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| Usage of Ortho-evra without doctor's consultation. |
Ortho Evra - a contraceptive patch of a skin. This prescription contains an estrogen and progestin, the same hormones found in many contraceptive pills. Abundance depends on correct fluctuations in levels of these hormones. Contraceptive means such as Ortho Evra reduce abundance, eliminating fluctuations. After applied to a skin, Ortho Evra the patch lets out steady delivery of an estrogen and progestin through a skin and in a blood-groove.
| Most important fact about Ortho-evra. |
Cigarette smoking increases risk of the serious side effects connected to heart
(impact, heart attack, clots of blood, etc.) in women who use hormonal
contraceptive means. This risk increases with heavy smoking (15 or more cigarettes
in day) and with the years. There is especially essential increase in intimate risk
of illness in women more than 35 years who smokes and uses hormonal restriction of birth rate. Therefore, to women who use Ortho Evra, urgently advise to not smoke.
| Why should Ortho-evra not be prescribed? |
Do not use this prescription if you are pregnant women (or think, that you could be). Also avoid it if components give you allergic reaction, or you suffer from headaches with neurologic attributes such as visual disorders (pulsing fires and dead points) and time tolerance.
If you ever had a chest cancer or a cancer in reproductive bodies or tumours of a liver, you should not take Ortho Evra. Avoid it, also, if you have or ever had impact, intimate illness, illness of a liver, quinsy (a serious pain of a breast), or clots of blood. It also does not recommend for women with an essential high blood pressure or the complications of kidneys connected to a diabetes, an eye, nerves, or blood vessels.
Women who had the jaundice connected to pregnancy (yellowing skin or white eyes) or a jaundice occuring from previous use of hormonal contraceptive means, should not take Ortho Evra. You should avoid also it, if you undiagnosed and-or not explained wrong vaginal bleeding or if you require a long confinement to bed after the main surgical operation.
Do not use Ortho Evra if you already take contraceptive pills. Avoid a drug, also, if you nurse.
| Special warnings about Ortho-evra. |
Hormonal contraceptive means, switching Ortho Evra, should be used with caution, if to you more than 40 years; tobacco of a smoke; have a liver, heart, a bilious bubble, or renal illness; have a high blood pressure, high cholesterol, a diabetes, or an epilepsy; or tend to be seriously heavy. Caution also consults, if you have problems of the reference of blood or had heart attack or impact in the past. Be cautious, also, if you have problems with depression, a migraine or other headaches, the irregular menstrual periods, or visual disorders.
There messages contradicted concerning, whether increases use of hormonal contraceptive means risk of a chest cancer. It seems, that use of hormonal contraceptive means can increase a little chance of a chest cancer, is especial if they are used before age 20. After hormonal contraceptive means are stopped, the risk starts to come back downwards. If you use Ortho Evra, you should investigate your breasts monthly and have annual chest examinations by the doctor. Also tell to your doctor if you have a history of family of a chest cancer or if you had chest ores, fibrocystic chest illness, or wrong mammogram.
You should know also, that some experts think, that hormonal contraceptive means can increase risk of an occipital cancer. It remains disputable, however. Many doctors think, that other factors are guilty.
As clotting ability of blood can be mentioned hormonal contraceptive means, your doctor can take you from Ortho Evra before surgical operation or during the period of a long confinement to bed. You should wait later at least for 4 weeks after presence of the child before start Ortho Evra; and if you nurse, wait, while the child do not take away from a breast before start of a drug. If you recover from the second mistake of a trimester or abortion, speak with your doctor before use Ortho Evra.
If you develop a migraine or a serious headache which does not allow or continues to come back, while you take Ortho Evra, check up with your doctor. You, probably, should switch to the various form of restriction of birth rate.
You should know also, that hormonal contraceptive means were, know to cause rare cases nonmalignant - but dangerous - tumours of a liver. In people inclined to high cholesterol and similar problems, hormonal contraceptive means, as is known, lifted triglyceride levels, conducting to pancreatitis.
If you pass the menstrual period, but followed for Ortho Evra a mode correctly, contact your doctor, but do not stop to use patches. If you pass{miss} the period and did not follow a mode correctly or if you pass{miss} two consecutive periods, you can be pregnant women; stop to use patches and check with your doctor immediately, to see, whether you are pregnant women. Use other form of restriction of birth rate, while you - from a patch.
This prescription can be less effective in women who weigh more than 198 pounds; if you fall in this category, ask your doctor, what form of restriction of birth rate is the best for you.
Hormonal contraceptive means are not protected against an infection of a HIV (AIDS) or any other illness transmitted in the sexual way. If there is a danger of an infection, use a latex condom in addition to Ortho Evra.
Be convinced, that have told to the doctor, that you take Ortho Evra before making of tests of laboratory as some tests of blood can be mentioned hormonal contraceptive means.
| Ortho-evra recommended dosage. No prescription needed. |
If you have any questions on how you should use Ortho Evra, consult to your doctor or patient instructions who enter into a package of a drug. The following - the partial list of instructions to use Ortho Evra; it should not be used as the assistant to consultation of your doctor.
You should use three Ortho Evra patches during each 28-day's cycle. You should apply a new patch every week within 3 weeks (21 full day). Do not apply a patch within the fourth week. Your menstrual period should begin within this week without a patch.
Apply each new patch in the same day of week. It will be yours " in the afternoon of change of a patch. " The patch can be applied in the first day of your menstrual cycle or on the first Sunday subsequently. Instructions are lower - for the schedule of the first Sunday.
FOR A SUNDAY PATCH CHANGE SCHEDULE
Apply your first patch on the first Sunday after your menstrual start of the period. You should use reserve contraception within the first week of your cycle at start Ortho Evra for the first time.
Choose a place on your body to place a patch where it will not be rubbed intense clothes. You can apply a patch to your buttock, a stomach, the top external hand, or top back. Never place a patch in your breasts. To avoid irritation, apply each new patch to a various place on your skin.
Open a foil pouch which contains a patch, torn on the main paradise and one edge of the side. Clear pouch a foil separately and open it an apartment.
You will see, that the patch is closed by a layer of clear plastic. It is important to remove a patch and plastic together from pouch. Using your nail, remove one corner of a patch and remove a patch and plastic from the liner of a foil. Patches can sometimes adhere to an internal part pouch; be cautious not casually to remove the clear liner as you delete a patch.
Thin skin far half of clear plastic liner. Be cautious to not touch the exposed sticky surface of a patch with your fingers.
Apply the sticky side of a patch to clean, dry a skin, then to delete other half of clear plastic. Press firmly on a patch with a palm tree of your hand within 10 seconds, making sure a stick of sides well. Operate your finger around of edge of a patch to make sure, that it adheres properly. Check up your patch every day to make sure, that all sides adhere.
Carry a patch within 7 days. On the next Sunday (day 8), remove a used patch. Apply a new patch immediately. The used patch still contains a few medicines; carefully curtail it in half so that it adhered to itself before ejection of it.
Apply a new patch on the next Sunday (day 15). After 7 days, throw out a patch.
Do not carry a patch within the fourth week (day 22 within day 28). Your period should begin within this week.
Begin your following 4-week cycle, applying a new patch on Sunday after day 28 even if your period has not ended nevertheless.
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