Norelgestromin and Ethinyl Estradiol - Systemic
Brand Names
Ortho Evra
Norelgestromin and Ethinyl Estradiol *** Before Using *** How to Use *** Fore Safe Use *** Side Effects
Before Using
In deciding to using a medication,
the problems of uses this drugs must be weighed against the good it will do.
If you are using the skin patch contraceptive for contraception you must
understand how their benefits and chance compare to those of other birth control
methods. This is a decision you, your sexual partner and your family doctor will
make. For norelgestromin/ethinyl estradiol, the following must be considered
Allergic reaction
Tell your family doctor if you have any unusual
or allergy to estrogens or progestins. Tell your family doctor if you have
any unusual or reaction to any other hormones. Also tell your family doctor
and pharmacist if you are allergic to any other substances, such as foods,
preservatives, or dyes.
Pregnancy care
Norelgestromin/ethinyl estradiol is not recommended
during pregnancy and must be discontinued if you become pregnant or think
you are pregnant. In rare cases when hormonal contraceptives have been taken
by mistake early in pregnancy, problems to the fetus have not occurred. Be
sure you have discussed this with your family doctor.
Breast-feeding problem
It is not known whether norelgestromin/ethinyl
estradiol passes into breast milk. Although most medication pass into breast
milk in small amounts, many of them may be using safely while breast-feeding.
Mothers who are taking this drug and who wish to breast-feed must discuss
this with their family doctor.
Use for Children
Studies on this drug have been done only in
adult diseaseds and there is no special info comparing use of norelgestromin/ethinyl
estradiol in child with use in other age groups. This drug must
not be using before the start of menstruation.
Adolescents This drug may be using for birth control in
teenage females and has not been shown to cause various side effects or
problems than it does in adults. Some teenagers may need extra information
on the importance of taking norelgestromin/ethinyl estradiol exactly as prescribed.
Elderly care
Many medication have not been studied specifically
in elderly people. Therefore, it may not be known whether they work exactly
the same way they do in adults people or if they cause various side effects
or problems in elderly people. There is no special info comparing use
of norelgestromin/ethinyl estradiol in the elderly with use in other age groups.
Drug interactions
Although certain medication must not be using
together at all, in other cases two various medication may be using together
even if an interaction might occur. In these cases, your family doctor may want to
change the dose, or other precautions may be necessary. When you are taking
norelgestromin/ethinyl estradiol, it is especially important that your family doctor
and pharmacist know if you are taking any of the following:
-
Cyclosporine - Sandimmune
-
Prednisolone - Prelone
-
Theophylline - Slo-Phyllin, Theolair-SR The amounts of
these medication in your blood may be too high when taken with norelgestromin/ethinyl
estradiol.
-
Ampicillin or
-
Barbiturates - Amytal, Nembutal
-
Carbamazepine - Tegretol
-
Felbamate - Felbatol
-
Griseofulvin - Fulvicin-P/G
-
HIV medication - Agnerase, Crixivan, Norvir
-
Oxcarbazepine - Trileptal
-
Phenylbutazone - Butazolidin or
-
Phenytoin - Dilantin
-
Rifampin - Rifadin
-
Topiramate - Topamax Use of these medication with norelgestromin/ethinyl
estradiol may cause your contraceptive to be less effective.
-
Hypericum perforatum - St. John's Wort Use of this herbal
drug with norelgestromin/ethinyl estradiol may cause your contraceptive
to be less effective or cause vaginal bleeding during your cycle.
-
Smoking, tobacco Smoking may increase the risk of causing
serious blood clots, vein, or heart problems.
Other Information for using
The presence of other medical
problems may effect the use of norelgestromin/ethinyl estradiol. Make sure
you tell your family doctor if you have any other medical problems, especially:
-
Breast cancer current or suspected diagnosis
-
Breast cancer personal history
-
Cancer of the uterus or cervix Use of hormonal contraceptives
may make these conditions worse.
-
Jaundice during pregnancy or from using hormonal therapy in the past
-
Liver cancer, disease or tumors Use of hormonal contraceptives
may increase the risk of liver problems or make liver conditions worse.
-
Diabetes mellitus - sugar diabetes Use of hormonal contraceptives
may cause an increase, usually only a small increase, in your blood sugar
and usually does not effect the amount of diabetes drug that you take.
You or your family doctor will want to test for any changes in your blood sugar.
-
Depression
-
Gallbladder disease
-
Heart attack or
-
Heart disease, now or in the past
-
High blood pressure
-
Stroke, now or in the past Use of hormonal contraceptives may
cause or worsen these conditions.
-
Abnormal or unusual vaginal bleeding This condition may sometimes
be treated with hormone contraceptives, but may make this condition worse.
-
Migraine headache, new or worse or a new kind of headache Use
of hormonal contraceptives may cause headaches to be worse.
-
Obesity Use of the transdermal patch may be less effective
in women with body weight greater than or equal to 198 pounds - 90 kilograms.
-
Problems with circulation or blood clots, now or in the past or
-
Problems with heart valves or
-
Surgery with a long period of inactivity Use of hormonal contraceptives
may increase the risk of blood clots and worsen these conditions.
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