What is EVRA?
EVRA is an alternative method of contraception. It is a small patch which is applied directly on the skin which releases the two hormones; ethinylestradiol and norelestromin. As it contains two hormones, EVRA is called a combined hormonal contraceptive. This medication is individually wrapped in foil-lined sachet. There are several advantages of this contraceptive method, and is especially recommended for those who may forget to take their pill daily, or cannot swallow pills. Furthermore, the hormones are travelling though the skin, rather than the stomach; and so nausea, which is one of the main side effects of the contraceptive pill, will not occur with these patches.
EVRA patches are immediately effective, once you use them, and provided they are stuck onto the body on the first day your period begins. To improve the efficacy of the patches, they must be placed on the skin in the correct way; as advised on the patient information leaflet.
How to Use Evra Patches
EVRA patches are small adhesive patches which should be stuck directly onto the skin, on a
clean, dry, and hairless area, for optimum absorption. Patch should be place on intact healthy
skin on the buttock, abdomen, upper outer arm or upper torso, in a place where it will not be
rubbed by tight clothing
One patch must be applied, once weekly for three weeks. The first patch is to be applied on the first day of cycle, and should be changed on day 8 and day 15 of menstrual cycle. The third patch should be removed on day 22, with a 7-day patch-free interval to start subsequent contraceptive cycle.
If a patch is partly detached for less than 24 hours, then you may reapply a new patch immediately onto the same site. However, if it has been detached for over 24 hours, then the current contraceptive cycle must be stopped and restarted with a new patch applied; therefore a new Day 1, will commence. You, however, will not be completely protected during the first week of your new cycle and so additional contraceptive methods are advised, such as using a condom. It is advised to contact your doctor, family planning nurse or pharmacist for further advice, as they may recommend you to use emergency contraception.
EVRA Side Effects
Common side effects of this medication are headache, nausea and breast tenderness. Read the patient information leaflet for a full list of side effects.
Always read the patient information leaflet before commencing treatment. The patient information can be found here .
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