drug interactions may cause life-threatening reactions when taken with other medications. Immediately inform your doctor if you are using Ortho Evra with any of the following medications:

• Amikacin
• Amprenavir
• Aspirin
• Azithromycin
• Biaxin
• Boceprevir
• Butalbital
• Carfilzomib
• Cipro
• Coumadin
• Deferasirox
• Dexamethasone
• Diflucan
• Emend
• Encorafenib
• Fosphenytoin
• Gatifloxacin
• Griseofulvin
• Hemin
• Insulin
• Kanamycin
• Keflex
• Lenalidomide
• Mycophenolate mofetil
• Mycophenolic acid
• Nizoral
• Norfloxacin
• Penicillin
• Phenobarbital
• Phenytoin
• Quazepam
• Retrovir
• Rifadin
• Sporanox
• St. John’s wort
• Sugammadex
• Thalidomide
• Toprol
• Tranexamic acid
• Trileptal
• Vfend

Ask your doctor or pharmacist for other possible interactions not listed within this section.

How should I store it?

Keep Ortho Evra in its original packaging in a clean environment away from excessive heat and moisture. Keep out of reach of children.

What action should I take in case of overdose?

Immediately call an ambulance and seek immediate medical attention to prevent further complications or possible death.

Is it safe for pregnant or breastfeeding women?

Ethinyl estradiol/Norelgestromin is contraindicated for use in pregnant women, women trying to get pregnant, or are lactating women. Hence, the potential risks and benefits of using Ortho Evra in pregnant or breastfeeding infants should be carefully considered.

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