Ortho Evra Patch (Ethinyl/Estradiol/Norelgestromin)

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Ethinyl estradiol and norelgestromin contains a combination of female hormones that prevent ovulation (the release of an egg from an ovary). This medication also causes changes in your cervical mucus and uterine lining, making it harder for sperm to reach the uterus and harder for a fertilized egg to attach to the uterus.Ethinyl estradiol and norelgestromin are used as contraception to prevent pregnancy.Ethinyl estradiol and norelgestromin may also be used for other purposes not listed in this medication guide.

Use this medication exactly as it was prescribed for you. Do not use more skin patches or wear them for longer than recommended by your doctor. You will apply your first patch on the first day of your period or on the first Sunday after your period begins (follow your doctor's instructions).

Tear open the foil pouch along the edge and peel it apart. Use your fingernail to grasp a corner flap of the skin patch and gently lift it out of the pouch.

Peel off one half of the plastic liner but try not to touch the sticky side of the patch. Place the patch on the skin area and remove the other half of the liner, pressing the patch into place firmly for 10 seconds. Make sure the edges stick well. You will wear the patch for a full week.

Apply the patch to clean, dry skin on any of these areas: the outside of your upper arm, your stomach, your buttocks, or your upper back. Do not apply the patch to skin that is broken or irritated, or to a skin area that may be rubbed by tight clothing (such as a waistband).

Remove the patch and apply a new one on the same day each week for three weeks in a row. Check your patch every day to make sure it is sticking well to your skin. At the end of the third week, remove the patch and do not apply a new one for 7 full days. Your period should start during this time Do not allow more than 7 days to pass before starting your next 3-week patch cycle..

You may need to use back-up birth control, such as condoms or a spermicide, when you first start using this medication. Follow your doctor's instructions.

You may have breakthrough bleeding, especially during the first 3 months. Tell your doctor if this bleeding continues or is very heavy.

If you need to have any type of medical tests or surgery, or if you will be on bed rest, you may need to stop using this medication for a short time. Any doctor or surgeon who treats you should know that you are using birth control skin patches.
Your doctor will need to see you on a regular basis while you are using this medication. Do not miss any appointments.

Store the skin patches at room temperature away from moisture and heat. Keep each patch in its foil pouch until you are ready to apply it.

Before taking Ortho Evra Patch

Do not use this medication if you have:

• a history of a stroke or blood clot;
• circulation problems (especially if caused by diabetes);
• a hormone-related cancer such as breast or uterine cancer;
• abnormal vaginal bleeding;
• liver disease or liver cancer;
• severe high blood pressure;
• severe migraine headaches;
• a heart valve disorder; or
• a history of jaundice caused by birth control pills.

The hormones in this medication can pass into breast milk and may harm a nursing baby. This medication may also slow breast milk production. Do not use if you are breast-feeding a baby.