Warnings:

Smoking raises your risk of stroke, heart attack, blood clots, and high blood pressure from hormonal birth control (such as the pill, patch, ring). The risk of these serious problems increases with age and with the number of cigarettes you smoke. Do not smoke or use tobacco. Do not use this medication if you smoke cigarettes/use tobacco and are over 35 years old.

This product should not be used by women with a body mass index (BMI) of 30 or more. If your BMI is over that limit, the product may not work as well and you may be at a higher risk for blood clots. Your BMI is a measurement of your weight in pounds/kilograms, divided by the square of your height in inches/meters. Make sure your doctor knows your current weight and height, and ask about which form of birth control will work best for you.

Warnings:

Smoking raises your risk of stroke, heart attack, blood clots, and high blood pressure from hormonal birth control (such as the pill, patch, ring). The risk of these serious problems increases with age and with the number of cigarettes you smoke. Do not smoke or use tobacco. Do not use this medication if you smoke cigarettes/use tobacco and are over 35 years old.

This product should not be used by women with a body mass index (BMI) of 30 or more. If your BMI is over that limit, the product may not work as well and you may be at a higher risk for blood clots. Your BMI is a measurement of your weight in pounds/kilograms, divided by the square of your height in inches/meters. Make sure your doctor knows your current weight and height, and ask about which form of birth control will work best for you.

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Uses

This patch contains combination hormone medication and is used to prevent pregnancy. It contains 2 hormones: a progestin (levonorgestrel) and an estrogen (ethinyl estradiol). It works mainly by preventing the release of an egg (ovulation) during your menstrual cycle. It also makes vaginal fluid thicker to help prevent sperm from reaching an egg (fertilization) and changes the lining of the uterus (womb) to prevent attachment of a fertilized egg.Besides preventing pregnancy, birth control may make your periods more regular, decrease blood loss and painful periods, and decrease your risk of ovarian cysts.This product does not protect against sexually transmitted diseases (such as HIV, hepatitis B, gonorrhea, syphilis). To decrease your risk of infection, always use an effective barrier method (latex or polyurethane condom/dental dams) during all sexual activity.

How to use Twirla 120 Mcg-30 Mcg/24 Hr Transdermal Patch Contraceptives

Read the Patient Information Leaflet and Instructions for Use provided by your pharmacist before you start using this medication and each time you get a refill. The leaflet contains very important information on how to properly use and dispose of the patch. If you have any questions, ask your doctor or pharmacist.

Do not cut or damage the patch. Remove the patch from the pouch and apply as directed by the manufacturer to clean, dry skin on the abdomen, buttock, or upper body where it will not be rubbed by tight clothing. Do not apply the patch to your breasts or on red/cut/irritated skin. Do not use lotions, creams, oils, powders, or other products at the patch site, since the patch may not stick properly or may fall off. Check your patch after swimming or contact with water for long periods of time (30 minutes or more), since these may also affect how well the patch sticks to your skin.

If this is your first time using this medication, apply the patch during the first 24 hours of your menstrual period. If you start after day 1 of your menstrual period, use an additional form of non-hormonal birth control (such as condoms, spermicide) for the first 7 days to prevent pregnancy until the medication has enough time to work. If you start using the patch on the first day of your period, you do not need to use back-up birth control the first week.

Change the patch once a week on the same day. Remove the used patch before placing a new one. Apply the patch to a different area with each change to avoid skin irritation. After wearing patches for 3 weeks in a row, do not wear a patch during week 4. You should have your period during this time. After not wearing a patch for a week, apply a new patch whether or not you have your period. If you do not get your period, consult your doctor. Do not go longer than 7 days without a patch, since this will increase your chance of pregnancy. To help you remember, mark your calendar to remind yourself when to change or leave off patches.

If the patch falls off, re-apply it or apply a new patch within 24 hours. If the patch is not replaced within 24 hours, or if you are not sure how long it has been off, start a new cycle by applying a new patch and use an additional form of non-hormonal birth control (such as condoms, spermicide) for the next 7 days to prevent pregnancy.

After removing each patch, fold it in half so it sticks to itself, and discard in the trash away from children and pets. Do not flush the patch down the toilet.

Ask your doctor or pharmacist for information about how to switch from other forms of hormonal birth control (such as patch, ring, birth control pills) to this product. If any information is unclear, consult the Patient Information Leaflet/Medication Guide or your doctor or pharmacist.

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Selected from data included with permission and copyrighted by First Databank, Inc. This copyrighted material has been downloaded from a licensed data provider and is not for distribution, except as may be authorized by the applicable terms of use.

CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.