This patch was designed as a contraceptive drug for transdermal use. Each product will have specific instructions for use. Also called a transdermal patch, it sends hormones similar to those in. One patch is applied once a week for 3 weeks, followed by a patchfree week. Patch instructions tell you to take a seven day patchfree break but. The patch is changed each week and is worn for 7 days. Jun 09, 2015 how to properly apply a transdermal patch 1. Often, this promotes healing to an injured area of the body.
Jul 16, 2018 you can use these instructions for applying a transdermal patch to your own body. After three weeks of continuous patch use, take a 7day break from the patch. The medication from the ortho evra patch passes into breast milk and may have undesirable effects on the nursing infant. Evra patches work in a similar way to monophasic combined. An ideal psa used as part of a transdermal patch, i allows easy removal of the properly selected protective liner of the patch before use. The patch is easy to use and easy to remember to change, the only issue i do have with it, is that towards the end of the week the patch becomes black around the edges from dirt and such. It is intended for women aged 18 to 45 and is available by prescription only. Select an area of your skin that is clean, dry and free from excessive hair. Ortho evra skin patches are used as contraception to prevent pregnancy. You will apply your first patch on the first day of your period or on the first sunday after your period begins follow your doctors instructions. This means that with perfect use, less than 1 out of every 100 women who use the patch will become pregnant. The clinical relevance of the differences in pk profiles between. A transdermal patch is a medicated adhesive patch that is placed on the skin to deliver a specific dose of medication through the skin and into the bloodstream. Make sure you remove your old ortho evra patch before applying your new ortho evra patch.
The birth control patch is a small, sticky square that you wear on your arm, back, lower belly, or other places on your body. For full instructions on how to use evra, see the package leaflet. The evra patch was designed to be based on estradiol and norelgestromin. The medicine can only be obtained with a prescription. Indications and clinical use the evra norelgestromin and ethinyl estradiol transdermal system is indicated for the prevention of pregnancy.
To avoid pregnancy, make sure you use backup birth control condoms, spermicide, the sponge for seven days. Birth control patch transdermal contraceptive webmd. The beige patch sticks to the skin and helps prevent pregnancy. Evra transdermal patch summary of product characteristics. Participants were instructed to apply the patch to the buttocks, upper outer arm, lower abdomen, or upper torso all sites have been shown to be equally efficacious. Read more about the prescription drug norelgestrominethinyl estradiol patch transdermal. How to use the birth control patch follow easy instruction. It is important to note that the ortho evra patch has recently been replaced with the xulane patch. An evra transdermal patch is a small contraceptive sticky patch worn on the skin to prevent unwanted pregnancy.
Using a weekly transdermal patch instead of a daily pill may help the woman to stick to using her contraception appropriately. A new ortho evra patch is placed on the skin oneweek after the last patch was removed. The effect goes directly to the gonadotropic function of the pituitary gland. An advantage of a transdermal drug delivery route over other types of medication delivery such as oral, topical, intravenous, intramuscular, etc. Your menses should begin during the 7day patch free period. Jul 12, 20 if you apply your ortho evra patch more than 1 week after taking your last active pill or removing your last vaginal ring, use a nonhormonal contraceptive method with the ortho evra patch for the first 7 days of patch use. Your risk of serious blood clot may be higher with the use of ortho evra skin patches than with the use of birth control pills.
According to uptodate, an electronic reference used by physicians and patients for indepth medical information, trials showed only 1. Which statement should the nurse use to instruct a patient about the use of the orthoevra transdermal patch. Evra patch contraception lloydspharmacy online doctor uk. Ortho evra norelgestromin, ethinyl estradiol transdermal. Supplemental adhesives or bandages should not be used to hold the evra transdermal patch in place. Follow the instructions in the package insert or those given to you by your doctor. Attach the patch to a dry skin area the first day of your period. As the evra transdermal patch contains similar hormones to those used in combined birth control pills, it is likely to have the same risks. Use your fingernail to lift one corner of the contraceptive patch. The contraceptive patch is a small sticky patch that releases hormones into your body through your skin to prevent pregnancy. Be sure to follow your product instructions as to site selection and rotation.
Ethinylestradiol with norelgestromin drug bnf content. The transdermal contraceptive patch is a highly effective form of estrogenprogestin contraception. An evaluation of the use of the transdermal contraceptive. If youre a parent or caregiver, you can also use them to apply a patch to a child or another adult. Each transdermal system sealed within a protective pouch and heatstamped evra contains 6 mg of norelgestromin and 0.
Ethinyl estradiol and norelgestromin transdermal system comes as a patch to apply to the skin. If you are not sure how to use your ortho evra patch. Its a transdermal patch that continuously releases two hormones an oestrogen and a progestogen that are absorbed. Ortho evra fda prescribing information, side effects and. Apply the sticky surface of the patch to your skin and remove the rest. Ortho evra is a combination transdermal contraceptive patch with a contact surface area of 20 cm. Ortho evra may also be used for purposes not listed in this medication guide. Transdermal scopolamine is commonly used as a treatment for motion sickness.
With typical use, 8 out of every 100 women who use the patch will become pregnant. Risk increases with age and with heavy smoking 15 or more cigarettes per day and is quite. The patch is applied to the skin once a week for three weeks straight. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Common side effects of ortho evra include vaginal bleeding between periods spotting during the first few months of use. If this bleeding is persistent or unusually heavy, contact your doctor. Emsam, a transdermal form of the maoi selegiline, became the first transdermal delivery agent for an antidepressant approved for use in the u.
Therefore, the pharmacodynamics of evra is aimed at blocking or reducing the number of hormones produced by the ovaries and affecting the endometrium. A birth control patch is commonly known as ortho evra or evra patch. Apply 1 patch once weekly for 3 weeks, apply first patch on day 1 of cycle, change patch on days 8 and 15. Regardless of withdrawal bleed presence, the new transdermal patch is placed on the skin the same day at any time as it was done in the previous cycle. Systemic exposures as measured by area under the curve auc and steady state concentration css of ngmn and ee during use of ortho evra. Be sure to follow any specific instructions provided by your doctor or the product instructions as to site selection or rotation. Consumer information about the medication norelgestrominethinyl estradiol patch transdermal ortho evra, includes side effects, drug interactions, recommended dosages, and storage information. During the 4th week, no patch is worn and menstruation will occur. You wear the patch on certain parts of your body, and it releases hormones through your skin that prevent pregnancy.
One study included challenges such as using a sauna, whirlpool. Ortho evra norelgestromin ethinyl estradiol transdermal. They have been shown to be as effective as the combined oral contraceptive pill with perfect use, and the patch may be more effective in typical use xulane and twirla are approved for use in the united. For example, this may be on the thigh, upper back or upper arm. Most women who desire a reversible, noneventbased method of contraception and who have no contraindications to use of estrogens or progestins can safely use this method. The pharmacokinetic profile for the evra transdermal system is different from that of an oral contraceptive.
Even if your menses is still ongoing, subsequent pack is to be started after the 7day patch free period has elapsed. A contraceptive patch, also known as the patch, is a transdermal patch applied to the skin that releases synthetic oestrogen and progestogen hormones to prevent pregnancy. Evra may work less well in women weighing 90 kg or more. Jul 19, 2017 use condoms or dental dams or whatever if youre risking stis. Each 20 cm 2 transdermal patch contains 6 mg norelgestromin ngmn and 600 micrograms ethinyl estradiol ee.
Evra patch should be applied once a week for 3 weeks and stop for 1 week. Read the patient information leaflet provided by your pharmacist before you start using this medication and each time you get a. Its caused by you not getting hormones on patchfree days. What evra is and what is it used for evra contains two types of sex hormones, a progestogen called norelgestromin and an oestrogen called ethinyl. Ortho evra transdermal patch weekly drug information.
Xulane norelgestrominethinylestradiol dosing, indications. Risk of venous thromboembolism vte among women aged 1544 who used the ortho evra patch compared to women who used oral contraceptives containing 3035 mcg of ethinyl estradiol ee and either levonorgestrel or norgestimate was assessed in 4 u. They have been shown to be as effective as the combined oral contraceptive pill with perfect use, and the patch may be more effective in typical use. Evra is a brand name for the contraceptive patch thats available in the uk. It releases a combination of synthetic progestogen and oestrogen hormones called norelgestromin ngmn and ethinylestradiol. Peel the patch and the plastic liner away from the pouch, then peel away half of the protective clear lining. Nov 29, 2018 a transdermal patch should not be reapplied if it is no longer sticky. Each transdermal patch releases an average of 203 micrograms of ngmn and 33. If subsequent evra transdermal patch change days are delayed. When used correctly, the patch is more than 99% effective at preventing pregnancy. Ortho evra transdermal patch weekly drug information, side.
The transdermal contraceptive patch is a safe and convenient birth control method that works really well if you always use it correctly. You can use these instructions for applying a transdermal patch to your own body. In the past five years, more than four million women have used the ortho evra transdermal contraceptive patch, and there is evidence to suggest that patients are likely to be more compliant and more satisfied with transdermal contraceptive use compared with oral contraceptive oc use. Evra is a transdermal patch a patch that delivers a medicine across the skin. The patch is designed to give you a withdrawal bleed once a month. It has not been shown that a transdermal patch like evra is safer than a combined birth control pill taken by mouth. Replace the patch after one week and put a new one on the same weekday every week. One patch is applied once a week for 3 weeks, followed by a patch free week. Ortho evra norelgestrominethinyl estradiol contains a combination of female hormones used as contraception to prevent pregnancy. Which statement should the nurse use to instruct a patient about the use of the ortho evra transdermal patch. Ethinyl estradiol and norelgestromin transdermal patch.
All combined birth control pills have risks, which may lead to disability or death. Its a transdermal patch that continuously releases two hormones an oestrogen and a progestogen. You can choose to get a period every month, or you can skip it its totally up to you. Read the patient information leaflet provided by your pharmacist before you start using this medication and each time you get a refill. The active substances in evra are two hormones, ethinylestradiol an oestrogen and norelgestromin a progestogen. Jan 27, 2020 a new ortho evra patch is placed on the skin oneweek after the last patch was removed. Use ortho evra exactly as your healthcare provider tells you to use it. Jul 12, 20 if you have just given birth or had a pregnancy lossabortion after the first 3 months, consult your doctor about birth control, and find out when it is safe to use birth control containing estrogen, such as ortho evra. Hormone pregnancy risk category x fda box warning cigarette smoking increases risk of serious cardiovascular adverse effects from hormonal contraceptive use. The advantage of the evra patch is that it is a weekly application, as it works for 7 consecutive days. How should i use ethinyl estradiol and norelgestromin transdermal ortho evra, xulane. Do not skip using any ortho evra patches, even if you do not have sex often. It seems, though, that it is rare that a patch will fall off.