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a progestogen called norelgestromin and an estrogen called ethinyl estradiol. Because they contain two types of hormones, they are called "combined hormonal contraceptives." They are used to prevent pregnancy.
Ethinyl estradiol, norelgestromin transdermal patch
What is ethinyl estradiol, norelgestromin and what is it used for?This medication contains two types of sex hormones: a progestogen called norelgestromin and an estrogen called ethinyl estradiol. Because they contain two types of hormones, they are called "combined hormonal contraceptives." They are used to prevent pregnancy.
What you need to know before using ethinyl estradiol, norelgestrominDo 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 embolism, 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 have been 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 symptoms of a stroke);• If you have any of the following conditions that may increase your risk of a clot in the arteries:o Severe diabetes with damage to blood vessels;o High blood pressure;o High blood fats (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 have or have recently had severe liver disease.• If you have ever had a liver tumor.• If you have pancreatitis (inflammation of the pancreas) associated with high levels of fatty substances in the blood.• If you are known or suspected to be pregnant.• If you have cancer affected by sex hormones—such as some breast, endometrial, or ovarian cancers.• If you have vaginal bleeding that your doctor has not explained to you.• If you are allergic (hypersensitive) to any of the ingredients in ethinyl estradiol or norelgestromin.• If you have hepatitis C and are taking medicines containing ombitasvir/paritaprevir/ritonavir and dasabuvir.
Warnings and Precautions:You must tell your doctor if:• You have Crohn's disease or ulcerative colitis (chronic inflammatory bowel disease).• If you have systemic lupus erythematosus (SLE), a disease that affects your natural defense system.• If you have hemolytic uremic syndrome (HUS, a blood clotting disorder that causes kidney failure).• If you have sickle cell anemia (an inherited red blood cell disorder).• 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 have been off your feet for a long time.• If you have just given birth, you are at increased risk of blood clots.• If you have inflammation of the veins under the skin (superficial thrombophlebitis).• If you have varicose veins.
Other medicines and ethinyl estradiol, norelgestromin:Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.Some medicines and herbal remedies may prevent this pill from working properly. If this happens, you may become pregnant or experience unexpected bleeding. These medications include:• Certain antiretroviral medications used to treat HIV/AIDS and hepatitis C (protease inhibitors and non-nucleoside reverse transcriptase inhibitors, such as ritonavir, nevirapine, and efavirenz)• Infection medications (such as rifampicin and griseofulvin)• Anticonvulsant medications (such as barbiturates, topiramate, phenytoin, carbamazepine, primidone, oxcarbazepine, and felbamate)• Bosentan (a medication for high blood pressure in the blood vessels in the lungs)• St. John's wort (a herbal remedy used to treat depression)
This pill may make some other medications less effective, such as:• Medicines containing cyclosporine• Lamotrigine, used to treat epilepsy [this can increase the risk of seizures]
How to use ethinyl estradiol, norelgestromin:To prevent pregnancy, take this medication. Always use exactly as described 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 to use• Weeks 1, 2, and 3: Apply one patch and leave it on for exactly seven days.• Week 4: Do not apply a 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 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.If you are switching from the oral contraceptive pill to the transdermal patch• If you are switching from the oral contraceptive pill to this medicine:• Wait until you get your period.• Apply the first patch within 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 you change the patch.• If you do not get your period within 5 days of taking the last pill, consult your doctor before starting this medication.
Possible side effects
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