Evra 3 patches

EVRA transdermal patch transdermal patch Eura
medicinal substances are norelgestromin (norelgestromin) 6 mg and ethinyl estradiol (ethinyl estradiol) 600 μg.
medicinal substances are released over 7 days and 24 hours release 150 μg norelgestromin and 20 μg ethinyl estradiol.
The other ingredients are polyisobutylene, polibugilen, crospovidone, non-woven polyester fabric and lauryl lactate.
 
1. WHAT EVRA AND WHAT IT IS USED
EVRA is a thin, beige, plastic transdermal patch. Adhesive portion is adhered to the skin after removal of the protective clear plastic liner. The sticky part of the transdermal patch contains active substances which are released continuously through the skin into the bloodstream.
EVRA is sold in the following packaging: cartons containing 3, 9 or 18 individual bags lined with foil wrapped three in a transparent perforated plastic film.EVRA use of birth control in women ..
 
2. BEFORE YOU USE EVRA
This section will tell you when to stop using EVRA or when birth control with EVRA may become less reliable. If this happens, you should either avoid having sex or you or your partner should use non-hormonal contraceptives (such as condoms, foam or sponge) to prevent pregnancy. Do not use rhythm or temperature methods, as contraceptive pills and patches (eg. EVRA or the pill) can make these methods unreliable. You must have a non-hormonal contraception as a backup in case of problems or errors when using the patch.
 
Will protect you from EVRA Sexually transmitted disease?
EVRA will not prepazi of HIV infection (AIDS) or any other Sexually transmitted disease (eg. Chlamydia, genital herpes, genital warts, gonorrhea, hepatitis B and syphilis). You should use condoms to protect yourself from these diseases.
 
Who should use EVRA?
EVRA is intended for women of childbearing age and the effect has been demonstrated in women aged between 18 and 45 godini.EVRA may not work well in women weighing 90 kg or more. Do not use EVRA: EVRA should not be used if you suffer or have ever suffered from any of the conditions listed below.
You should stop using EVRA, if any of these conditions:
• Thrombosis (blood clot), even if you've had a long time ago. Thrombosis can occur in the lungs (pulmonary embolism), eyes, brain (stroke), heart (heart attack) or the deep veins of the legs (deep vein thrombosis) (see section "thrombosis (blood clot) and combination hormonal contraceptives") .
• Conditions that make you susceptible to thrombosis (blood clot), such as:
- Severe increase in blood pressure (values of 160/100 mmHg or higher)
- Diabetes with heart or circulatory problems
- Certain genetic problems (see thrombosis (blood clot) and combination hormonal contraceptives ").
• Other types of heart disease such as angina (chest pain)
• Tumours of the breast, cervix, uterus, vagina, or the liver (see "tumor").
• Severe liver disease or hepatic dysfunction.
EVRA should not be used if you have any of the conditions listed below.
You should stop using EVRA, if any of these conditions:
• Migraine
• Unexplained bleeding from the vagina
• Allergy to any component of EVRA
Taking EVRA, pay particular attention to:
There is no evidence that in some way EVRA is safer than the pill hapche.Predi to use EVRA, should be examined by your doctor. It is important to tell your doctor if you suffer or have suffered in the past from any of the conditions listed below. If you had any of them, you have to undergo the examination more often.
You should ask your doctor if any of these conditions worsen or appear for the first time while using EVRA:
• Heart disease (chest pain or certain types of irregular heartbeat normal).
• High levels of fat (triglycerides) in the blood or such cases in the family • High blood pressure, especially if it gets worse or does not improve when taking medication for it.
• Some types of migraine
• diabetes or borderline diabetic condition
• Depression or depression in the past, as it may worsen or recur if using a hormonal method of controlling pregnancy.
• Epilepsy
• inflammatory bowel disease (Crohn's disease or ulcerative colitis)
• Certain types of jaundice (yellowing of the skin and whites of the eyes)
• inexplicable itching, especially if it has occurred during a previous pregnancy
• Durable brown spots on the skin, especially if you had them during pregnancy; if this happens, avoid exposure to the sun or ultraviolet radiation (eg. solariums) .Drugi states reported that worsen during the use of birth control pills, although this is not proven to have gallstones, lupus , hemolytic uremic syndrome, Huntington's Sydenham, hearing problem called otosclerosis and a skin condition known as herpes gestationis.
You should contact your doctor if:
• You think you may be pregnant, for example. if you miss your period two cycles in a row. Potentially serious conditions:
The following information is based on information on birth control pills (oral contraceptives). As the EVRA transdermal patch contains hormones similar to those in birth control pills, it is likely that they carry the same health risks. All combined hormonal contraceptives carry risks that can potentially lead to invapidizirane or death. This risk, however, is less than the risk that exists when you are pregnant.
• Thrombosis (blood clot)
The use of the contraceptive pill may increase the chance of getting a thrombosis (blood clot). The risk is highest during the first year a woman ever uses any type of contraceptive pill. The risk of developing a blood clot, however, is higher if you become pregnant than if you use birth control pills. Is not yet known how EVRA influences the risk of getting a thrombosis compared with contraceptive pills.
Blood clots can block the large vessels and very rarely can cause permanent disability or death. If the blood clot forms in the deep veins of the legs, it may break loose and block the artery in the lungs (pulmonary embolism). Very rarely, blood clots can form in the blood vessels of the heart (heart attack) or brain (stroke). Extremely rarely blood clots can occur in the liver, intestine, kidney and eye. Blood clots in the eye may cause loss of vision or double vision. The risk of developing blood clots does not change with continued use and disappears after discontinuation of contraceptive.
If you think you might have some kind of blood clot while using EVRA, tell your doctor who may advise you to stop using EVRA. Possible indications of a blood clot are:
- Pain in one leg
- Swelling
- Severe pain in the chest that may spread to the arm
- Sudden onset of coughing
- Severe headache
- Visually impaired
- Slurred speech
- Dizziness
- Seizures
- Weakness or numbness affecting one side of the body
- Difficulty in walking and grasping the subject
- Severe abdominal pain
Conditions below may increase the chance of blood clots; you should tell your doctor if any of these apply to you:
- Cases in the family of diseases caused by blood clots in certain blood vessels (veins)
- Smoking, especially if you are over the age of 35
- The need to hold a bed for many days
- If you are overweight
- If you have recently given birth or have an abortion
- If you have a serious injury, especially to the legs or pelvis
- If you have had or are about to undergo major surgery or need to lie in bed for a long time; should not normally put contraceptive patch two weeks after surgery.
• Tumors
In women, combined hormonal contraceptives slightly often seen in breast tumors, but it is not known whether this is due to hormones. For example, perhaps more tumors are detected in women taking combined hormonal contraceptives because they are examined more frequently in their personal physicians. The appearance of breast tumors gradually decreased after discontinuation of combined hormonal contraception. After ten years, the risk of suffering from breast cancer will be the same as for women who have never used the pill.
Tumors of the cervix also appear more frequently in women taking combined hormonal contraceptives. However, this tumor is associated with increased sexual activity and Sexually transmitted disease, so it is not clear if combination hormonal contraceptives play a direct role in this risk.Ryadko reported liver tumors in women using combination hormonal contraceptives. This can cause internal bleeding, severe pain in the abdomen. If this happens, you should immediately contact your doctor.
• Irregular bleeding
EVRA may cause unexpected vaginal bleeding or spotting during the weeks when you are wearing the transdermal patch. This usually stops after a few cycles. Errors in the use of the patches can also cause spotting or slight bleeding. Continue treatment with EVRA and if the bleeding lasts more than the first three cycles, consult your doctor or pharmacist.
If you do not get your period during the patch-free week (Week 4), however, you should use a new patch on your normal day shift. If you have been using EVRA correctly and you do not have menstruation, it does not mean that you are pregnant. However, if you miss two cycles, consult your doctor or pharmacist, because you might be pregnant.
When you stop using EVRA, you can get irregular bleeding slightly or not at all get bleeding, especially during the first three months and especially if your period was not regular before you start using hormones.
 
Taking EVRA with food and drink:
Do not expect food or beverage affect the absorption of hormones from EVRA. Pregnancies use EVRA, if you are pregnant or think you are pregnant (see "HOW TO SEPRILAGA EVRA" for information about using EVRA after bremennost.Ne reported increased incidence of birth defects in newborns when pregnancy occurs soon after you stop use of contraceptive patches. There may be some delay in becoming pregnant after you stop using EVRA, especially if you had irregular menstrual cycles before. menstruation receive during the week "patch-free" are not true menstruation. It is important to get real menstruation before you become pregnant to the doctor to know when the baby is born. So, if you stop using EVRA, to try to get pregnant, use another method of contraception until you get a real menstruation.
 
Breastfeeding
You should not use EVRA, while not completely stop breastfeeding. Driving or operating mashiniMozhete to drive or operate machinery while wearing EVRA. Taking other medicines Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, even if they are not prescribed by lekar.Lekarstvata listed below may prevent combination hormonal contraceptives from working properly and if this happens, you may become pregnant.
• some medicines against H1V and other viral infections (ritonavir)
• certain antibiotics (ampicillin, rifampicin, griseofulvin)
• substance enhancing mood, called modafinil
• some anti-epileptic drugs such as topiramate, barbiturates, phenylbutazone, phenytoin sodium, carbamazepine, primidone, hydantoins, oxcarbazepine and felbamate.
Herbal remedy St. John's Wort {Hypericum perforatum) also reduces the effect of oral contraceptives and pregnancy have been reported when combined hormonal contraceptives are used with some form of St. John's Wort. Reported that the effect of St. John's wort may persist up to 2 weeks after discontinuation of lechenieto.Ako taking any of the above medicines you should consider using another reliable method of birth control (such as a condom, diaphragm or foam). The impact of some of these drugs may continue up to 28 days after you stop using them.
 
Laboratory tests:
If you are a blood or urine test, tell your health care professional that you are taking EVRA, as this may affect the results of some research.
 
3. HOW TO USE EVRA
Always use EVRA exactly as described in this leaflet otherwise you may increase the risk of pregnancy. You could have a non-hormonal contraceptives (such as condoms, foam or sponge) as a reserve in case of errors when using the patch. You should ask your doctor or pharmacist if you are not sure.
 
Dose:
Apply one patch for exactly seven days every week for three consecutive weeks, followed by one week (exactly seven days) without wearing a patch.
 
IMPORTANT INFORMATION
1.Smenyayte EVRA on the same day each week, as it is designed to operate more than 7 days.
2. Not when not to leave the patch for more than 7 days in a row.
3. Sete But only one patch.
4. And zbyagvayte placing the patch on red, irritated or cut.
5. Pl Astir must adhere firmly to the skin to act well. The patch should be pressed down firmly until the edges stick well. Do not apply creams, oils, lotions, powder or makeup on the skin where you are placing a patch or near a patch that you wear. This may loosen the patch.
6. Do not put a new patch on the same area of skin where you just removed the other patch. If you do, your chance of getting irritation is greater.
7. Vs ECI day check that the patch has not fallen.
8. Do not stop using the patches even if you do not have sex very often.
If this is the first time you use the contraceptive patch, wait until the day of menstruation. Put your first patch during the first 24 hours of your period. If the patch is put after the first day of your period, you should use non-hormonal contraceptive until Day 7 when you change your patch. The day you put the first patch will be Day 1. Your day patch change will be on this day every sedmitsa.Izberete place on your body where to put the patch. Always apply the patch onto clean, dry skins hip, abdomen, upper outer arm or upper back, in a place where it will not be rubbed by tight clothing. Never put the patch on the chest si.S fingers open the pouch by tearing it along the edge (do not use scissors). Grasp the corner of the patch and gently remove it from the bag. Sometimes patches can stick on the inside of the pouch - be careful as you remove the patch not to accidentally remove the clear liner. Then, as shown, removing half of the transparent protective substrate. Avoid touching the sticky surface.
Place the patch on your skin and then remove the other half of the pad. Press firmly patch with the palm of your hand for 10 seconds, making sure that the edges stick well. Wear the patch for 7 days (one week). On the first day shift, day 8, remove the used patch. Immediately place the new patch.
Apply a new patch in week 2 (Day 8) and again in Week 3 (Day 15) for a total of three weeks. To avoid irritation, do not put the new patch exact position of the last patch on the skin.
Do not wear a patch on Week 4 (from day 22 to day 28). During this time, you should get your period. During this week you are protected from pregnancy only if put next patch on time.
Start the next cycle of four weeks as put a new patch on your normal day shift, the day after Day 28 - no matter when it started or finished menstruation vi.Ako want to change the day to change the patch with another day, talk to their physician lekar.Izhvarlyane of used and unused patches
Safely dispose of used patches. After use the patch still contains substantial quantities of active ingredients. Remaining hormonal active ingredients of the patch may have harmful effects if reaching the aquatic environment.