Ortho Evra ® (norelgestromin/ethinyl estradiol) is a skin patch that is used for contraception (to prevent pregnancy). It contains norelgestromin (a progestin) and ethinyl estradiol (an estrogen), which are released slowly over time. Each Ortho Evra patch is changed once a week.
It is made by Ortho-McNeil Pharmaceutical, Inc.
Ortho Evra works in a similar way as combined oral contraceptives ( birth control pills that contain both an estrogen and a progestin), although it is a patch, rather than a pill. It primarily works to prevent pregnancy by stopping ovulation (the maturation and release of eggs from the ovaries). However, it also prevents pregnancy in two other, minor ways. Ortho Evra alters the cervical mucus (the fluid of the cervix, which is the lower, narrow part of the uterus that is connected to the vagina), making it more difficult for sperm to enter the uterus. It also alters the lining of the uterus (called the endometrium), making it less receptive to an embryo.
When and How to Use Ortho Evra
Some general considerations for when and how to use the medication include the following:
- Ortho Evra comes in a pack with three patches that are exactly the same. Each new patch is applied once a week for the first three weeks of a cycle; no patches are worn during the last week (to allow for a menstrual period).
- You can wear the patch on the upper, outer arm; the upper torso (the front or back, but not on the breasts); the abdomen; or the buttocks. Choose an area of skin that is clean, dry, and free of irritation or cuts. Do not apply lotions, creams, powders, or makeup on the skin before or after the patch is applied.
- You can wear Ortho Evra while swimming, showering, bathing, or exercising.
- Do not cut, draw on, or decorate your patch in any way.
- After removing the patch, some adhesive may remain on the skin. A little baby oil or lotion can help remove the adhesive.
- Don't flush a used patch, as it still contains some hormones that can get into the water supply. Dispose of it by folding it in half (on itself) and disposing of it out of the reach of children or pets.
- In many cases, if a patch falls off, it can be reapplied (although a new patch may be necessary, especially if the old one is no longer sticky). In some circumstances, you may need to use a backup method of contraception for seven days.
- For the medication to work properly, it must be taken as prescribed.
There is only one standard dose of Ortho Evra, regardless of age, weight, or medical conditions. However, keep in mind that Ortho Evra is less effective in women who weigh 198 pounds or more.
As is the case with any medication, do not adjust your dose unless your healthcare provider specifically instructs you to do so.
As with any medicine, side effects are possible with Ortho Evra. However, not everyone who uses the contraceptive will experience side effects. In fact, most people tolerate it quite well. If side effects do occur, in most cases, they are minor and either require no treatment or can easily be treated by you or your healthcare provider. Serious side effects are less common.
Common side effects of Ortho Evra include, but are not limited to:
- Breast tenderness or enlargement
- Headaches
- Skin reactions where the patch was placed
- Nausea.
(Click Ortho Evra Side Effects to learn more, including potentially serious side effects that you should report immediately to your healthcare provider.)
Drug Interactions With Ortho Evra
What Should I Tell My Healthcare Provider?
You should talk with your healthcare provider prior to using Ortho Evra if you have:
Also, let your healthcare provider know if you:
Make sure to tell your healthcare provider about any other medicines you are taking, including prescription and non-prescription medicines, vitamins, and herbal supplements.
What If I Take an Overdose?
An Ortho Evra overdose is unlikely, for various reasons. However, women who take too much of a combined hormonal contraceptive (such as Ortho Evra) may experience the following symptoms:
- Nausea
- Vomiting
- Vaginal bleeding
- Other menstrual irregularities.
Storage Methods for Ortho Evra
Store Ortho Evra patches at room temperature, avoiding extreme temperatures. Keep each patch in its protective pouch until just before you apply it. Dispose of the patch by folding it in half and throwing it away (do not flush it).
Keep Ortho Evra and all other medications out of the reach of children.
Is There a Generic Version of Ortho Evra?
Currently, there is no generic version of Ortho Evra licensed for sale (see Generic Ortho Evra).
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