Contraceptive paste

Evra contraceptive paste is placed on the skin 3 pastes

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Evra Contraceptive patches applied to the skin 3 patches Ethinyl estradiol, norelgestromin This medication contains two types of sex hormones, a progestogen called norelgestromin and an estrogen called ethinyl estradiol. Because it contains two types of hormones, it is called “combined hormonal contraceptives.” It is used to prevent pregnancy



Before using ethinyl estradiol, norelgestromin

Do not use ethinyl estradiol, norelgestromin

Tell your doctor if you:


• If you have (or have ever had) a blood clot in a blood vessel in your legs (deep vein thrombosis, DVT), your lungs (pulmonary embolus, PE) or other organs;

• If you know you have a disorder that affects blood clotting - for example, protein C deficiency, protein S deficiency, antithrombin III deficiency, factor V Leiden or antiphospholipid antibodies;

• If you need surgery or if you are off your feet for a long time

• If you have had a heart attack or stroke.

• If you have (or have ever had) angina (a condition that causes severe chest pain and may be the first sign of a heart attack) or a transient ischemic attack [TIA - temporary stroke symptoms]);

• If you suffer from any of the following diseases that may increase the risk of developing an arterial clot:

o Severe diabetes with damage to blood vessels,

o High blood pressure.

o High levels of fats in the blood (cholesterol or triglycerides).

o A condition known as hyperhomocysteinemia.

• If you have (or have ever had) a type of migraine called 'migraine with aura'.

• If you suffer from, or have recently had, severe liver disease.

• If you have ever had a liver tumor.

• If you suffer from inflammation of the pancreas (inflammation of the pancreas) associated with high levels of fatty substances in the blood.

• Known or suspected pregnancy.

• If you have a cancer that is affected by sex hormones - such as some breast, endometrial or ovarian cancers.

• If you suffer from vaginal bleeding that your doctor has not explained to you.

• If you are allergic (hypersensitive) to any of the components of ethinyl estradiol, norelgestromin.

• If you have hepatitis C and are taking medicinal products containing ombitasvir/paritaprevir/ritonavir and dasabuvir



Warnings and precautions:

You should tell your doctor about the following:

• If you suffer from Crohn's disease or ulcerative colitis (chronic inflammatory bowel disease).

• If you suffer from lupus erythematosus (systemic lupus erythematosus, a disease that affects your natural defense system).

• If you suffer from hemolytic uremic syndrome (HUS - a blood clotting disorder causing kidney failure).

• If you suffer from sickle cell anemia (a hereditary disease of red blood cells).

• If you have high levels of fats in your blood (hyperlipidemia) or a positive family history of this condition. High blood triglycerides have been associated with an increased risk of pancreatitis (inflammation of the pancreas);

• If you need surgery, or are off your feet for a long time;

• If you have just given birth, you are at increased risk of developing blood clots

• If you have inflammation of the veins under the skin (superficial thrombophlebitis).

• If you have varicose veins


How to use ethinyl estradiol, norelgestromin:

To prevent pregnancy, always take this medicine exactly as prescribed in this leaflet or as your doctor, family planning nurse or pharmacist has told you. Consult your doctor, family planning nurse or pharmacist if you are not sure.

How many patches should be used

• Weeks 1, 2 and 3: Apply one patch and leave on for exactly seven days.

• Fourth week: Do not wear the patch this week. If you did not use hormonal contraception during your previous cycle

• You can start this medicine on the first day of your next menstrual period.

• If it has been a day or more since the start of your period, talk to your doctor about temporarily using a non-hormonal contraceptive method.

If you switch from oral contraceptive pills to a transdermal patch

• If you are switching from taking oral contraceptive pills to this medicine:

• Wait until you get your period.

• Apply the first patch during the first 24 hours of your period.


If the patch is applied after the first day of your period, you should:

• Use a non-hormonal method of contraception until the eighth day when changing the patch.

• If you do not get your period within 5 days of taking your last birth control pill, check with your doctor before starting this medication.



Possible side effects:

Stop using the product and seek immediate medical attention if you notice

• Signs of deep vein thrombosis: swelling in one leg or along a vein in the leg or foot, especially when accompanied by pain or tenderness in the leg that can only be felt when standing or walking; Increased warmth in the affected leg. A change in the color of a man's skin, for example. Turns pale, red, or blue.

• Signs of pulmonary embolism: sudden, unexplained shortness of breath or rapid breathing. Sudden cough for no apparent reason, which may produce blood; - Sharp chest pain that may increase with deep breathing. Severe dizziness or vertigo. Rapid or irregular heartbeat. Severe pain in your stomach.

• Signs of retinal vein thrombosis (blood clot in the eye): Symptoms most commonly appear in one eye: immediate loss of vision or painless blurring of vision that can progress to vision loss.

• Signs of a heart attack: chest pain, discomfort, pressure, and heaviness. Sensation of pressure or fullness in the chest, arm, or below the breastbone;

• Signs of a stroke: sudden weakness or numbness in the face, arm, or leg, especially on one side of the body. sudden confusion or difficulty speaking or understanding; sudden trouble seeing in one or both eyes; sudden difficulty walking, dizziness, loss of balance or coordination; sudden, severe, or prolonged headache with no known cause; Loss of consciousness or fainting with or without a seizure.

• Signs of blood clots blocking other blood vessels: swelling and a slight change in the blue color of the extremities. Severe pain in your stomach (acute abdomen).

• Signs of a severe allergic reaction: swelling of the face, lips, mouth, tongue or throat.

• Signs of breast cancer: dimpling of the skin. Nipple changes. Any lumps you can see or feel.

• Signs of cervical cancer: Vaginal discharge that emits a foul odor and contains blood. Unusual vaginal bleeding, pelvic pain. Painful sex.

• Signs of severe liver problems: severe pain in the upper abdomen. Yellowing of the skin or eyes (jaundice).



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