Birth Control Patch - Ortho Evra. Expand All. What Is the Birth Control Patch? The birth control patch is a thin, beige, plastic patch that sticks to the skin. It's used to prevent pregnancy. A new patch is placed on the skin once a week for three weeks in a row, followed by a patch- free week. The birth control patch is commonly called Ortho Evra, its brand name. The maker of Ortho Evra has stopped making the birth control patch, based on business decisions. If you use Ortho Evra, talk with your doctor or nurse about switching to another brand of birth control patch called Xulane or to another type of birth control. Other options similar to the patch include the birth control pill or ring, which have the same hormones as Ortho Evra. Or you may want to consider getting an implant or IUD — these safe, convenient methods provide over 9. How Does the Birth Control Patch Work? Like other methods of birth control, the birth control patch releases hormones. Hormones are chemicals made in our bodies. They control how different parts of our bodies work. The hormones in the patch are the same hormones as in the birth control pill — estrogen and progestin. The hormones in the birth control patch work by. Keeping eggs from leaving the ovaries. Pregnancy cannot happen if there is no egg to join with the sperm. Making cervical mucus thicker. This keeps sperm from getting to the eggs. How Effective Is the Birth Control Patch? Effectiveness is an important and common concern when choosing a birth control method. The birth control patch is very effective. It works best when it is always placed on the skin on time. That keeps the correct level of hormone in a woman’s body. Less than 1 out of 1. About 9 out of 1. The patch may be less effective for women who are overweight. Talk with your health care provider if you are concerned about how well the patch may work for you. Certain medicines and supplements may make the birth control patch less effective. These includethe antibiotic rifampin — other antibiotics do not make the patch less effectivethe antifungal griseofulvin — other antifungals do not make the pill less effectivecertain HIV medicinescertain anti- seizure medicines. Birth Control Patch at a Glance. A small patch that sticks to your skin to prevent pregnancy; Safe, effective, and convenient; Easy to get with a prescription. The contraceptive patch is a sticky patch, a bit like a nicotine patch, measuring 5x5cm. It delivers hormones into your body through your skin. Unintended Pregnancy. Contraception; CDC Contraceptive Guidance for Health Care Providers. The effectiveness of the contraceptive shot, pills, patch and ring. St. John's wort. The patch doesn’t protect against sexually transmitted infections. Use a latex or female condom with your patch to reduce the risk of infection. How Safe is the Patch? ![]() Most women can use the patch safely. But all medications have some risks, so safety is a concern when choosing a birth control method. Serious side effects of the birth control patch, though rare, may be more likely if you have certain conditions. Some of these conditions may even rule out using the patch. Talk with your health care provider to find out if the patch is likely to be safe for you. You should not use the patch during prolonged bed rest or if youare pregnantget migraine headaches with aurahave certain inherited blood- clotting disordershave had blood clots or vein inflammationhave had breast or liver cancerhave had a heart attack, stroke, or angina have had serious heart valve problemshave lupus with certain conditionshave serious liver diseasehave uncontrolled high blood pressurehave very bad diabetessmoke and are 3. If you have a condition that makes it unsafe to use the patch, don’t worry. There are many other methods of birth control that may be safe for you if you cannot use it. Read about other methods to find one that is right for you. What Are the Benefits of the Birth Control Patch? Using the birth control patch is safe, simple, and convenient.
![]() ![]() There is nothing to do right before having sex. Some women say it improves their sex lives because it helps them feel more spontaneous. Many women who use the patch have more regular, lighter, and shorter periods. And a woman’s ability to become pregnant returns quickly when use of the patch is stopped. Because the patch works like the pill, it probably offers the same benefits. These health benefits may include some protection againstacnebad menstrual crampsbone thinning breast growths that are not cancerectopic pregnancyendometrial and ovarian cancersserious infection in the ovaries, tubes, and uterusiron deficiency anemiacysts in the breasts and ovariespelvic inflammatory disease, which often leads to infertility when left untreatedpremenstrual symptoms, including headaches and depressionheavy and/or irregular periods. What Are the Disadvantages of the Birth Control Patch? Because the birth control patch works like the pill, it probably carries the same possible disadvantages. Possible Side Effects of the Birth Control Patch. Some women may have undesirable side effects while using the birth control patch. But many women adjust to it with few or no problems. Some of the most common side effects usually clear up after two or three months. They includebleeding between periodsbreast tendernessnausea and vomiting. The birth control patch may also cause more long- lasting side effects. The hormones in the patch may change a woman’s sexual desire. ![]() A woman may also have a reaction or irritation where she puts the patch on her skin. It’s important that you find a method that won’t make you feel sick or uncomfortable. If you continue to experience side effects after using the birth control patch for three months, talk with your health care provider. After a woman stops using the patch, it usually takes one or two months for her periods to return to the cycle she had before using it. Once in a while, a woman may have irregular or absent periods. This may go on for as long as six months after stopping. This is more likely if her periods were irregular before using the patch. Serious Side Effects of the Birth Control Patch. Many women have concerns about the possible risks of taking hormones in birth control. Serious problems do not occur often. Women who use birth control with estrogen — like the patch — have a slightly greater chance of certain rare, but serious, problems than nonusers. The most serious — in very rare cases — may be fatal. These include heart attack, stroke, having a blood clot in the legs, lungs, heart, or brain. Studies have found that women using the patch may have a higher risk of getting blood clots than women taking most kinds of birth control pills. But a woman’s overall risk of any major problem while using the patch is low. Other rare risks include developing high blood pressure, liver tumors, gallstones, or yellowing of the skin or eyes (jaundice). The risk for these problems increases if youare age 3. Serious problems usually have warning signs. Report any of these signs to your health care provider as soon as possible: a new lump in your breasta sudden very bad headacheachy soreness in the legaura — seeing bright, flashing zigzag lines, usually before a very bad headachebad pain in your abdomen or chestheadaches that are different, worse, or happen more often than usualno period after having a period every monthtrouble breathingyellowing of the skin or eyes. See the insert from your patch package for more information about possible side effects. The Birth Control Patch and Breast Cancer. You may have heard claims linking the hormones in the patch to breast cancer. The most recent literature suggests that the use of these hormones in birth control has little, if any, effect on the risk of developing breast cancer. How Do I Start the Patch? To find out what day is best for you to start using the patch, talk with your health care provider. Most often, women start using the patch within the first five days after the start of their periods. That way, they are protected against pregnancy right away. That means that if your period starts on a Wednesday morning, you can apply the patch as late as the following Monday morning to be protected right away. If you start the patch later than five days after the start of your period, protection will begin after seven days. Use another method of birth control — like a condom, female condom, diaphragm, or sponge — if you have vaginal intercourse during the first week of use. Starting the Patch After Pregnancy. It’s possible to get pregnant again shortly after being pregnant. Starting birth control after pregnancy is an important concern for many women. You can start using the patch after waiting at least three weeks after giving birth vaginally. You can start using the patch after waiting at least six weeks if you are nursing — it may reduce the amount and quality of milk in the first six weeks of breastfeeding. Also, the milk will contain traces of the patch's hormones. It is unlikely that these hormones will have any effect on your child. But talk with a health care provider about what birth control methods might be right for you after giving birth. You should wait at least six weeks after birth if you have an increased risk of blood clots. Women have a higher risk of blood clots if they• are obese • are over age 3. C- section)• had heavy bleeding after delivery• had preeclampsia• have certain inherited blood clotting disorders• have had blood clots in the past• have a close family member who has had blood clots• need prolonged bed rest• received a blood transfusion at delivery• smoke You can start using the patch right after an abortion or miscarriage. How Do I Use the Birth Control Patch? Most women find that the patch is easy to use. You’ll stick one new patch on the skin of your buttocks, stomach, upper outer arm, or back once a week for three weeks in a row. You won’t put on a patch for the fourth week. Here are some more specific details about using the patch: Store your unused, sealed patches at room temperature and out of direct sunlight. Consider the first day you apply the patch as "patch change day." So if you first apply the patch on a Tuesday, you will always apply, change, or remove it on a Tuesday. Gently tear the package along the top and side edges. Peel the foil pouch apart and open it flat. Contraceptive patch - Wikipedia, the free encyclopedia"Evra patch" redirects here. For the brand of patch containing estradiol only, see Evorel patch. Contraceptive patch. Ortho Evra brand of contraceptive patch. Background. Birth control type. Hormonal (combined estrogen + progestin)First use. Failure rates (first year)Perfect use. Typical use. 9%[1]Usage. User reminders. Weekly application for 3 weeks. Clinic review. 3- 6 monthly. Advantages and disadvantages. STD protection. No. Weight. No proven effect. Period advantages. Regulated, may be lighter and less painful. Benefits. Compared to oral pills, may be less affected by antibiotics. Risks. DVTs rates similar to oral combined pills. A contraceptive patch is a transdermal patch applied to the skin that releases synthetic estrogen and progestin hormones to prevent pregnancy. 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.[2][3]The only currently available contraceptive patches are Ortho Evra, marketed in the United States by Ortho- Mc. Neil, and Evra, marketed in Canada by Janssen- Ortho and in the United Kingdom and other countries by Janssen- Cilag. The patches are packaged in boxes of three and are only available by prescription. The contraceptive patch is often informally referred to as "the Patch."Method of use[edit]A woman applies her first patch onto her upper outer arm, buttocks, abdomen or thigh on either the first day of her menstrual cycle (day 1) or on the first Sunday following that day, whichever she prefers. The day of application is known from that point as patch change day. Seven days later, when patch change day comes again, the woman removes the patch and applies another to one of the approved locations on the body. This process is repeated again on the next patch change day. On the following patch change day, the patch is removed and not replaced. The woman waits 7 days without a patch in place, and on the next patch change day she applies a new patch. Extended use regimens, where patches are used for several weeks before a patch- free week, have been studied.[4]The patch should be applied to skin that is clean, dry, and intact. This means, if skin is red, irritated, or cut, the patch should not be placed in that area. Additionally, avoid using lotions, powder, or makeup around the area where the patch is, or will be placed.[5]Backup contraception[edit]If a woman chooses to begin with her patch change day as day 1 of her menstrual cycle, the patch is able to take effect in time to prevent ovulation (see Mechanism of Action below) and no form of backup contraception is needed at all. In the case that a woman wishes to begin using the contraceptive patch following a first trimester abortion or miscarriage, patch application can be done immediately afterwards. This can be considered the same as a day 1 start above, and no backup contraception is required. If a woman chooses to begin with her patch change day as the first Sunday following day 1, it is necessary to use a backup form of contraception such as spermicide or condoms for the first week of patch wear. If a woman is late placing her patch in the first week, or more than two days late placing the patch in the second and third weeks, she should apply the patch immediately, and then use a back up form of barrier protection for a week.[6]Mechanism of action[edit]. Illustration depicting transdermal contraceptive patch. Like all combined hormonal contraceptives, Ortho Evra / Evra works primarily by preventing ovulation. A secondary mechanism of action is inhibition of sperm penetration by changes in the cervical mucus. Hormonal contraceptives also have effects on the endometrium that theoretically could affect implantation; however, no scientific evidence indicates that prevention of implantation actually results from their use.[7]The 2. ВІ Ortho Evra contraceptive patch contains 7. Вµg ethinyl estradiol (an estrogen) and 6. Вµg norelgestromin (a progestin).[8] The 2. ВІ Evra contraceptive patch contains 6. Вµg ethinyl estradiol and 6. Вµg norelgestromin.[9] The Ortho Evra contraceptive patch and the Evra contraceptive patch are both intended to gradually release into the systemic circulation approximately 2. Вµg/day of ethinyl estradiol and 1. Вµg/day of norelgestromin.[8][9]Benefits[edit]Because the Ortho Evra patch works similar to that of birth control pills, many of the benefits are the same. For example, the patch may make a woman's period lighter and more regular. It may also help to clear acne, decrease cramps, and reduce PMS symptoms. Additionally, the patch is associated with an increased protection against iron deficiency anemia, ovarian cysts, pelvic inflammatory disease, and endometrial and ovarian cancer. The patch is a simple and convenient form of birth control that only requires weekly attention. When a woman stops using the patch, her ability to become pregnant returns quickly.[1. Interactions and contraindications[edit]Contraceptive effectiveness of the patch or any other hormonal contraceptive may be reduced significantly if administered alongside various antibiotics, antifungals, anticonvulsants, or other drugs that increase metabolism of contraceptive steroids. However, despite the interactions with many other antibiotics, a clinical pharmacokinetic drug interaction study showed that oral administration of tetracycline HCl 5. Ortho Evra "did not reduce effectiveness of Ortho Evra." This is a significant factor in the common decision to administer tetracycline- derived antibiotics following an abortion (preventatively to fight potential infection) when synthetic hormone contraceptives are to be used afterwards.[citation needed]Drugs containing St. John's Wort are also known to affect the effectiveness of hormonal contraceptives. It has also been found that the Ortho Evra patch is less effective in women over 1. In three large clinical trials involving a total of 3,3. Ortho Evra / Evra patch for up to one year, 1. The most frequent adverse events leading to patch discontinuation were: nausea and/or vomiting (2. The most frequent adverse events reported while using the Ortho Evra / Evra patch were: breast discomfort, engorgement or pain (2. Breakthrough bleeding and/or spotting while using the Ortho Evra / Evra patch was reported by: 1. Breakthrough bleeding (requiring more than one pad or tampon per day) was reported by: 4% in cycle 1, 3% in cycle 3 and cycle 6, and 1% in cycle 1. Overall, side effects that tend to go away after two or three months include bleeding between periods, breast tenderness, and nausea and vomiting. Symptoms that may last longer include skin irritation around the area where the patch is placed and a change in the woman's sexual desires[1. Additional side effect information is provided in the Ortho Evra label information and the Evra Summary of Product Characteristics (SPC) and PIL.[8][9][1. Thromboembolic risks[edit]All combined hormonal birth control products have a very small increased risk of serious or fatal thromboembolic events. There is ongoing research into the thromboembolic risks of Ortho Evra as compared to combined oral contraceptive pills. A recent study found that users of the contraceptive patch may have a twofold increased risk for non- fatal venous thromboembolic events compared with women who took a norgestimate- containing oral contraceptive with 3. Вµg of estrogen.[1. However, a different study concluded that the risk of nonfatal venous thromboembolism for the contraceptive patch is similar to the risk for oral contraceptives containing 3. Вµg of ethinyl estradiol and norgestimate.[1. The contradiction in findings between the two studies is not easily resolved, because the confidence intervals for the studies are overlapping. In studies with oral contraceptives, the risk for cardiovascular disease (such as thromboembolism) is significantly increased in women over the age of 3. Hence, Ortho- Evra's package insert states: "Women who use hormonal contraceptives, including ORTHO EVRA, should be strongly advised not to smoke."According to the manufacturer, the patches introduce a 6. On November 1. 0, 2. Ortho Mc. Neil, in conjunction with the FDA, revised the label for Ortho Evra, including a new bolded warning about higher exposure to estrogen for women using the weekly patch compared to taking a daily birth control pill containing 3. Вµg of estrogen, noting that higher levels of estrogen may put some women at increased risk for getting blood clots. The label was again revised in September 2. January 1. 8, 2. 00. FDA again updated the label to reflect study results. The FDA believes that Ortho Evra is a safe and effective method of contraception when used according to the labeling, which recommends that women with concerns or risk factors for serious blood clots talk with their health care provider about using Ortho Evra versus other contraceptive options."[2. Lawsuits[edit]The Patch has been associated with strokes and thrombosis and the mechanism for hormone absorption and dissipation from the body's tissues is different from "the pill." Several lawsuits have been instigated over these issues. A lawsuit filed in Federal Court in New Jersey on September 2, 2. Georgia woman who suffered a pulmonary embolism alleges the company promoted the patch despite knowledge of its health risks, for financial gain, while failing to warn of the risks of blood clots and other injuries. In November 2. 00. CBS News aired a story about documents that surfaced in a lawsuit involving a young mother who was paralyzed by a stroke and remained a total invalid, which showed the company had received nearly 5. April 2. 00. 2 and December 2. During the same time frame, only 6. The parents of a 1. Wisconsin have filed a lawsuit against Johnson & Johnson because they claim that she died from a blood clot that arose from her use of the Patch.[2]References[edit]^ ab. Trussell, James (2. Contraceptive efficacy".
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. Archives
September 2016
Categories |