Evra Patch

  • Ethinylestradiol/Norelgestromin

Evra is a contraceptive patch applied to the skin, which contains two synthetic hormones. It prevents pregnancy by diverting ovulation.

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20mcg/150mcg

Each patch carries a slow release dose of 6mg norelgestromin and 600mcg ethinylestradiol. They are available in 3 month (9 patch) or 6 month (18 patch) packs.

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Evra is a hormonal birth control patch made by Janssen. The active ingredients in the contraceptive are artificial hormones which temporarily alter the way the reproductive system functions. It is applied to the skin for seven days at a time, before it is replaced by a new patch, for three weeks. The fourth week of the menstrual cycle is patch-free, and the treatment is begun again the following week.

  1. Weekly applied patch 
  2. Just as effective as the pill
  3. Better for those who don’t like tablets

Each month, the female body goes through various phases to prepare itself to conceive. The process by which an egg is released by the ovary is referred to as ovulation, and this plays a key part in the start of pregnancy. Once the egg has been produced, it is fit to be fertilised by sperm.

What happens to the egg next depends on whether or not sperm makes successful contact. If it does, the impregnated egg moves along to the uterus and secures itself to the endometrium, before beginning its development into a baby. Otherwise, an unfertilised egg will simply reduce once it reaches the uterus and be excreted along with the endometrium, during menstruation.

The agents in Evra are norelgestromin and ethinylestradiol, which mimic the activity of the hormones progesterone and oestrogen. In doing this, they prevent pregnancy in three ways, by: stopping the emergence of eggs from the ovary; managing the quality of the endometrium so that an egg cannot implant as easily; and increasing the density of vaginal fluid, so sperm cannot travel as freely.

Even though it is 99% effective, the hormonal pill isn’t for everyone. Some people prefer not to use treatment everyday, or might be even scared that they’ll forget to take their pill. The advantage of the Evra Patch is that it is only applied once a week. It works over seven days, after which it is replaced with a new one.

We know that getting access to the hormonal contraceptive you’re seeking can sometimes be a hassle. Arranging an appointment with your doctor, dropping your prescription off at the chemist and then having to return to pick your treatment up isn’t always convenient. That’s why we offer a combined consultation, prescription and dispensing service, so that you can get the product you need with just a few clicks.

Take our medical assessment. It only takes a few minutes to complete. A qualified practitioner will review your answers, to check whether the product you have ordered is suitable for you to use. If it is, your order will then be sent electronically to our pharmacy, who will prepare your items and send them to you by next-day tracked courier. All orders are delivered within one working day of successful consultation.

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How to use Evra Patch

As with any type of contraceptive, it is vital to follow the instructions supplied so that your treatment is as reliable as possible. No form of hormonal birth control is guaranteed to prevent pregnancy, but applying the medication correctly will significantly increase its effectiveness.

  1. Each patch lasts for seven days. Apply it on the same day each week.
  2. After three weeks of application, do not use a patch for the fourth week.
  3. This constitutes a one-month cycle of treatment. Following this, apply the patch again and repeat the process.
  4. When putting on the patch, ensure you use an area of skin which is not irritated or in which the patch is likely to fall off. 
  5. The ideal areas for most tend to be the upper back, upper outer arm, buttock or abdomen.
  6. Make sure you press the patch down firmly for ten seconds when sticking it to the skin, and that the edges are sealed.
  7. Never use more than one patch at a time. 
  8. If you are starting the treatment for the first time or switching from another hormonal contraceptive, refer to the leaflet for specific instructions.
  9. For instructions on what to do if the patch falls off or you forget to put it on, consult the leaflet supplied or ask your doctor or family planning nurse.

The directions provided here are intended as a guide only. Please read those given with the product fully prior to use.

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Evra Patch side effects

Be aware that this treatment may cause side effects in some users, and it is important to know what these look like so that you can seek medical attention if necessary.

If you experience any side effects which may indicate the development of a blood clot, heart attack, stroke, liver dysfunction, breast or cervical cancer, or an allergic reaction, see your doctor immediately. Information related to these can be found in the leaflet supplied with the product.

Very common (1 in 10 people or more):
Headache, feeling sick, tender breasts.

Common (1 in 10 people or less):
Thrush, mood swings, dizziness, migraine, stomach pain, being sick, acne, diarrhoea, skin irritation, weight fluctuations, muscular spasms, breast pain, enlargement or lumps in the breast, irregular menstrual, cramps, pain during periods, vaginal discharge.

Uncommon (1 in 100 people or less):
Fluid retention, high cholesterol, difficulty sleeping, loss of libido, eczema, premenstrual syndrome, increase in blood pressure, increased appetite, hair loss, increased photosensitivity.

Rare (1 in 1,000 or less):
Blood clots, heart attack or stroke, breast, cervical or liver cancer, increased libido, abnormal taste, gallstones or itchiness.

This is not a comprehensive list of side effects. A more detailed index can be located in the patient information leaflet.

Taking it with other medicines

Let your prescriber know if you are currently using any other medications.

The following may impede the effectiveness of Evra: certain medicines used to treat HIV or AIDS (such as nelfinavir, ritonavir, nevirapine, efavirenz); treatments for infection (such as rifampicin, rifabutin and griseofulvin, penicillins and tetracycline); epilepsy medicines (such as topiramate, phenobarbital, phenytoin, carbamazepine, primidone, oxcarbamazepine, felbamate, eslicarbazepine acetate and rufinamide); aprepitant; bosentan; and St. John’s wort.

This patch may interact with the following and hinder their activity: ciclosporin and lamotrigine.

Conditions to look out for

Disclose your medical history to your prescribing doctor before using this product. Those who have ever had or currently have the following should not use this treatment: a blood clot, heart attack or a stroke, or any condition which increases their likelihood; migraine with aura; cancer of the breast of cervix; liver disease; or unexplained vaginal bleeding.

A doctor may choose to only issue a prescription with special care for this treatment if you have or have ever had: Crohn’s disease or ulcerative colitis; systemic lupus erythematosus; haemolytic uraemic syndrome; sickle cell anaemia; hypertriglyceridaemia; or varicose veins.

Q&A: our Evra Patch discussion forum

Can I still drink alcohol?

Yes. The ingredients in Evra should not be affected by alcohol.

Will I still be able to drive?

Yes. This medicine should not inhibit your coordination and motor skills. However, if you experience anything unusual or notice side effects which could cause you difficulty when driving, do not drive and seek medical advice.

Can I take this medicine while pregnant?

No. You should stop using this treatment immediately if you become pregnant.

It is also not suitable for those who are breastfeeding. To find out more about taking the pill while breastfeeding, refer to our information on minipills or speak to your doctor.

How do I store it?

Make sure you store it out of the reach of children and away from sources of excessive light or moisture.

Am I allergic to anything in the medicine?

Do not use this treatment if you are allergic to any containing ingredients, which include: norelgestromin, ethinylestradiol, low-density pigmented polyethylene outer layer, polyester inner layer, polyisobutylene/polybutene adhesive, crospovidone, non-woven polyester fabric, lauryl lactate, polyethylene terephthalate (PET) film, and polydimethylsiloxane coating.

Is it available over-the-counter?

No. You can only buy Evra Patches in the UK online or in person if you have a prescription from a medical practitioner.

Is it right for me?

Let our doctors help you find out. Select your product, and fill in our short questionnaire. Your answers will be screened by a qualified physician, and once confirmed as safe, we’ll have your treatment delivered to your door within just one working day.

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Delivery on all items is included in the price. After your order has been dispatched, you’ll be supplied with a tracking number, allowing you to follow the progress of your items every step of the way. We deliver to anywhere in the UK, so whether you’re in London, Birmingham, Manchester, Glasgow or Cardiff, your order will be at your door within just 24 hours of approval from our doctor.

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