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Ortho Evra, a new contraceptive patch.

Brigitte L Sicat1

  • 1Department of Pharmacy, Virginia Commonwealth University, School of Pharmacy, Smith Building, Room 437, 410 North 12th Street, P.O. Box 980533, Richmond, VA 23298-0533, USA.

Pharmacotherapy
|April 12, 2003
PubMed
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The Ortho Evra transdermal patch offers pregnancy prevention efficacy comparable to oral contraceptives. However, it presents unique side effects like application-site reactions and potential reduced effectiveness in women over 90 kg.

Area of Science:

  • Contraception
  • Dermatology
  • Pharmacology

Background:

  • Ortho Evra represents the first transdermal contraceptive patch for pregnancy prevention.
  • Established oral contraceptives (OCs) serve as a benchmark for hormonal birth control efficacy and safety.

Purpose of the Study:

  • To evaluate the efficacy and safety of the Ortho Evra transdermal patch.
  • To compare Ortho Evra's performance against established oral contraceptives.

Main Methods:

  • Comparative clinical trials assessing pregnancy prevention.
  • Adverse event monitoring and reporting.
  • Evaluation of patch adherence and user compliance.

Main Results:

  • Ortho Evra demonstrated comparable efficacy to oral contraceptives (Mercilon, Triphasil).

Related Experiment Videos

  • Common adverse effects included breast symptoms, headache, and application-site reactions.
  • Patch detachment occurred in approximately 5% of subjects; 2% withdrew due to irritation.
  • Efficacy may be reduced in women weighing over 90 kg.
  • Compliance was higher with the patch compared to oral contraceptives in trials.
  • Conclusions:

    • The transdermal contraceptive patch is a viable alternative to oral contraceptives with similar efficacy.
    • Application-site reactions and potential weight-based efficacy differences require consideration.
    • Further research is needed to confirm long-term safety and advantages over existing methods.