Ortho Evra

Generic ingredients: Ethinyl estradiol, Norelgestromin

Why is Ortho Evra prescribed?

Ortho Evra is a contraceptive skin patch. It contains estrogen and progestin, the same hormones found in many birth control pills. Fertility depends on regular fluctuations in the levels of these hormones. Contraceptives such as Ortho Evra reduce fertility by eliminating the fluctuations. Once applied to the skin, the Ortho Evra patch releases a steady supply of estrogen and progestin through the skin and into the bloodstream.

Most important fact about Ortho Evra

Cigarette smoking increases the risk of serious heart-related side effects (stroke, heart attack, blood clots, etc.) in women who use hormonal contraceptives. This risk increases with heavy smoking (15 or more cigarettes per day) and with age. There is an especially significant increase in heart disease risk in women over 35 years old who smoke and use hormonal birth control. Therefore, women who use Ortho Evra are strongly advised not to smoke.

How should you take Ortho Evra?

You should use three separate Ortho Evra patches during each 4-week menstrual cycle. Wear one patch a week for the first 3 weeks, then spend the fourth week patch-free. Your menstrual period should start during the fourth week.

• If you miss a dose...
  If your patch becomes loose or falls off for less than 1 day, try to stick it back on, or apply a new patch immediately. If it's been missing for more than 1 day, or you're not sure how long it's been off, there's a chance you could become pregnant and you should use a backup method of birth control. Check the Ortho Evra patient information for instructions.

If you forget to change your patch at any time during the 4-week cycle, check the Ortho Evra patient information for instructions.

• Storage instructions...
  Keep patches in their protective pouches until you're ready to wear them. Store at room temperature. Do not store in the refrigerator or freezer.