We are not a pharmacy but merely an
advertiser for MPLLC. You will receive contact information
from them in your order confirmation email. Alternatively
you can check the status of your order here.
Uses
This combination hormone patch is used to prevent
pregnancy. It contains hormones similar to those
in birth control pills. The hormones release from
the patch slowly over time. Using this medication
patch does not protect you or your partner against
HIV or other sexually transmitted diseases (STDs).
How to Use
Review the Patient Information Leaflet. Follow
all instructions on how to use this medication
patch and also the best time (during your menstrual
cycle) to start using the patch. If any of the
information is unclear, consult your doctor or
pharmacist. Open the patch container and apply
one patch to an area of clean, dry skin on the
buttock, abdomen, upper outer arm, or upper body
(torso) exactly as directed by your doctor. The
patch is worn for 7 days. Do not apply the patch
to the breast(s), the area around the breast(s);
to red, cut, or irritated skin; or over other
topical products (e.g., make-up, creams, lotions,
powders). After 7 days, remove the old patch and
apply a new patch. Repeat this weekly cycle for
3 weeks (3 patches equal 1 cycle). After your
third patch is removed, you will have one week
without using the patch. Your menstrual cycle
(period) usually should start during the week
when you do not use the patch. If your menstrual
cycle (period) does not begin during this week,
consult your doctor. After your 4th week, begin
a new patch cycle, even if you still are experiencing
some bleeding (still having your period). Do not
go longer than 7 days without a patch. Doing so
may make this medication less effective. If the
medication patch accidentally comes off, is removed,
or if it becomes detached, apply a new patch.
If it is detached or comes off for longer than
24 hours, or if you are not sure how long the
patch has been detached or removed, use additional
forms of birth control (e.g., condoms, spermicide)
for at least 7 days and continue with the same
cycle. After removing each patch, fold the patch
in half so it sticks to itself and discard it
in a trash container. Do not discard or flush
the patches down a toilet. If you weigh more than
198 pounds (90 kg), this patch may not work as
well for you. Make sure your doctor knows your
current weight and ask about which form of birth
control is best for you. If any of this information
is unclear, consult the Patient Information Leaflet
or your doctor or pharmacist.
Side Effects
Nausea, vomiting, headache, redness or itching
at the patch application site, dizziness, breast
tenderness, vaginal discomfort/irritation, or
stomach cramping/bloating may occur. If any of
these effects persist or worsen, notify your doctor.
Promptly tell your doctor if any of these side
effects occur: dark patches on the skin (melasma),
change in appetite, weight changes (gain or loss),
problem wearing contact lenses. Tell your doctor
immediately if any of these serious side effects
occur: unusual vaginal discharge, changes in vaginal
bleeding (e.g., spotting, breakthrough bleeding,
prolonged or complete stoppage of bleeding), swelling,
severe headache, mental/mood changes. Tell your
doctor immediately if any of these unlikely but
serious side effects occur: pain in the groin
or lower legs, trouble breathing, rash, chest
pain, stomach pain, vision or eye problems. Tell
your doctor immediately if any of these highly
unlikely but very serious side effects occur:
yellowing eyes or skin, dark urine, one-sided
weakness, numbness in the arms/legs, lumps in
the breast. If you notice other effects not listed
above, contact your doctor or pharmacist.
Precautions
This medication is not recommended for use if
you have the following medical conditions: blood
circulation problems (e.g., history of blood clots
in the legs or groin), history of heart disease
or stroke, severe high blood pressure, diabetes
(especially affecting the circulation), severe
headaches, recent major surgery, long periods
of sitting or lying down (e.g., immobility such
as being bedridden), liver problems, history of
yellowing eyes and skin (jaundice) during pregnancy
or while using birth control pills, cancer (especially
endometrial or breast cancer), undiagnosed abnormal
vaginal bleeding, currently pregnant, heavy tobacco
use (if 35 years old or greater). Tell your doctor
your medical history, especially of: high cholesterol
or triglyceride (fat) levels, depression, high
blood pressure, gallbladder problems, thyroid
problems, any allergies. Do not smoke cigarettes.
Hormonal birth control (e.g., pills, injections,
devices) products combined with smoking cigarettes
significantly increase your risk for strokes,
blood clots, high blood pressure, and heart attacks;
especially in women older than 35 years of age.
Ask your doctor or pharmacist or consult the patient
information leaflet that comes with this product
for more details. Before having surgery, including
dental surgery, tell the doctor(s) that you are
using this product. The drugs in this patch may
cause blotchy, dark areas on your skin (melasma)
and sunlight may intensify this effect. If this
occurs, avoid prolonged sun exposure, use a sunscreen,
and wear protective clothing when outdoors. If
you are near-sighted or wear contact lenses, you
may develop vision problems or may have problems
wearing your contact lenses. Contact your eye
doctor if these problems occur. This medication
device must not be used in pregnancy. If you become
pregnant or think you may be pregnant, inform
your doctor immediately. The medication from this
patch passes into breast milk and may have undesirable
effects on the nursing infant. Consult your doctor
before breast-feeding.
Drug Interactions
Tell your doctor of all prescription and nonprescription
medication you may use, especially: anti-seizure
medicine (e.g., carbamazepine, felbamate, phenobarbital,
phenytoin, topiramate), certain antibiotics (e.g.,
ampicillin, erythromycin), HIV protease inhibitors
(e.g., indinavir, ritonavir), phenylbutazone,
griseofulvin, atorvastatin, azole antifungals
(e.g., itraconazole, ketoconazole), rifampin,
St John's wort, cyclosporine, temazepam, prednisolone,
morphine, theophylline, ascorbic acid (vitamin
C), acetaminophen, aspirin, clofibric acid, modafinil,
troglitazone. This product can affect the results
of certain lab tests (e.g., blood tests such as
glucose, clotting factors, or thyroid). Make sure
laboratory personnel and your doctors know you
use this product. Do not start or stop any medicine
without doctor or pharmacist approval.
Overdose
Overdose with this product is highly unlikely.
If overdose is suspected, remove the patch (or
patches) and contact your local poison control
center or emergency room immediately. This medicine
device may be harmful if swallowed. Symptoms of
overdose may include: severe nausea, vomiting,
unusual vaginal bleeding or irregular menstrual
periods.
Notes
Do not share this medication patch with others.
Keep all appointments with your doctor and when
having laboratory tests performed. You should
have a complete physical exam including blood
pressure, breast exams, pelvic exams, and PAP
smears at least once a year.
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