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Ortho Evra
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Drug Uses

Ortho Evra is a contraceptive (birth control) skin patch used to prevent pregnancy. It is a combination hormonal contraceptive because it contains two hormones, estrogen and progestin. It does not protect against HIV infection (AIDS) and other sexually transmitted diseases.

How Taken

This birth control method uses a 28-day (four-week) cycle. One topical patch is applied and kept in place for one week. A new topical patch is applied each week for three weeks in a row (21 total days). You should not apply a patch during the fourth week (a one-week break). During the one-week break, you should have your menstrual period. Every new patch should be applied on the same day of the week; this will be your 'Patch Change Day'. Follow your healthcare provider's instructions regarding when to start using Ortho Evra and whether back-up contraception is needed temporarily. Clean and dry the area of skin where the patch will be applied. The patch can be placed on the buttock, abdomen, upper outer arm, or upper torso in a place where it won't be rubbed by tight clothing. Never put the patch on the breasts. To avoid skin irritation, apply each new patch to a different place on the skin. Do not apply the patches to skin that are red, irritated or cut. Do not use creams, oils, powder, or makeup on the skin where you will put a patch or near a patch your are wearing. It may cause the patch to become loose. If a patch causes irritation, it can be removed and a new patch may be applied to a new location until the next 'Patch Change Day'. Only one patch should be worn at a time.


The risks associated with using Ortho Evra increase significantly if you: smoke, have high blood pressure, diabetes, or high cholesterol, have or have had clotting disorders, heart attack, stroke, chest pain (angina pectoris), and cancer of the breast or reproductive organs, jaundice, or malignant or benign liver tumors. Ortho Evra may be less effective in women weighing more than 198 lbs. (90 kg). Do not use Ortho Evra without first talking to your doctor if you weigh more than 198 lbs. (90 kg). Ortho Evra is in the FDA pregnancy category X. This means that Ortho Evra is known to cause birth defects in an unborn baby. Do not use Ortho Evra if you are pregnant. Ortho Evra may decrease milk flow and have other effects on milk composition. Do not use Ortho Evra without first talking to your doctor if you are breast-feeding a baby.

Missed Dose

If you forget to change your patch:
-at the start of any patch cycle,
Week one (Day 1): If you forget to apply your patch, YOU COULD BECOME PREGNANT you must use back-up contraception for one week. Apply the first patch of your new cycle as soon as you remember. You now have a new Patch Change Day and new Day 1.
-in the middle of your patch cycle,
Week two or week three: If you forget to change your patch for one or two days, apply a new patch as soon as you remember. Apply your next patch on your normal Patch Change Day. No back-up contraception is needed.
Week two or week three: If you forget to change your patch for more than two days, YOU COULD BECOME PREGNANT start a new four week cycle as soon as you remember by putting on a new patch. You now have a different Patch Change Day and a new Day 1. You must use back-up contraception for the first week of your new cycle.
-at the end of your patch cycle,
Week four: If you forget to remove your patch, take it off as soon as you remember. Start your next cycle on your normal Patch Change Day the day after Day 28. No back-up contraception is needed.
-at the start of your next patch cycle,
Day 1 (week one): If you forget to apply your patch, YOU COULD BECOME PREGNANT. Apply the first patch of your new cycle as soon as you remember. You now have a new Patch Change Day and new Day. You must use back-up contraception for the first week of your new cycle.

Possible Side Effects

Some common side effects with combination hormonal contraceptives like Ortho Evra are:
-breast tenderness and enlargement
-menstrual changes
-abdominal cramps and bloating
-vaginal discharge.


Store at 25°C (77°F); excursions permitted to 15-30°C (59-86°F). Store patches in their protective pouches. Apply immediately upon removal from the protective pouch. Do not store in the refrigerator or freezer. Used patches still contain some active hormones. Each patch should be carefully folded in half so that it sticks to itself before safely disposing of it in the trash. Used patches should not be flushed down the toilet.


Ortho Evra is unlikely to cause an overdose because the patch releases a steady amount of the hormones. Do not use more than one patch at a time. Serious ill effects have not been reported when young children accidentally took large doses of oral contraceptives. Over dosage may cause nausea and vomiting. Vaginal bleeding may occur in females. In case of over dosage, contact your health care professional or pharmacist.

More Information

Your health care professional will take a medical and family history before prescribing Ortho Evra and will examine you. You should be reexamined at least once a year. Be sure to inform your health care professional if there is a family history of any of the conditions listed previously in this leaflet. Be sure to keep all appointments with your health care professional, because this is a time to determine if there are early signs of side effects of hormonal contraceptive use. Do not use the drug for any condition other than the one for which it was prescribed. This drug has been prescribed specifically for you; do not give it to others who may want birth control. If you want more information about Ortho Evra, ask your health care professional or pharmacist.


This drug information is for your information purposes only, it is not intended that this information covers all uses, directions, drug interactions, precautions, or adverse effects of your medication. This is only general information, and should not be relied on for any purpose. It should not be construed as containing specific instructions for any particular patient. We disclaim all responsibility for the accuracy and reliability of this information, and/or any consequences arising from the use of this information, including damage or adverse consequences to persons or property, however such damages or consequences arise. No warranty, either expressed or implied, is made in regards to this information.

Q. What is the purpose of an online consultation?

A: Online consultations are a unique and creative way to use Internet technology to connect patients to medical doctors. Using this ordering format, the patient can bypass having a traditional medical examination with a physician, and instead will fill out a questionnaire online, which is then dispatched to a medical doctor using our safe, secure ordering system. An online consultation is not a substitute for a traditional medical examination; it simply serves as a means for patients to access treatment for a number of medical conditions that do not require a full, in-person medical examination.
Our company is dedicated to complying with, and even surpassing, all government standards regulating this unique and innovative form of health care provision. only employs the services of licensed, qualified medical doctors to fulfill your order. We only utilize the services of skilled, experienced pharmaceutical professions, who will uphold the highest standards of pharmaceutical care. We only ship medications that come from reputable pharmaceutical suppliers and in some cases even from the manufacturer, so that you are guaranteed to receive medication that has the same level of quality that you would get in person at your local pharmacy.

Q. I've submitted my Ortho-evra order; what happens next?

A: Once your Ortho-evra order is submitted, it is sent on to a licensed medical doctor, who will evaluate all of your information and either accept or decline your Ortho-evra order.
After accepting your Ortho-evra order, the medical doctor will then sign your Ortho-evra prescription, which will then be dispatched to the pharmacist, who will complete and ship your Ortho-evra order.

Q: How does your privacy policy work?

A: We are completely devoted to your privacy and safety. The "Terms and Conditions" section of our order page contains detailed information about our privacy policy.
We uphold the highest security standards, using the most current encryption software to guarantee that your credit card information is safe and secure. We check every computer system to make certain our ordering system is correctly secured.

Q: How will I know if you sell my medications?

A. Please take a look at the section called "Products" on our website, where you will find a complete list of all of the products we carry; some medications are categorized as controlled substances, and they require a full medical examination before they can be dispensed, so we are prohibited from dispensing these online. This class of medications includes Ativan, Diazepam, Lorazepam, Clonazepam, Valium, Klonopin and additional drugs.

Q: Where are your medical doctors licensed?

A: Our doctors are all licensed in the United States of America. We only employ doctors and pharmacies that have been board certified and licensed in the United States.

Q: Can you ship Ortho-evra to P.O. Boxes?

A: We regret that we can't send anything to P.O. Boxes.

Q: Should I be home when my Ortho-evra order comes?

A: Yes, all deliveries will require an adult to sign for them.

Q: Are you allowed to ship Ortho-evra orders to my state?

A: Some states have laws that prohibit us from shipping there, so be sure to check the order page for the list of states that we are allowed to send shipments to.

Q: How will Ortho-evra orders be shipped?

A: We send every order Ortho-evra by FedEx, next day shipping.

Q: What are the terms of your cancellation policy?

A: If your Ortho-evra order has not been okayed by your doctor or sent out yet, you may cancel. If we have already approved or sent your Ortho-evra order, we are unable to cancel it. If you need more information about our cancellation policy, go to our order page and look under terms and conditions.

Q. What is the procedure for canceling an Ortho-evra order?

A: You can cancel your order any time prior to the time it receives physician approval or it has been shipped from the pharmacy. If your order has been accepted and sent out, then it can't be canceled. Please look at our most current cancellation policy in the terms and conditions area on our order page to find out additional information.

How do you handle returns?

A: We can't give you your money back or switch prescription medicine because of FDA regulations. Please go to the terms and conditions section located on the order page if you need more information about returns.

Q: Do you send out Ortho-evra orders internationally?

A: At the present time, we only ship Ortho-evra to U.S. addresses and are not shipping Ortho-evra internationally.
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