Buy Ortho Evra Patch Online at Our US Internet Pharmacy

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ORTHO EVRA PATCH INFORMATION, ABOUT ORTHO EVRA PATCH

ORTHO EVRA WARNING

WHAT IS ORTHO EVRA®

The Ortho Evra combination hormone patch is used to prevent pregnancy. It contains hormones similar to those found in birth control pills. The hormones are released slowly from the patch over time. Using the Ortho Evra Patch does not protect you or your partner against HIV or any other sexually transmitted disease (STD).

HOW TO USE THE ORTHO EVRA PATCH

Instructions are given in the Patient Information Leaflet which comes with the medication. Follow all of the instructions on how to use the patch and when to start in relation to you menstrual cycle. If any of the instructions is unclear, ask your doctor or pharmacist.

If you weigh more than 198 pounds (90 kg), Ortho Evra Patch may not work well for you. Make sure your doctor knows your current weight before getting a prescription.

Choose an area of clean, dry skin on the abdomen, buttock, outer upper arm or upper body (torso) exactly as directed by your doctor. Open the container and apply one patch to the area.

Do not apply the patch to:

• the breast(s) or area around the breast(s)
• over other topical products (e.g., creams, lotions, make-up, powders).
• red, cut, or irritated skin

Wear the patch for 7 days. After the 7 days, remove the patch and apply a new one. Repeat this cycle for 3 weeks (3 patches = 1 cycle).

At the end of the third cycle when the third patch is removed, you will have 1 week off. Do not use a patch during this 7 days period. Your menstrual cycle will usually start during the week when you do not use the patch. If your menstrual cycle (period) does not begin during the week you are not using the patch, consult your medical care provider.

After your 4th week, begin a new cycle of patches, even if you still are experiencing some bleeding from your period. Do not go without the patch for longer than 7 days or the medication may be less effective.

If the patch accidentally comes off, becomes detached, or is removed, apply a new patch. If it is detached or is off for longer than 24 hours or if you are unsure how long the patch has been detached or removed, additional forms of birth control (e.g., spermicide, condoms) should be used for at least 7 days. Continue with the same cycle.

After removing a patch, fold it in half so it sticks to itself. Discard it in a trash container. Do not flush the patches down the toilet.

ORTHO EVRA SIDE EFFECTS

If any of these Ortho Evra Patch side effects persist or worsen, call your doctor:

• breast tenderness
• dizziness
• headache
• nausea
• redness or itching at the site of the patch
• stomach cramping or bloating
• vaginal discomfort or irritation
• vomiting

Promptly tell your doctor if any of these Ortho Evra Patch side affects occur:

• dark patches on the skin (melasma)
• change in appetite
• weight changes (gain or loss)
• problem wearing contact lenses

Immediately tell your doctor if any of these serious Ortho Evra side effects occur:

• changes in vaginal bleeding (e.g., breakthrough bleeding, spotting, prolonged or complete stoppage of bleeding)
• mental or mood changes
• severe headache
• swelling
• unusual vaginal discharge

Immediately tell your doctor if any of these unlikely but serious Ortho Evra side effects occur:

• chest pain
• pain in the groin or lower legs
• rash
• stomach pain
• trouble breathing
• vision or eye problems

Immediately tell your doctor if any of these highly unlikely but very serious Ortho Evra side affects occur:

• dark urine
• lumps in the breast
• numbness in arms or legs
• weakness on one side
• yellowing eyes or skin

If you notice other Ortho Evra side effects not listed here, contact your doctor or pharmacist.

ORTHO EVRA PRECAUTIONS

The Ortho Evra Patch is not recommended for use if you have any of the blood circulation problems (e.g., history of blood clots in the groin or legs)

• cancer (especially breast or endometrial cancer)
• currently pregnant
• diabetes (especially affecting the circulation)
• following medical conditions:
• heavy tobacco use (if over 35 years of age)
• history of heart disease or stroke
• history of yellowing eyes and skin (jaundice) while pregnant of using birth control pills
• long periods of sitting or lying down (e.g., being bedridden)
• liver problems
• recent major surgery
• severe headaches
• severe high blood pressure
• undiagnosed abnormal vaginal bleeding

Tell your doctor your medical history, especially about:

• any allergies
• depression
• gallbladder problems
• high blood pressure
• high cholesterol or triglyceride (fat) levels
• thyroid problems

Do not smoke cigarettes. Hormonal birth control products (e.g., pills, injections, patches) combined with smoking cigarettes significantly increase the risk of strokes, heart attacks, blood clots and high blood pressure, especially in women over 35 years of age. Consult the patient information leaflet that comes with this product or ask your doctor or pharmacist or for more details.

Before having surgery, medical or dental, tell your doctor that you are using the Ortho Evra Patch.

The drugs in this patch may cause dark, blotchy areas on your skin, called melasma. Exposure to sunlight may intensify this effect. If you experience melasma, avoid prolonged sun exposure, wear protective clothing and use a sunscreen when you are outdoors.

If you wear contact lenses or are near-sighted, you may have problems wearing your contact lenses or develop vision problems. Contact your eye doctor if you experience either of these problems.

ORTHO EVRA and PREGNANCY

The Ortho Evra Patch must not be used in pregnancy. Inform your doctor immediately if you become pregnant or think you may be pregnant.

ORTHO EVRA and BREAST FEEDING

The medication from the Ortho Evra Patch passes into breast milk and may have undesirable effects on the nursing infant. Consult your health care provider before breast-feeding.

ORTHO EVRA DRUG INTERACTIONS

Tell your medical care provider about all prescription and nonprescription medication you may use, especially:

• anti-seizure medicine (e.g., carbamazepine, felbamate, phenobarbital, phenytoin, topiramate)
• ascorbic acid (vitamin C)
• acetaminophen
• aspirin
• atorvastatin
• azole antifungals (e.g., itraconazole, ketoconazole)
• certain antibiotics (e.g., ampicillin, erythromycin)
• clofibric acid
• cyclosporine
• griseofulvin
• HIV protease inhibitors (e.g., indinavir, ritonavir)
• modafinil
• morphine
• phenylbutazone
• prednisolone
• rifampin
• St John's wort
• temazepam
• theophylline
• troglitazone

The Ortho Evra Patch can affect the results of certain lab tests (e.g., blood tests such as clotting factors, glucose or thyroid). Make sure you inform the laboratory personnel and your doctors that you use this product.

Do not start or stop any medicine without your doctor's approval.

ORTHO EVRA OVERDOSE

An Ortho Evra Patch overdose is highly unlikely. If overdose is suspected, remove the patch and contact your local poison control center (1-800-222-1222) or emergency room (911) immediately.

Symptoms of an overdose may include:

• unusual vaginal bleeding
• irregular menstrual periods
• severe nausea
• vomiting

NOTES

Do not share your Ortho Evra Patch with anyone. Have a complete physical exam including blood pressure, pelvic exams, breast exams and PAP smear at least once a year.

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