Ethinyl estradiol and norelgestromin transdermal

Generic name: Ethinyl Estradiol And Norelgestromin (transdermal)
Dosage form: transdermal film, extended release (35 mcg-150 mcg/24 hr)
Drug class: Contraceptives

Usage of Ethinyl estradiol and norelgestromin transdermal

Ethinyl estradiol and norelgestromin transdermal (skin patch) is a combination birth control that is used to prevent pregnancy.

Ethinyl estradiol and norelgestromin may also be used for purposes not listed in this medication guide.

Ethinyl estradiol and norelgestromin transdermal side effects

Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

This medicine may cause serious side effects. Stop using this medicine and call your doctor at once if you have:

  • signs of a stroke--sudden numbness or weakness (especially on one side of the body), severe headache, problems with vision or speech;
  • signs of a blood clot--sudden vision loss, stabbing chest pain, feeling short of breath, coughing up blood, swelling or pain in an arm or leg;
  • heart attack symptoms--chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating;
  • severe headache, pounding in your neck or ears;
  • jaundice (yellowing of the skin or eyes);
  • swelling in your hands, ankles, or feet;
  • a change in the pattern or severity of migraine headaches; or
  • symptoms of depression--sleep problems, weakness, tired feeling, mood changes.

    • Common side effects of ethinyl estradiol and norelgestromin may include:

  • breast pain or swelling;
  • nausea;
  • menstrual cramps, breakthrough bleeding;
  • headache, anxiety, mood changes; or
  • skin reactions where a patch was worn--redness, irritation, itching, rash, pain, or swelling.

    • This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

    Before taking Ethinyl estradiol and norelgestromin transdermal

    Using hormonal birth control can increase your risk of blood clots, stroke, or heart attack. You are even more at risk if you have high blood pressure, diabetes, high cholesterol, or if you are overweight. Your risk of stroke or blood clot is highest during your first year of using birth control. Your risk is also high when you restart this medicine after not using for 4 weeks or longer.

    Smoking can greatly increase your risk of blood clots, stroke, or heart attack. Your risk increases the older you are and the more you smoke. You should not use this medicine if you smoke and are over 35 years old.

    Your risk of serious blood clot may be higher with the use of birth control skin patches than with the use of birth control pills.

    Do not use if you are pregnant, if you become pregnant, or if you've had a baby in the past 4 weeks.

    You should not use hormonal birth control if you have:

  • untreated or uncontrolled high blood pressure;
  • heart problems (chest pain, coronary artery disease, history of heart attack, stroke, or blood clot);
  • an increased risk of having blood clots due to a hereditary blood disorder;
  • health problems caused by diabetes (such as damage to your kidneys, eyes, nerves, or blood vessels);
  • a history of hormone-related cancer, or cancer of the breast, uterus/cervix, or vagina;
  • unusual vaginal bleeding that has not been checked by a doctor;
  • liver disease or liver cancer;
  • severe migraine headaches (with aura, numbness, weakness, or vision changes), especially if you are older than 35;
  • if you are overweight and have a BMI (body mass index) of 30 or higher; or
  • if you take any hepatitis C medication containing ombitasvir/paritaprevir/ritonavir (Viekira).

    • Tell your doctor if you have ever had:

  • heart problems, high blood pressure, or if you are prone to having blood clots;
  • depression;
  • migraine headaches;
  • liver disease;
  • jaundice caused by pregnancy or birth control pills; or
  • diabetes, gallbladder disease, underactive thyroid.

    • This medicine may not be as effective if you weigh more than 198 pounds (90 kilograms). If you are overweight, your doctor may recommend another form of birth control for you.

    This medicine can slow breast milk production. You should not breastfeed while using ethinyl estradiol and norelgestromin.

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    How to use Ethinyl estradiol and norelgestromin transdermal

    Usual Adult Dose for Contraception:

    Apply 1 new patch each week for 3 weeks (21 days total) topically followed by 1 week that is patch-freeComments:-Withdrawal bleeding will usually occur during the 1 week patch-free time period.-Every new patch should be applied on the same day of the week known as the "patch change day."-May be less effective in preventing pregnancy in women weighing 90 kg or more.-May be placed on the upper outer arm, abdomen, buttock, or back in a place where it won't be rubbed by tight clothing.-Not to be placed on the breasts, on cut or irritated skin, or on the same location as the previous patch.

    Usual Pediatric Dose for Contraception:

    Apply 1 new patch each week for 3 weeks (21 days total) topically followed by 1 week that is patch-freeComments:-Withdrawal bleeding will usually occur during the 1 week patch-free time period.-Every new patch should be applied on the same day of the week known as the "patch change day."-May be less effective in preventing pregnancy in women weighing 90 kg or more.-May be placed on the upper outer arm, abdomen, buttock, or back in a place where it won't be rubbed by tight clothing.-Not to be placed on the breasts, on cut or irritated skin, or on the same location as the previous patch.

    Warnings

    Do not use this medicine if you are pregnant or think you might be pregnant.

    You should not use this medicine if you have: uncontrolled high blood pressure, heart problems, coronary artery disease, health problems caused by diabetes, undiagnosed vaginal bleeding, liver disease or liver cancer, severe migraine headaches (especially if you are older than 35), if you have a BMI of 30 or higher, if you also take certain hepatitis C medication, if you will have major surgery, if you smoke and are over 35, or if you have ever had a heart attack, a stroke, a blood clot, or cancer of the breast, uterus/cervix, or vagina.

    Using hormonal birth control can increase your risk of blood clots, stroke, or heart attack.

    Smoking can greatly increase your risk of blood clots, stroke, or heart attack. You should not use this medicine if you smoke and are older than 35 years of age.

    What other drugs will affect Ethinyl estradiol and norelgestromin transdermal

    Some drugs can make this medicine less effective, which may result in pregnancy. Use a barrier form of birth control (condom, diaphragm, cervical cap, contraceptive sponge) if you also take:

  • aprepitant, bosentan, griseofulvin, rifabutin, rifampin, St. John's wort;
  • antiviral medicine to treat HIV--nelfinavir, nevirapine, ritonavir; or
  • seizure medicine--Carbamazepine, felbamate, oxcarbazepine, phenobarbital, phenytoin, rufinamide, or topiramate.

    • Many other drugs can affect ethinyl estradiol and norelgestromin, especially:

  • acetaminophen, ascorbic acid (vitamin C), lamotrigine, levothyroxine;
  • antifungal medicine--fluconazole, itraconazole, ketoconazole, voriconazole;
  • certain HIV medicines--atazanavir, etravirine, indinavir; or
  • cholesterol medicine--atorvastatin, rosuvastatin.

    • This list is not complete and many other drugs may affect ethinyl estradiol and norelgestromin. Tell your doctor about all your current medicines. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

    Disclaimer

    Every effort has been made to ensure that the information provided by Drugslib.com is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Drugslib.com information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Drugslib.com does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Drugslib.com's drug information does not endorse drugs, diagnose patients or recommend therapy. Drugslib.com's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners.

    The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Drugslib.com does not assume any responsibility for any aspect of healthcare administered with the aid of information Drugslib.com provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

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