Ethinyl estradiol and norelgestromin (transdermal)

["Before taking this medicine", "Using hormonal birth control can increase your risk of blood clots, stroke, or heart attack You are even more at risk if you have high blood pressure, diabetes, high cholesterol, or if you are overweight Your risk of stroke or blood clot is highest during your first year of using birth control Your risk is also high when you restart this medicine after not using for 4 weeks or longer.", "Smoking can greatly increase your risk of blood clots, stroke, or heart attack Your risk increases the older you are and the more you smoke You should not use this medicine if you smoke and are over 35 years old.", "Your risk of serious blood clot may be higher with the use of birth control skin patches than with the use of birth control pills.", "Do not use if you are pregnant, if you become pregnant, or if you've had a baby in the past 4 weeks.", "You should not use hormonal birth control if you have:", "\\\\nuntreated or uncontrolled high blood pressure \\\\n\\\\n\\\\nheart problems (chest pain, coronary artery disease, history of heart attack, stroke, or blood clot) \\\\n\\\\n\\\\nan increased risk of having blood clots due to a hereditary blood disorder \\\\n\\\\n\\\\nhealth problems caused by diabetes (such as damage to your kidneys, eyes, nerves, or blood vessels) \\\\n\\\\n\\\\na history of hormone-related cancer, or cancer of the breast, uterus/cervix, or vagina \\\\n\\\\n\\\\nunusual vaginal bleeding that has not been checked by a doctor \\\\n\\\\n\\\\nliver disease or liver cancer \\\\n\\\\n\\\\nsevere migraine headaches (with aura, numbness, weakness, or vision changes), especially if you are older than 35 \\\\n\\\\n\\\\nif you are overweight and have a BMI (body mass index) of 30 or higher or\\\\n\\\\n\\\\nif you take any hepatitis C medication containing ombitasvir/paritaprevir/ritonavir (Viekira).\\\\n", "Tell your doctor if you have ever had:", "\\\\nheart problems, high blood pressure, or if you are prone to having blood clots \\\\n\\\\n\\\\ndepression \\\\n\\\\n\\\\nmigraine headaches \\\\n\\\\n\\\\nliver disease \\\\n\\\\n\\\\njaundice caused by pregnancy or birth control pills or\\\\n\\\\n\\\\ndiabetes, gallbladder disease, underactive thyroid.\\\\n", "This medicine may not be as effective if you weigh more than 198 pounds (90 kilograms) If you are overweight, your doctor may recommend another form of birth control for you.", "This medicine can slow breast milk production You should not breastfeed while using ethinyl estradiol and norelgestromin.", "", "How should I use ethinyl estradiol and norelgestromin?", "Follow all directions on your prescription label and read all medication guides or instruction sheets Use the medicine exactly as directed Do not wear more than one skin patch at a time Never cut a skin patch.", "Apply a new skin patch every 7 days for 3 weeks in a row (21 days) Change your patch on the same day of the week, and wear each patch for 7 full days On Day 22, remove the patch and wait 7 days before applying a new patch Your patch-free week should not be longer than 7 days.", "\\\\n\\\\n", "Apply the patch to clean, dry skin that is not broken or irritated and won't be rubbed by tight clothing (such as a waistband).", "You may need to use back-up birth control (such as a condom/diaphragm with spermicide) when you first start using this medicine, or if a patch has become loose or has been off for longer than 1 day Read and carefully follow all instructions about what to do if a patch gets loose or falls off, or if you forget to change your patch on time.", "If you need major surgery or will be on long-term bed rest, do not use wear a skin patch for at least 4 weeks ahead of time and 2 weeks afterward.", "You may have breakthrough bleeding, especially during the first few months Tell your doctor if this bleeding is very heavy, or if you miss 2 or more regular periods.", "Store patches in the foil pouch at room temperature away from moisture and heat Do not freeze or refrigerate After removing a skin patch fold it in half, sticky side in, and throw it away in a place where children and pets cannot get to it Do not flush a used patch down the toilet.", "", ""]