Ortho Evra

Used patches still contain some active hormones. Fold each patch so that it sticks to itself before throwing it away. Do not flush the used patch down the toilet.

What side effects may occur?

Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue using Ortho Evra.

• Side effects of Ortho Evra may include:
  Abdominal pain, application site reaction, breast tenderness or enlargement, headache, menstrual cramps, mood swings, nausea and/or vomiting, upper respiratory infection

In addition, side effects associated with birth control pills may also apply to Ortho Evra. See the list of side effects in the profile labeled "Oral Contraceptives."

Why should Ortho Evra not be prescribed?

Do not use Ortho Evra if you are pregnant (or think you might be). Also avoid it if the ingredients give you an allergic reaction or you suffer from headaches with neurological symptoms such as visual disturbances (pulsing lights and blind spots) and temporary numbness.

If you have ever had breast cancer or cancer in the reproductive organs or liver tumors, you should not take Ortho Evra. Avoid it, too, if you have or have ever had a stroke, heart disease, liver disease, angina (severe chest pain), or blood clots. It is also not recommended for women with significant high blood pressure or diabetes-related complications of the kidneys, eyes, nerves, or blood vessels.

Women who have had pregnancy-related jaundice (yellowing of the skin or whites of eyes) or jaundice stemming from previous use of hormonal contraceptives should not take Ortho Evra. You should also avoid it if you have undiagnosed and/or unexplained abnormal vaginal bleeding, or if you need prolonged bed rest after major surgery.

Do not use Ortho Evra if you are already taking birth control pills. Avoid the drug, too, if you are breastfeeding.

Special warnings about Ortho Evra