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.
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:
Tell your doctor if you have ever had:
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.
Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed. Do not wear more than one skin patch at a time. Never cut a skin patch.
Apply a new skin patch every 7 days for 3 weeks in a row (21 days). Change your patch on the same day of the week, and wear each patch for 7 full days. On Day 22, remove the patch and wait 7 days before applying a new patch. Your patch-free week should not be longer than 7 days.
Apply the patch to clean, dry skin that is not broken or irritated and won't be rubbed by tight clothing (such as a waistband).
You may need to use back-up birth control (such as a condom/diaphragm with spermicide) when you first start using this medicine, or if a patch has become loose or has been off for longer than 1 day. Read and carefully follow all instructions about what to do if a patch gets loose or falls off, or if you forget to change your patch on time.
If you need major surgery or will be on long-term bed rest, do not use wear a skin patch for at least 4 weeks ahead of time and 2 weeks afterward.
You may have breakthrough bleeding, especially during the first few months. Tell your doctor if this bleeding is very heavy, or if you miss 2 or more regular periods.
Store patches in the foil pouch at room temperature away from moisture and heat. Do not freeze or refrigerate. After removing a skin patch fold it in half, sticky side in, and throw it away in a place where children and pets cannot get to it. Do not flush a used patch down the toilet.
During your patch-free week, do not go without wearing a patch for longer than 7 days. Missing a dose increases your risk of becoming pregnant and you may need to use back-up birth control. Call your doctor if you miss a period for 2 months in a row.
If you forget to apply a patch at the start of a new cycle:
If you forget to change your patch during the 3-week wearing time:
Do not smoke while using this medicine, especially if you are older than 35 years of age.
Grapefruit may interact with this medicine and lead to unwanted side effects. Avoid the use of grapefruit products.
This medicine may cause darkening of your facial skin (chloasma), especially if you've ever had chloasma during a pregnancy. Avoid sunlight or tanning beds. Use sunscreen (SPF 30 or higher) when you are outdoors.
Avoid applying makeup, lotions, powders, or oils to the skin where you apply a skin patch.
Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.
Stop using this medicine and call your doctor at once if you have:
Common side effects may include:
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.
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:
Many other drugs can affect ethinyl estradiol and norelgestromin, especially:
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.
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
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