Evra patches contain two female hormones, EVRA is called a ‘combined hormonal contraceptive and is used to prevent pregnancy. As a transdermal patch, it should be applied to the upper arm, or to the upper thigh area.

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What is Evra?

EVRA is a contraceptive that comes in the form of a transdermal patch, used to prevent pregnancy.

How does Evra work?

EVRA is a combined hormonal contraceptive that contains two types of hormones , a progestogen called norelgestromin and an oestrogen called ethinyl estradiol. The mode of action is by preventing the release of an egg (ovulation) during your menstrual cycle.

When should you not use Evra?

Some of the conditions that you should be aware of if you are taking EVRA include:

  • if you have (or have ever had) a blood clot in a blood vessel of your legs (deep vein thrombosis, DVT), your lungs (pulmonary embolus, PE) or other organs
  • if you know you have a disorder affecting your blood clotting.
  • if you have ever had a heart attack or a stroke;
  • if you have a condition called angina pectoris or transient ischaemic attack (TIA – temporary stroke symptoms)
  • if you have a disease that may increase your risk of a clot in the arteries:
  • severe diabetes with blood vessel damage
  • very high blood pressure
  • a very high level of fat in the blood - a condition known as hyperhomocysteinaemia
  • if you have (or have ever had) a type of migraine called ‘migraine with aura
  • if you are allergic to norelgestromin, ethinyl estradiol or any of the other ingredients of this medicine
  • if you have ever been told you might have breast cancer or cancer of the womb, cervix or vagina;
  • if you have ever had liver tumours or a liver disease because of which your liver does not function properly;
  • if you have unexplained vaginal bleeding;

Please inform your own GP or doctor if you do, so they can discuss appropriate alternative birth control options.

How do I use Evra Patch?

The Evra Patch is a prescription-only medication.

The EVRA transdermal patch has an adhesive side that should be applied to the skin. Ideal areas to apply the patch includes the abdomen/stomach, buttocks, upper back, or the outside part of the upper arm. Hold for about 10 seconds and then leave it on for exactly 7 days before replacing with a new one using the same method. Repeat this for 3 weeks and then have 7 days with no patch on (for which time you will still be protected against pregnancy).

Always change your EVRA patch on the same day of each week and never wear the same one for more than 7 days in a row. Only wear one patch at a time and do not cut or tamper with them in any way.

Ensure the area of skin that you apply the patch onto, is clean, free of dirt, lotions, creams, oils and make-up.

Also try and alternate the site of application each time the patch is applied, to avoid skin irritation and sensitivity.

When should I use the Evra Patch?

If you have not used a hormonal contraceptive during your previous cycle:

• You may start this medicine on the first day of your next period.
• If one or more days have elapsed since the start of your period, talk to your doctor about additional non-hormonal contraception such as barrier methods until day-8, and then apply the patch.

If you are switching from the oral contraceptive pill to EVRA, you should wait until you get your menstrual period, and then apply the patch during the first 24 hours of your period.

The patches are designed to work during normal activities like showering, exercising and using a sauna, however you should just check that the patch has not fallen off after these activities.

Where can I buy EVRA patches?

You can buy the patches online from Access Doctor after completing a simple health consultation. Once our prescribers have checked the treatment is suitable and safe for you, the pharmacy team will then prepare and deliver the patches securely in discrete packaging.

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If you need urgent assistance, do not use this service. Call 111, or in an emergency call 999.